Results We Have Driven
In Healthcare Specifically
The Healthcare Patient Acquisition Problem
Your admissions are growing. You cannot see which channels are driving the patients who actually stay.
Healthcare organizations face a patient acquisition problem that most marketing vendors are not equipped to solve. Volume metrics look reasonable in aggregate — bed occupancy, monthly admissions, intake call volume — while the underlying economics remain invisible. Which channels are driving patients with the strongest LTV? Which markets are producing admissions at a CAC the organization can sustain? Which service lines are being underfunded because budget is averaged across everything instead of concentrated where the unit economics justify it?
The result is a system that feels like it's working until a census dip exposes how fragile the acquisition infrastructure actually is. Adding more spend to digital channels does not fix a measurement problem. Switching intake vendors does not fix an attribution problem. And most healthcare marketing firms are not equipped to do either — they are optimising for call volume and cost-per-lead, not for contribution margin by service line and market.
Exactius deployed a cross-functional growth squad inside a behavioral health network and drove +50% admit volume growth in 180 days — not by adding channels, but by building the attribution infrastructure that connected marketing spend to actual admissions by market, identifying where LTV:CAC justified increased investment, and pulling capital out of the markets where it was quietly eroding margin. That is the system we deploy inside healthcare organizations. We build the measurement layer first, then scale what the data supports.
Deep Experience Across Healthcare Models
We Have Scaled Healthcare Organizations Across Every Model
Behavioral Health Networks
Admit volume growth across residential, PHP, IOP, and outpatient levels of care — with attribution that connects marketing spend to admissions by market, payor mix, and service line.
Multi-location Health Systems
Location-level patient acquisition discipline across regional networks — identifying which markets justify increased investment and which are quietly draining acquisition budget.
Specialty & Elective Care
Demand systems for high-consideration healthcare decisions — reaching the right patient at the right stage of the decision journey, with creative that builds trust before it asks for action.
Membership & Value-Based Care
Acquisition and retention infrastructure for membership-based and value-based models — building the patient LTV architecture that makes the economics of long-term care work.
How We Unlock Healthcare Growth
The Levers That Drive Profitable Patient Acquisition at Scale
Growing a healthcare organization profitably requires solving measurement problems that volume metrics cannot surface. These are the mechanics we deploy to connect marketing investment to patient outcomes and margin.
Patient-Level Attribution
Building the data infrastructure to connect each admission to the marketing channel, message, and market that drove it — so spend decisions are made on real patient economics, not assumed cost-per-lead averages.
Service Line LTV Modeling
Understanding which service lines produce the strongest patient lifetime value — and aligning acquisition investment to the programs where long-term retention and payor mix justify the spend.
Market-Level Acquisition Discipline
Modeling acquisition cost and LTV:CAC at the market level — concentrating spend in geographies where the economics work, and pulling back before marginal markets drain the system.
Referral Network Development
Building systematic outreach and tracking infrastructure for professional referral channels — so referral volume is predictable, attributable, and optimized alongside digital acquisition.
Intake & Conversion Architecture
Optimizing the handoff between marketing demand and intake — reducing drop-off across calls, digital inquiries, and scheduled assessments so acquisition spend converts at the rate the business needs.
Creative & Messaging for High-Consideration Decisions
Testing creative that meets patients and families at the stage of the decision they are actually in — building the trust signal that drives intake calls, not just impressions.
How We Are Organized
Healthcare growth requires coordination across several operating lanes.
Our teams are organized across five functions — and deploy modularly depending on where your constraint sits. Some partners need the full squad to rebuild patient acquisition end to end. Others engage us on one or two lanes to fix a specific constraint in their intake funnel.
Strategy & Leadership
Drives market sequencing, service line prioritization, and the patient acquisition system architecture — accountable to admit volume and contribution margin, not activity metrics.
BI, Data Science & Engineering
Builds patient-level attribution and the measurement infrastructure that connects marketing spend to admissions — by market, channel, service line, and payor mix.
Media Investment & Tracking
Deploys and optimizes paid patient acquisition — accountable to cost-per-admission and LTV:CAC by service line, not platform-reported cost-per-lead averages.
Creative, Production & Testing
Tests creative and messaging across the patient decision journey — identifying what builds trust and drives intake calls, scaled by the signal the data supports.
CRM, Intake & Retention
Builds the infrastructure that converts marketing demand into completed admissions — and retains patients across the continuum of care to maximize long-term value.
Questions About Healthcare Growth
Frequently asked
Why is healthcare patient acquisition so difficult to measure?
Healthcare patient acquisition sits at the intersection of digital marketing, offline referral channels, and a multi-step intake process — and most organizations are measuring each piece separately. Digital campaigns report cost-per-click. Referral tracking relies on self-reported sourcing at intake. And the connection between a marketing touch and a completed admission — which may happen days or weeks later, across multiple contacts — is rarely captured in a single data model. The result is that budget decisions get made on platform metrics that have no relationship to actual admission economics. Exactius builds the data infrastructure to close that gap.
How do you measure marketing performance across multi-location healthcare networks?
Multi-location healthcare networks have a compounding measurement problem: national spend, regional referral patterns, and location-level admission outcomes all interact in ways that aggregate dashboards cannot surface. We build location-level attribution models that connect each marketing dollar to the admission it drove — by market, service line, and channel — and then operate a Capital Allocation Loop that concentrates spend in the markets where LTV:CAC justifies it. That allows investment decisions to be made on actual economics rather than blended averages that hide which markets are performing and which are not.
How does Exactius approach payor mix as part of growth strategy?
Payor mix is a profitability input, not just a compliance consideration — and it should inform acquisition strategy. If certain channels or geographies disproportionately produce patients with payor mixes that compress margin, the true cost of acquiring those patients is higher than the platform reports. We model LTV at the service line and channel level using contribution margin rather than revenue, which means payor mix is built into the economics from the start. Acquisition strategy is then aligned to the programs and markets that produce the best mix — not the ones that look cheapest in a cost-per-lead dashboard.
How does Exactius differ from a healthcare marketing agency?
Most healthcare marketing agencies optimize for call volume, CPL, and digital reach metrics. Exactius embeds operators who build the attribution infrastructure to connect spend to completed admissions — by market, service line, and payor mix — then operate a Capital Allocation Loop that concentrates investment where the unit economics justify it. We are accountable to admit quality and contribution margin, not activity reports. And because we operate as an embedded squad rather than an external vendor, we work inside your intake and operations model rather than alongside it.
What is the Growth Operating System?
The Growth Operating System is the methodology Exactius uses to fix broken patient acquisition systems inside healthcare organizations — developed by David Manela. It combines patient-level attribution, a Capital Allocation Loop, and a cross-functional squad structure to concentrate investment in the markets and service lines with the best LTV:CAC — and pull back before capital is wasted proving the others cannot perform. It is the same framework we applied when we drove +50% admit volume growth for a behavioral health network in 180 days.