Growth
Case Study · Growth Audit — Marketing Strategy

Chiropractic & Wellness Clinic

Anonymized demonstration case · Victoria, BC

An established clinic ran 16 services for everyone — and grew for no one. Clariva's Growth Audit segmented 12 months of the clinic's own client data, found its most valuable client walking in through the least-used door, and rebuilt the growth strategy around her — with the revenue math attached.

12-Month Client Data LTV Segmentation 3-Year Revenue Model 90-Day Roadmap
843
Clients segmented
4,716 visits
$1.26M
Revenue analyzed
12 months
$2,956
Top entry-point LTV
3-yr blended
6.3×
vs average client
$467 avg
21–33×
LTV / CAC, target segment
3-yr basis
+$103K
Projected Year-1 uplift
conservative, net

Find the client worth six of the rest.

The clinic was doing everything "right": 16 services, six client groups, steady revenue. But growth had stalled. Six nearly identical competitors advertised the same "back pain and neck pain" message, and nothing answered a prospective client's only real question — is this for me?

The owner suspected some clients were worth far more than others — but not which ones, not by how much, and not what it would cost to get more of them. Clariva's job was to replace that guesswork with math.

The audit.

  • LTV Segmentation of 843 ClientsTwelve months of visit data grouped by the job each client hired the clinic for — 7 segments, each with visits, spend and lifetime value.
  • Entry-Point EconomicsWhich service each client entered through, and how they flowed between services afterwards — retention-weighted, not anecdotal.
  • 3-Year Blended LTV ModelRevenue per acquisition across pregnancy → postpartum → infant → ongoing wellness → second pregnancy, weighted by observed retention.
  • Market Capacity & Competitive ScanMarket sized from regional births data — total demand, the clinic's reachable share, and a realistic capture target; 30+ local providers reviewed — and a vacant niche confirmed.
  • Segment Playbooks & Channel PlanTriggers, barriers and choice criteria per segment; what to say, where to say it, and what to change in the clinic itself.
  • 90-Day Roadmap & Revenue ScenariosA sequenced implementation plan with budgets and KPIs — and three revenue scenarios to hold it accountable to.

Lifetime value by entry point, 3-year blended

Prenatal — highest value Postpartum Infant — most common
$467 — clinic average client Prenatal 20% of entries $2,956 Postpartum 28% of entries $1,902 Infant 52% of entries $976 3-year blended LTV per acquisition, CAD · maternal cluster

The clinic's most valuable door — a prenatal client worth $2,956 over three years — was the one only 20% walked through. The most common entry (infant, 52%) was worth 3× less. A prenatal client goes on: 71% continue to postpartum care, 54% bring their infant, 42% stay for ongoing wellness. Flipping the entry ratio — same client volume — is the single biggest revenue lever in the business.

Three weeks. Data first, opinion last.

01

Segmentation on the clinic's own records

Every conclusion starts in the client's real data — 843 clients grouped by the job they hired the clinic for, not by demographic guesswork.

02

Financial-model-grade LTV math

Each phase's revenue × its observed retention probability, over a 3-year horizon — the same modeling discipline Clariva applies to bank-ready financial models.

03

Market sized from public data

Regional births statistics, utilization benchmarks and PEST analysis — auditable sources, so the opportunity is measured, not asserted.

04

Competitive scan across 30+ providers

Chiropractors, physiotherapists, RMTs and osteopaths reviewed one by one — confirming no one owned the pregnancy-to-infant journey.

05

Playbooks, not platitudes

Per-segment triggers, barriers and choice criteria translated into concrete changes: site copy, ad angles, referral partnerships, and the clinic experience itself.

06

A roadmap the owner can hold us to

90 days, sequenced, budgeted, with KPIs — three revenue scenarios, and a Day-90 results check where we measure actuals against our own plan.

Own the niche nobody claimed.

Across 30+ providers in Greater Victoria, not one positioned itself as the prenatal, postpartum & infant specialist — while search interest in "prenatal chiropractor" grew +52% in two years, and midwives, doulas and prenatal yoga studios had no specialist to refer clients to. The niche wasn't just open; referral partners were actively waiting for someone to fill it.

Stop competing as one of six identical clinics. Become the prenatal, postpartum & infant clinic in Greater Victoria — and acquire clients at the most valuable door, not the most familiar one.

Growth Audit · Positioning Recommendation

Three scenarios, one direction.

Conservative
+$103K
Year-1 net uplift at 6 new prenatal clients/month — +8.2% clinic revenue.
3-yr cumulative $213K
Base
+$207K
Year-1 net uplift at 12 new prenatal clients/month — +16.4% clinic revenue.
3-yr cumulative $426K
Optimistic
+$345K
Year-1 net uplift at 20 new prenatal clients/month — +27.3% clinic revenue.
3-yr cumulative $709K
The math behind it
21–33×
LTV/CAC on a 3-year basis, at $90–$140 acquisition cost and $8.6K–$28.8K Year-1 marketing spend.
Referral K-factor 1.3–1.5

Which of your clients are worth 6× the rest?

The Growth Audit — three weeks, CA$2,690, two engagements a month — turns your own client data into a positioning strategy, a channel plan and a 90-day roadmap, then comes back at day 90 to measure the result. It starts free: a 30-minute Growth Checkup, and you leave with a one-page snapshot of your three biggest gaps, priced in dollars per year. A raw export from your booking system is all we need.

Anonymized demonstration case. Based on a real Growth Audit delivered by Clariva; the clinic, its name and identifying details have been anonymized and some figures rounded. Projections illustrate the audit's revenue modeling — they are a plan, not an achieved result, and not a guarantee of growth.