Fractional CMO · Healthcare
// AGENCY ALTERNATIVE

Your agency delivers reports. I deliver results.

I see what agencies can't — because I'm not selling you media spend. I'm not upselling channels. I'm not padding hours.

I look at your entire marketing ecosystem and find what's actually not working. Then I fix it. Myself. No handoff to a junior team.

This is what marketing leadership looks like when someone sits on your side of the table.

44%
of MarTech stacks go unused. Your agency set up the tools and moved on. Nobody checked if they're actually working. That's the gap I find.
Book a Discovery Call

30 minutes — No pitch, just clarity

Agency Alternative No Lock-In Senior Strategy Revenue Focused You Own Everything Agency Alternative No Lock-In Senior Strategy Revenue Focused You Own Everything
// 01 THE AGENCY PROBLEM

Why your agency isn't working.

Beautiful reports, flat revenue

Your agency sends a 30-page deck every month. Impressions are up. Click-through rates improved. But revenue hasn't moved in 18 months. Because they're optimising for their metrics, not yours.

Siloed execution, zero integration

The SEO team doesn't talk to PPC. The content person doesn't know what sales needs. Social media runs on autopilot. Every channel reports "success" individually. Revenue stays flat collectively.

No revenue accountability

Agencies report on what they control — impressions, clicks, rankings. Nobody connects marketing spend to actual patient bookings or revenue. You're paying for activity, not outcomes.

Vendor lock-in by design

They own the ad accounts. They built the landing pages on their platform. They hold the analytics. Walk away and you start from zero. That's not a partnership — it's a dependency.

01
Same
Budget as Before
3x
Marketing Output
Team
Trained to Maintain
$0
Additional Ad Spend
Healthcare B2B • Agency Replacement

Same budget, triple the output, team maintains it

This company had been with two agencies over four years. Beautiful reports every month. Revenue plateau every quarter. Nobody was connecting the channels or measuring what actually mattered.

What I found: Marketing budget spread across tools that didn't talk to each other. Content created but never optimised. PPC landing pages that hadn't been touched since launch. Emails that nobody was nurturing.

What I built: Connected YouTube to SEO. Made PPC landing pages collect emails. Built content that sales could actually use. Trained the team to maintain all of it.

"Finally someone who looked at the whole business, not just their piece of it."

Ready to stop paying for reports and start getting results?

No pitch deck. No 12-month proposal. Just a conversation about what's actually going on with your marketing.

Book Discovery Call
// 02 MY PROCESS

How I work (vs. how agencies work)

No pitch deck. No discovery phase that takes 3 months. No junior account manager learning on your budget. Here's what actually happens.

STEP 01 // NO PITCH DECK

I start with the truth

No 60-slide presentation about my process. We get on a call, you show me what you have, and I tell you what I see. Within the first hour, I've usually found the three biggest gaps. Agencies take 6 weeks to produce a "findings report." I find the problems on the first call.

STEP 02 // FULL-PICTURE AUDIT

I audit everything your agency ignored

Agencies audit what they sell. If they sell SEO, they audit SEO. I audit the entire marketing ecosystem — every channel, every tool, every handoff point, every piece of content. That's where the gaps hide.

STEP 03 // I BUILD IT MYSELF

No handoff to junior staff

I write the landing pages. I create the keyword strategy. I build the email sequences. I implement the tracking. The person who diagnosed the problem is the same person who fixes it. No telephone game. No quality loss.

STEP 04 // YOUR SIDE OF THE TABLE

I work for you, not for me

Agencies optimise for their retainer. I optimise for your revenue. I'll tell you to cancel tools you don't need. I'll cut ad spend that isn't converting. I'll fire myself from channels where you don't need me. That's what happens when someone is genuinely on your side.

STEP 05 // EXIT STRATEGY BUILT IN

You keep everything when I leave

Every asset, every account, every system I build — it's yours. On your platforms. In your name. With documentation your team can follow. I train your people to maintain everything. No lock-in. No dependency. If you don't need me anymore, that's a success, not a loss.

// 03 THE DIFFERENCE

Marketing agency vs. fractional CMO

Marketing Agency

Retainer + fees + media markup = real cost 2-3x quoted price
Junior account manager runs your account day-to-day
Their metrics: impressions, clicks, rankings they control
12-month lock-in contracts are standard
They own the ad accounts, the landing pages, the data
Specialise in one channel, ignore the rest
Template strategies recycled across clients
Walk away and start from zero

Fractional CMO

Flat monthly fee — no markup, no hidden costs, no surprises
Senior strategist on every call — me, directly, every time
Your metrics — revenue, bookings, ROI, what actually matters
Month-to-month — I keep you because it works, not contracts
You own everything — accounts, assets, data, all in your name
Full-picture view — every channel, every connection point
Custom strategy — built for your practice, your patients, your market
Exit-ready — team trained, systems documented, you're independent
// 04 HOW WE WORK TOGETHER

Three ways to work with me

All include actual execution, not just advice. Everything built on your platforms, in your name, with full documentation.

01

The Diagnostic

2 weeks — Everything audited — Roadmap delivered

I look at everything your agency isn't showing you. Find what's not working, what's wasting money, what's missing entirely. You get a 90-day action plan you can execute with or without me.

$5,000 - $10,000

  • Complete multi-channel audit
  • Agency work quality assessment
  • Hidden opportunity identification
  • 90-day executable roadmap
  • Revenue projection modelling
  • 60-min strategy presentation
02

Fractional CMO

15-20 hrs/month — Strategy + Execution — Replace your agency

I become part of your team. Build systems. Optimise channels. Train people. Everything an agency should do, but done by a senior strategist who sits on your side of the table.

$4,000 - $8,000/mo

  • Ongoing strategic guidance
  • Multi-channel optimisation
  • Asset creation (pages, content, systems)
  • AI tool implementation
  • Team training + enablement
  • Monthly performance reporting
03

Campaign Rescue

Agency left a mess — I clean it up — Fast turnaround

Agency disappeared. Campaign underperforming. Ads wasting budget. I diagnose fast, rebuild what's not working, get you back on track and independent.

$10,000 - $25,000

  • Rapid problem diagnosis
  • Campaign rebuild + optimisation
  • Account migration (your ownership)
  • Fast turnaround (2-4 weeks)
  • Post-rescue training
  • Independence plan
// 05 THE MATH

What you're really paying your agency

Most practices don't realise the true cost of their agency until they see it laid out. Here's the math they hope you never do.

Agency Real Cost

  • Monthly retainer: $5,000 - $15,000
  • Media markup: 15-20% on all ad spend
  • Setup + onboarding fees: $2,000 - $5,000
  • Platform fees passed through at markup
  • Junior staff running your account
  • You own nothing when you leave

Fractional CMO

  • $4,000 - $8,000/mo flat fee, that's it
  • No media markup — 100% of budget goes to ads
  • No setup fees or onboarding charges
  • You own every tool, account, and asset
  • Senior strategist doing the actual work
  • Walk away anytime, keep everything
30-60% less than agency costs

Same scope of work. Senior-level execution. No markup. No lock-in. You keep everything.

// 06 WHO THIS IS FOR

This is for you if

Your agency delivers reports, not results

  • Monthly meetings that feel like a performance, not a partnership
  • Metrics look good on paper, revenue hasn't moved
  • You suspect they're optimising for their retainer, not your growth
  • You've asked "what are we actually getting for this?" more than once

You're paying for channels, not strategy

  • SEO agency, PPC agency, social agency — all separate, none connected
  • Every channel reports "success" but revenue is flat
  • Nobody sees the full picture or connects the dots
  • You're paying for activity, not outcomes

Your marketing team of 1-2 is drowning

  • Internal team manages agency plus day-to-day marketing
  • No time for strategy, only firefighting
  • Need senior leadership they can rely on
  • Can't justify a full-time CMO hire at $200K+

You've fired 2+ agencies in 3 years

  • Pattern: excitement, plateau, disappointment, switch
  • Each new agency "discovers" the same problems
  • The issue isn't the agency — it's the model
  • Ready to try something fundamentally different
// 07 QUESTIONS

Frequently Asked Questions

How is this different from just switching to another agency?

Fundamentally different model. Agencies sell channels — they have a SEO team, a PPC team, a content team, and they sell you access. I'm one senior strategist who sees the full picture and does the work. No junior handoff, no channel silos, no markup on ad spend. You're not switching agencies — you're upgrading to a completely different approach.

Can you replace everything my agency does?

For most healthcare practices spending $5-15K/mo on agencies, yes. I handle strategy, execution, content creation, landing pages, ad management, analytics, and team training. For very large-scale operations needing 5+ dedicated specialists, I become your marketing leader who manages specialists. Either way, you get better oversight and lower total cost.

What happens to our current agency accounts and assets?

I help you take ownership of everything. Ad accounts get transferred to your business manager. Landing pages get migrated to your hosting. Analytics stay in your Google account. No more hostage situations. If your current agency pushes back on transferring ownership, that tells you everything you need to know about the relationship.

What if we still need specialists for certain channels?

Sometimes you do. The difference is I help you hire the right specialists, brief them properly, hold them accountable to revenue metrics (not vanity metrics), and make sure their work connects to everything else. I'm your marketing brain — specialists are the hands when needed. But I also build a lot myself, which means less need for outside help.

Is there a minimum commitment?

Three months for the Fractional CMO engagement. Not because of lock-in, but because meaningful marketing change takes at least 90 days to implement and measure. After that, it's month-to-month. If the work doesn't justify continuing, we both know it. Most clients stay because the results speak for themselves.

Ready to fire your agency model?

30 minutes. No pitch, no proposal, no 60-slide deck. Just an honest conversation about what's actually happening with your marketing.

Book a Discovery Call

We'll know in the first 15 minutes if I can help.