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Receipts

The work, dated.

Most agency “proof” pages are testimonial walls with no dates and no numbers. This one is the opposite. Five named clients. Five dated relationships. Five outcomes you can verify against the public record. The Macbach book is bigger than these five; this is what we can publish on the open web with permission.

The other forty-plus practices on the book stay private because the discipline of healthcare marketing is partly the discipline of not publishing patient-adjacent data we don’t have permission to share.

01
Receipt

Eighteen years on the same relationship.

Dr. Stephanie Murphy signed with Macbach in 2008 as our first client. Solo dentist, single office. Eighteen years on, she's still on the book, still our client, still operating at the revenue ceiling a single-dentist practice can carry. The retention thesis written in dates, not language.

Portrait of Dr. Stephanie Murphy, DDS, founder of Stephanie Murphy DDS Family & Cosmetic Dentistry in Milwaukee, Wisconsin.
Signed
2008. Macbach's first client engagement.
Practice
Stephanie Murphy DDS Family & Cosmetic Dentistry · Milwaukee, WI
Status today
Active client. Same relationship, same operating posture, no platform migration in 18 years.
Operational result
Over 10,000 appointment requests captured online across the relationship.
02
Receipt

One concierge physician became eleven.

Griffin Concierge MedicalTampa, FLSigned 2013

Dr. Radley Griffin, MD started Griffin Concierge Medical in Tampa as a single concierge physician on the Macbach Architect engagement. Eleven physicians later, across three locations, on the same membership economics. Multi-physician compounding is rare in concierge medicine; the practices that pull it off do it on operational discipline more than on marketing volume.

Portrait of Dr. Radley Griffin, MD, founder of Griffin Concierge Medical in Tampa, Florida.
Engagement type
Architect (fractional CMO). On the book since 2013.
Growth arc
1 concierge physician to 11. One location to three.
Same economics
Membership pricing held; growth came from capacity, not price increases.
Origin
Relationship forged at the Epicurean on Howard Avenue, South Tampa.
03
Receipt

Apex page from rank 0 to rank 3 in twelve months.

Modern DermatologySouth Tampa, FLSigned 2025

Dr. Alexandra Grob, MD opened a direct-care dermatology practice into a market dominated by multi-location groups. Twelve months later, the apex page sits at number three for the head term, total visits up 7,445 percent, Domain Rating from 0.2 to 3.0. Appointment requests up roughly 9,750 percent. The case is recent, the data is verifiable, the SERP screenshots speak.

Engagement
Active. SitePRO build + RankPRO + MapsPRO from launch.
Apex page rank
Position 3 for the head term (dermatologist Tampa). Week-1: not indexed. Week-52: position 3.
Total visits
Up 7,445% over the twelve-month engagement window.
Domain Rating
0.2 → 3.0 (Ahrefs). Backlink graph built from zero.
Appointment requests
Up 9,750%.
04
Receipt

Zero to the number-one organic ranking, in 24 months.

Premier Weight LossIndianapolis, INSigned 2023

Premier Weight Loss launched in 2023 into a competitive Indianapolis metro. Twenty-four months later, the practice holds the number-one organic ranking for medical weight loss in the metro. Three thousand patients treated. Sixty thousand pounds lost. Compounding works when the work is consistent.

Engagement
Active. RankPRO + AdsPRO + SitePRO.
Ranking
Position 1, organic, for the head term in the Indianapolis metro.
Patients treated
3,000+ across the engagement window.
Pounds lost
60,000+ across the patient cohort.
05
Receipt

Mainline Today landing inside the regional luxury press.

Allure Aesthetics LLCKing of Prussia, PASigned Active engagement

Cory Gallagher's Allure Aesthetics medspa runs as a named engagement on the Macbach medspa book. The signal that landed publicly: a Mainline Today branded landing page placed inside the regional luxury-lifestyle publication that serves the practice's core audience. Brand and acquisition surface managed end to end, with the placement on a real publication's editorial calendar.

Engagement
Active. Brand + acquisition + lead-mine.
Vertical
Medspa: injectables, laser, body contouring.
Public artifact
Mainline Today landing page live at allureaestheticsllc.com/mainline-today/
Why these five

Different verticals. Different durations. Same operating system.

Stephanie Murphy is the eighteen-year retention case. Radley Griffin is the multi-physician growth case. Modern Dermatology is the 12-month ranking case. Premier Weight Loss is the 24-month zero-to-number-one case. Allure Aesthetics is the brand-and-press case. Pick which retention or growth pattern matches yours, and the receipt for the equivalent shape is on this page.

What none of these five have in common: the same vertical, the same metro, the same launch year, the same engagement type. What they share: the same operating system, the same posture, the same Macbach review cadence. The work compounds when the work is the same work.

Run your own audit

See what shape your practice would land on.

The free Practice Audit returns a real read on every dimension we measure. After the report lands, the receipts above stop being abstractions and start being the patterns we’d apply to your specific situation.