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Cost of patient and client acquisition.

Cost of patient and client acquisition.

Optimizing healthcare marketing capital across a multi-site portfolio.

Request a Media Waste Audit

At the scale of a 100, 200, or 500-plus-location platform,

marketing spend isn't a tactical line item.

It’s one of the largest controllable healthcare marketing capital allocation decisions you make. How you deploy marketing dollars across your portfolio – which locations, which channels, which patient or client segments – directly determines your blended cost of acquisition and your return on healthcare marketing capital.

Most healthcare platforms at this scale are running 30 to 40 percent more media waste than they realize.


Not because their marketing agencies are careless, but because they lack the measurement infrastructure to know what’s actually working at the location level. That’s the problem we’re built to solve.

The metric that actually matters.

Cost per lead is the wrong number.
Cost per appointment is better.

The number that actually moves the needle in a PE-backed organization: cost per profitable patient or client – specifically, cost per high-margin case or care episode.

If your reporting doesn’t distinguish between a patient who comes in for a routine visit and one who accepts a complex, high-value care plan, you’re allocating capital blindly. You’re optimizing for volume when the business runs on margin.

The shift from cost-per-lead to cost-per-contribution-margin is the single change that most dramatically reframes the marketing conversation with your operating partners.

See the work

How we manage portfolio-level acquisition costs.

We build the measurement infrastructure first. Then we optimize against the metrics that matter.

Our capabilities include

RADAR, our portfolio investment intelligence platform

A location-by-location view of where the next marketing dollar produces the highest return, so budget allocation decisions are driven by EBITDA contribution data, not channel convention

Capacity-aware budget allocation

Cross-references provider scheduling availability before increasing acquisition pressure at a location, so marketing spend doesn’t generate leads that a full schedule can’t convert, and CAC improvements aren’t eroded at the intake layer

Channel efficiency modeling

Identifies which media channels deliver the lowest blended acquisition cost and the highest-value patient or client mix

Budget reallocation models

Shift spend toward the healthcare locations and channels with the highest EBITDA contribution per dollar deployed

Attribution-driven campaign optimization

Connects every media dollar to scheduled appointments and accepted care plans

Media waste elimination

Identifying spend that generates volume but not value, and cutting it

LTV-to-CAC benchmarking

By location, market, and patient or client segment

At your scale, marketing is one of your largest controllable capital allocation decisions. We treat it that way.

When we reduce blended acquisition costs by 15 percent across a 100-location portfolio, that's not a marketing metric.

That's an EBITDA event.

Every dollar of media waste eliminated goes directly to margin. Every improvement in patient or client quality, measured by service mix and case value, multiplies across your network.

What good looks like.

A CMO who can walk into a board meeting and show, by location, by channel, by service line, what marketing spend produced, what it cost to acquire a profitable patient, and where the next dollar should go.


Not a campaign summary. Not a reach-and-frequency report. A capital allocation argument, built on attribution data that connects media spend to revenue outcomes.


RADAR surfaces that picture. The Media Waste Audit quantifies what’s missing from it.


If you’re currently measuring cost per lead without visibility into what those leads are worth to the business, you’re leaving EBITDA on the table. Let’s find it together.

$519→ $96
blended CAC

A DSO with over 160 locations used our De Novo launch framework across their network – starting earlier, going deeper on local market activation, and building the demand pipeline before the doors opened.

See the work
See the work

Request a media waste audit.

We’ll analyze your current media mix, attribution model, and location-level spend allocation to identify where budget is generating volume without producing value, and quantify the EBITDA impact of eliminating it.

Most platforms find the number uncomfortable. That’s why it’s worth knowing

Request a Media Waste Audit