DxR Development Group

What DxR Development Group does

DxR Development Group, Inc. is a privately held educational technology company founded in 1992 by Dr. Hurtley, headquartered in Carbondale, Illinois with administrative offices in Las Vegas, Nevada. The company develops AI-powered virtual patient simulation software for clinical reasoning education across the healthcare training continuum — from K-12 and pre-health learners through MD/DO, physician assistant, graduate nursing, PN/RN, physical therapy, and chiropractic programs. Its core technology centers on open-ended problem-based learning (PBL) cases that have been standardized and refined over 30+ years, now enhanced by the DxR Harmony.ai platform launched in July 2025, which adds real-time AI-driven virtual patient dialogue, cognitive bias detection, adaptive case difficulty, and transparent benchmark-mapped scoring. Supporting products include VirtualPT Clinician, VirtualChiro Clinician, the Integrated Medical Curriculum (10 modules), the DxR CCX competency assessment tool, DxR Academy for K-12, and the Pressure Injury Staging 101 course.

The platform is deployed at 160+ U.S. institutions and 180+ institutions worldwide, supporting 500,000+ cumulative student encounters and generating 40,000+ decision points daily. Revenue is generated primarily through tiered institutional subscription licensing (Free Access, Institutional, and Enterprise tiers), per-module IMC subscriptions, per-course/per-student fees for DxR Academy and individual courses, with institutional pricing handled via direct enterprise sales. Distribution combines direct field sales, conference-led demand generation (IMSH, INACSL), a self-serve online channel for DxR Academy, and channel partnerships (notably Kaplan for NCLEX/medical test prep integration), with AWS providing cloud infrastructure. The company operates without disclosed external funding, parent company, or M&A activity, and is led by Dr. J. Hurley Myers as President & CEO.

Name

DxR Development Group

Legal name

DxR Development Group, Inc.

Website

https://dxrgroup.com

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

11–50 employees

Short description

DxR Development Group is a privately held edtech company founded in 1992 that builds AI-powered virtual patient simulation software for clinical reasoning education, serving medical, PA, nursing, PT, chiropractic, and K-12 pre-health programs at 180+ institutions worldwide via tiered institutional subscriptions.

Ownership category

akta.pro rank

Product category

Clinical Simulation Software

NAICS

Software Publishers (5132), Computer Training (611420)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Healthcare & Clinical Simulation (Surgery, Nursing, EMT, Patient Interaction) (EDAFAJAC)

akta.pro secondary industries

Digital Labs, Simulations & Virtual Practicals (Non-XR) (EDAFACAF), Simulation-Based Learning & Virtual Labs (EDAGAEAG)

Keywords

• Clinical reasoning simulation
• Virtual patient simulation
• Medical education software
• Healthcare training platforms
• AI-powered diagnostics training

Headquarters

HQ city

Carbondale

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Infrastructure, Operations

Revenue model

1. Subscription-based Software Licensing: DxR sells institutional and student licensing subscriptions for its simulation platforms. Institutions subscribe to access case libraries, AI analytics, and performance tracking tools. The company offers tiered models including Free Access Tier for underserved areas, Institutional Tier for full case libraries and AI analytics, and Enterprise Tier for advanced research and hospital data integration.
2. Individual Module Subscriptions: IMC (Integrated Medical Curriculum) offers individual, institutional, or custom licensing plans. Students or faculty can subscribe to one, some, or all 10 modules, providing flexible per-module access.
3. Per-Course / Per-Student Licensing: DxR Academy and individual courses (DxR 001–105) offer self-paced enrollment with certificates of completion. DxR Health Academy provides certificates upon successful completion of each module.
4. Course Fees: Pressure Injury Staging 101 course priced at $29.99 per person with group pricing available. Provides 1 contact hour certification upon passing the post-test.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels8 records

Core offering

DxR Development Group develops and sells AI-powered virtual patient simulation software for healthcare education, built on a 30+ year library of problem-based learning (PBL) clinical cases. The platform enables medical, nursing, PA, physical therapy, and chiropractic students to conduct open-ended patient interviews, order and interpret diagnostic tests, and develop clinical reasoning skills with real-time AI feedback and cognitive bias detection. Revenue is generated through institutional subscriptions, per-student licensing, and individual course fees.

Product overview

DxR Development Group offers a unified platform-plus-modules architecture centered on DxR Harmony.ai, an AI-powered adaptive learning platform for clinical education. The portfolio spans two generations: the foundational DxR Clinician (120+ PBL virtual patient cases) and its AI-enhanced successor DxR Harmony.ai (real-time AI-driven virtual patients, transparent scoring, and adaptive feedback). Specialized clinician products include VirtualPT Clinician (physical therapy), VirtualChiro Clinician (chiropractic), and the Integrated Medical Curriculum (IMC). The DxR CCX provides competency-based assessment, while DxR Academy and DxR Health Academy extend the portfolio to K-12/pre-health learners. Upcoming modules (Physical Exam, Test Ordering, Diagnosis & Management Planning) will extend Harmony into a complete end-to-end patient simulation. The company also offers the Pressure Injury Staging 101 online course.

Differentiator

Problem solved

Functional benefit

Brands

• DxR Harmony: AI-powered clinical reasoning and virtual patient interview platform featuring open-ended problem-based learning cases
• DxR Harmony.ai
• DxR Clinician
• DxR Health Academy
• DxR Academy
• VirtualChiro Clinician
• VirtualPT Clinician
• DxR ChiroClinician
• DxR Harmony Nursing
• Integrated Medical Curriculum (IMC)
• DxR CCX
• Pressure Injury Staging 101

Products and services

• DxR Harmony.ai AI-powered adaptive learning platform for clinical education featuring open-ended problem-based learning (PBL) scenarios with virtual patients. Provides real-time decision tracking, AI-optimized feedback, transparent scoring, and data-driven analytics for developing clinical reasoning and diagnostic accuracy in medical, nursing, PA, and allied health students.
• DxR Clinician Virtual patient simulation platform with 120+ interactive PBL cases for medical schools and PA programs. Students conduct patient interviews, perform virtual physical exams, interpret heart/lung sounds, order 670+ lab tests and imaging studies, build differential diagnoses, and develop SOAP notes with immediate performance feedback.
• VirtualPT Clinician Problem-based learning platform for physical therapy students featuring interactive virtual patient encounters, patient movement videos, heart and lung sound auscultation, diagnostic test ordering, treatment planning, and customizable case authoring tools for faculty.
• VirtualChiro Clinician Interactive case-based learning tool for chiropractic students featuring realistic virtual patient cases with chiropractic-specific tools including orthopedic testing, range of motion assessments, muscle testing, diagnostic imaging ordering, and treatment planning for chiropractic adjustments and soft tissue therapies.
• Integrated Medical Curriculum (IMC) Dynamic interactive online learning platform covering foundational and clinical sciences with 10 comprehensive multimedia modules including Human Anatomy, Physiology, Microscopic Anatomy, Radiologic Anatomy, Clinical Embryology, Immunology, Basic Clinical Skills, Musculoskeletal Pathology, Ethics, and Hematology (Hemosurf).
• DxR Health Academy Self-paced interactive medical education program for high school students introducing clinical reasoning, medical documentation, and diagnosis of common conditions including headaches, abdominal pain, chest pain, fever, and shortness of breath. Bridges high school to professional healthcare education.
• DxR Academy Learner-focused product line introducing high school students to clinical reasoning and medical diagnosis through Problem Based Learning using DxR Clinician software. Offers certification upon module completion with self-paced, intermediate (instructor-led), and advanced learning options.
• DxR CCX (Clinical Competency Exam) Performance-based assessment tool measuring critical thinking, clinical reasoning, and decision-making skills. Supports virtual patient cases, standardized patients, or video cases with customizable exam keys, detailed scoring analytics, and multi-case performance tracking across cohorts.
• Pressure Injury Staging 101 Online video course on accurately staging pressure injuries following NPUAP guidelines, taught by certified wound care specialist JD Daruwalla. Approved for 1 AANP contact hour; includes high-quality clinical images and immediate certification upon passing post-test. Priced at $29.99 per person with group pricing available.
• DxR Harmony Nursing AI-enhanced nursing education platform with updated interface and AI-powered patient interactions for clinical reasoning and decision-making training in PN/RN and graduate nursing programs.

Quantifiable outcome

• Students using DxR Harmony AI outperform peers on clinical reasoning assessments with 15% higher exam scores
• +3 more outcomes

Named customers4 records

Segments8 records

Ideal customer profiles8 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability8 records

Feature10 records

Partnerships

Two partnerships are on record, tiered core.

• KaplancoreChannel Partner/ Reseller/ DistributorKaplan, a leading test preparation and educational services company, partners with DxR to offer clinical reasoning and PBL case content integrated with Kaplan's NCLEX and medical test preparation offerings. This partnership enriches the learning experience for nursing and medical students by combining DxR's virtual patient simulations with Kaplan's established educational resources.
• AWS (Amazon Web Services)coreTechnology or IntegrationAWS provides cloud infrastructure powering DxR's AI-driven simulation platform and virtual patient interactions. DxR's platform leverages AWS's scalable, reliable cloud environment to deliver real-time simulation, AI processing, and analytics to institutions worldwide.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• Lecturio: Medical and nursing education platform combining video lectures, question banks and clinical reasoning tools for healthcare students. Comparable as an emerging player in the same digital clinical education subscription market targeting institutional buyers with overlapping use cases.
• AMBOSS: Digital medical knowledge platform serving medical students and physicians with clinical decision support and study tools. Comparable as a peer building institutional subscriptions into medical schools with AI-enhanced learning features that increasingly overlap with DxR's clinical reasoning focus.
• Body Interact: Virtual patient simulator for medical and nursing education with interactive clinical scenarios and competency assessment. Comparable as an emerging peer specializing in virtual patient simulation, competing head-to-head with DxR's core virtual patient offering across nursing and medical school buyers.

Direct peers

• UWorld: Leading provider of test preparation and clinical knowledge question banks for medical, nursing and other healthcare licensure exams. Comparable as a direct peer selling subscription learning products to the same healthcare student populations and institutional buyers.
• SimX: Virtual reality clinical simulation platform listed as a DxR technology integration partner. Comparable as a direct peer in healthcare simulation competing for the same institutional budgets for clinical training technology, though SimX is VR-centric while DxR is software-and-AI-centric.
• Aquifer: Nonprofit-built virtual case-based learning platform for medical and health professions education with deep penetration in U.S. medical schools. Comparable as a direct peer delivering virtual patient cases and clinical reasoning curricula to medical schools via institutional subscriptions.
• Osmosis (Elsevier): Visual learning platform for medical and health sciences, now part of Elsevier, with AI-enhanced study tools serving medical and nursing students globally. Comparable as a direct peer in digital clinical learning content with subscription institutional licensing similar to DxR's model.
• Kaplan: Major test preparation and educational services company partnering with DxR for clinical reasoning and PBL content. Comparable as a direct peer in medical and nursing test prep (NCLEX, USMLE) with overlapping institutional buyer relationships in healthcare education.

Broad incumbents

• Laerdal Medical: Global leader in healthcare simulation, offering manikin-based training and digital simulation tools for medical and nursing education. Comparable as a broad incumbent serving the same institutional buyers with overlapping clinical simulation capabilities, though Laerdal focuses heavily on physical simulation hardware alongside software.
• CAE Healthcare: Division of CAE Inc. providing simulation-based training solutions for medical schools, nursing programs and hospitals. Comparable as an incumbent offering both patient simulation software and learning management tools to the same institutional healthcare education market that DxR targets.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/dxrdevelopment
• YouTubeyoutube.com/watch?v=2ayij5fh0NU&feature=youtu.be
• Facebookfacebook.com/dxrgroup
• LinkedInlinkedin.com/company/1444679/admin/dashboard
• Instagraminstagram.com/dxrgroup

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about DxR Development Group