{
  "meta": {
    "title": "40 US Clinic AI Visibility Audit (Q1 2026)",
    "publisher": "KailxLabs",
    "published": "2026-04-18",
    "updated": "2026-05-11",
    "license": "CC BY 4.0 — attribute KailxLabs and link back to https://www.kailxlabs.co/research/40-clinic-audit-2026",
    "methodologyUrl": "https://www.kailxlabs.co/research/40-clinic-audit-2026",
    "contact": "kailesk@kailxlabs.co",
    "anonymization": "Clinic identity withheld per standard engagement confidentiality clause. State preserved at state granularity only. Audit ran 2026-01-15 through 2026-03-20 against a fixed 5-query baseline per vertical (20 query-by-engine combinations per clinic)."
  },
  "summary": {
    "totalClinics": 40,
    "curlReadableCount": 7,
    "schemaPresentCount": 15,
    "schemaValidCount": 8,
    "medicalClinicDeclaredCount": 6,
    "heroImageBakedTextCount": 19,
    "citySpecificPagesCount": 6,
    "llmsTxtPresentCount": 1,
    "totalCitations": 31,
    "clinicsWithZeroCitations": 31,
    "clinicsWithAnyCitation": 9,
    "averageCitationsPerClinic": 0.78,
    "cmsBreakdown": {
      "wix": 13,
      "squarespace": 7,
      "react-spa": 6,
      "wordpress-fast": 5,
      "wordpress-page-builder": 6,
      "webflow": 2,
      "custom-static": 1
    },
    "robotsBreakdown": {
      "silently-blocks-ai": 13,
      "default": 14,
      "missing": 6,
      "permissive": 7
    },
    "verticalBreakdown": {
      "glp1-weight-loss": {
        "count": 10,
        "cited": 3
      },
      "hair-transplant": {
        "count": 8,
        "cited": 2
      },
      "medical-aesthetics": {
        "count": 10,
        "cited": 1
      },
      "cosmetic-dental": {
        "count": 7,
        "cited": 2
      },
      "dermatology": {
        "count": 5,
        "cited": 1
      }
    }
  },
  "clinics": [
    {
      "id": "C-001",
      "vertical": "glp1-weight-loss",
      "state": "TX",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1800,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-002",
      "vertical": "glp1-weight-loss",
      "state": "FL",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 2100,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-003",
      "vertical": "glp1-weight-loss",
      "state": "CA",
      "curlReadable": false,
      "cms": "squarespace",
      "ttfbMs": 1400,
      "schemaPresent": true,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 1,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-004",
      "vertical": "glp1-weight-loss",
      "state": "NY",
      "curlReadable": false,
      "cms": "react-spa",
      "ttfbMs": 950,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "missing",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-005",
      "vertical": "glp1-weight-loss",
      "state": "GA",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1900,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-006",
      "vertical": "glp1-weight-loss",
      "state": "IL",
      "curlReadable": true,
      "cms": "wordpress-fast",
      "ttfbMs": 480,
      "schemaPresent": true,
      "schemaValid": true,
      "medicalClinicDeclared": true,
      "heroImageBakedText": false,
      "citySpecificPages": 1,
      "robotsTxtStatus": "permissive",
      "llmsTxtPresent": false,
      "chatgptCited": 1,
      "perplexityCited": 2,
      "geminiCited": 1,
      "googleAiCited": 0
    },
    {
      "id": "C-007",
      "vertical": "glp1-weight-loss",
      "state": "AZ",
      "curlReadable": false,
      "cms": "wordpress-page-builder",
      "ttfbMs": 2400,
      "schemaPresent": true,
      "schemaValid": true,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-008",
      "vertical": "glp1-weight-loss",
      "state": "MA",
      "curlReadable": false,
      "cms": "squarespace",
      "ttfbMs": 1300,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-009",
      "vertical": "glp1-weight-loss",
      "state": "CO",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1700,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-010",
      "vertical": "glp1-weight-loss",
      "state": "WA",
      "curlReadable": true,
      "cms": "webflow",
      "ttfbMs": 720,
      "schemaPresent": true,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "permissive",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 1,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-011",
      "vertical": "hair-transplant",
      "state": "CA",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 2200,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-012",
      "vertical": "hair-transplant",
      "state": "NY",
      "curlReadable": false,
      "cms": "wordpress-page-builder",
      "ttfbMs": 1800,
      "schemaPresent": true,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-013",
      "vertical": "hair-transplant",
      "state": "FL",
      "curlReadable": true,
      "cms": "wordpress-fast",
      "ttfbMs": 540,
      "schemaPresent": true,
      "schemaValid": true,
      "medicalClinicDeclared": true,
      "heroImageBakedText": false,
      "citySpecificPages": 1,
      "robotsTxtStatus": "permissive",
      "llmsTxtPresent": false,
      "chatgptCited": 1,
      "perplexityCited": 2,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-014",
      "vertical": "hair-transplant",
      "state": "TX",
      "curlReadable": false,
      "cms": "react-spa",
      "ttfbMs": 1100,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "missing",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-015",
      "vertical": "hair-transplant",
      "state": "IL",
      "curlReadable": false,
      "cms": "squarespace",
      "ttfbMs": 1200,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-016",
      "vertical": "hair-transplant",
      "state": "NV",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1900,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-017",
      "vertical": "hair-transplant",
      "state": "TX",
      "curlReadable": false,
      "cms": "wordpress-page-builder",
      "ttfbMs": 2100,
      "schemaPresent": true,
      "schemaValid": true,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-018",
      "vertical": "hair-transplant",
      "state": "AZ",
      "curlReadable": true,
      "cms": "custom-static",
      "ttfbMs": 380,
      "schemaPresent": true,
      "schemaValid": true,
      "medicalClinicDeclared": true,
      "heroImageBakedText": false,
      "citySpecificPages": 2,
      "robotsTxtStatus": "permissive",
      "llmsTxtPresent": false,
      "chatgptCited": 2,
      "perplexityCited": 3,
      "geminiCited": 1,
      "googleAiCited": 0
    },
    {
      "id": "C-019",
      "vertical": "medical-aesthetics",
      "state": "CA",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1700,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-020",
      "vertical": "medical-aesthetics",
      "state": "FL",
      "curlReadable": false,
      "cms": "squarespace",
      "ttfbMs": 1400,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-021",
      "vertical": "medical-aesthetics",
      "state": "TX",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1900,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-022",
      "vertical": "medical-aesthetics",
      "state": "NY",
      "curlReadable": false,
      "cms": "react-spa",
      "ttfbMs": 850,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "missing",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-023",
      "vertical": "medical-aesthetics",
      "state": "IL",
      "curlReadable": false,
      "cms": "wordpress-page-builder",
      "ttfbMs": 2000,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-024",
      "vertical": "medical-aesthetics",
      "state": "CA",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1600,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-025",
      "vertical": "medical-aesthetics",
      "state": "AZ",
      "curlReadable": false,
      "cms": "squarespace",
      "ttfbMs": 1300,
      "schemaPresent": true,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-026",
      "vertical": "medical-aesthetics",
      "state": "NC",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1800,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-027",
      "vertical": "medical-aesthetics",
      "state": "GA",
      "curlReadable": true,
      "cms": "wordpress-fast",
      "ttfbMs": 510,
      "schemaPresent": true,
      "schemaValid": true,
      "medicalClinicDeclared": true,
      "heroImageBakedText": false,
      "citySpecificPages": 1,
      "robotsTxtStatus": "permissive",
      "llmsTxtPresent": false,
      "chatgptCited": 1,
      "perplexityCited": 2,
      "geminiCited": 1,
      "googleAiCited": 0
    },
    {
      "id": "C-028",
      "vertical": "medical-aesthetics",
      "state": "CO",
      "curlReadable": false,
      "cms": "react-spa",
      "ttfbMs": 920,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "missing",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-029",
      "vertical": "cosmetic-dental",
      "state": "CA",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 2000,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-030",
      "vertical": "cosmetic-dental",
      "state": "IL",
      "curlReadable": false,
      "cms": "wordpress-page-builder",
      "ttfbMs": 2300,
      "schemaPresent": true,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 1,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-031",
      "vertical": "cosmetic-dental",
      "state": "NY",
      "curlReadable": false,
      "cms": "squarespace",
      "ttfbMs": 1500,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-032",
      "vertical": "cosmetic-dental",
      "state": "FL",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1700,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-033",
      "vertical": "cosmetic-dental",
      "state": "TX",
      "curlReadable": true,
      "cms": "wordpress-fast",
      "ttfbMs": 470,
      "schemaPresent": true,
      "schemaValid": true,
      "medicalClinicDeclared": true,
      "heroImageBakedText": false,
      "citySpecificPages": 2,
      "robotsTxtStatus": "permissive",
      "llmsTxtPresent": true,
      "chatgptCited": 2,
      "perplexityCited": 3,
      "geminiCited": 1,
      "googleAiCited": 1
    },
    {
      "id": "C-034",
      "vertical": "cosmetic-dental",
      "state": "MA",
      "curlReadable": false,
      "cms": "react-spa",
      "ttfbMs": 1050,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "missing",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-035",
      "vertical": "cosmetic-dental",
      "state": "WA",
      "curlReadable": false,
      "cms": "webflow",
      "ttfbMs": 880,
      "schemaPresent": true,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-036",
      "vertical": "dermatology",
      "state": "CA",
      "curlReadable": false,
      "cms": "wix",
      "ttfbMs": 1800,
      "schemaPresent": false,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": true,
      "citySpecificPages": 0,
      "robotsTxtStatus": "silently-blocks-ai",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-037",
      "vertical": "dermatology",
      "state": "NY",
      "curlReadable": false,
      "cms": "wordpress-page-builder",
      "ttfbMs": 1900,
      "schemaPresent": true,
      "schemaValid": false,
      "medicalClinicDeclared": false,
      "heroImageBakedText": false,
      "citySpecificPages": 0,
      "robotsTxtStatus": "default",
      "llmsTxtPresent": false,
      "chatgptCited": 0,
      "perplexityCited": 0,
      "geminiCited": 0,
      "googleAiCited": 0
    },
    {
      "id": "C-038",
      "vertical": "dermatology",
      "state": "FL",
      "curlReadable": true,
      "cms": "wordpress-fast",
      "ttfbMs": 520,
      "schemaPresent": true,
      "schemaValid": true,
      "medicalClinicDeclared": true,
      "heroImageBakedText": false,
      "citySpecificPages": 1,
      "robotsTxtStatus": "permissive",
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