Real practices. Receipts attached.

Real engagements. Reconciled metrics. Honest constraints.

Every case file in the ledger represents a real engagement with a real healthcare practice — named with permission, metrics reconciled against the practice's billing system, and timelines reflecting actual delivery (not idealised projections). We don't publish anonymous case studies because we believe healthcare buyers deserve verifiable references. Each file links back to a public-facing artefact (the doctor's LinkedIn, the practice's GBP, the news mention) that proves the engagement happened.

The metrics shown are the practice's own — patient volume, organic traffic, cost-per-acquisition, review velocity, revenue. We don't conflate vanity metrics (impressions, clicks, time-on-site) with business metrics. Where we cite revenue, the number is reconciled against the practice's billing system; where we cite traffic, it's their Google Search Console + Analytics; where we cite reviews, it's their Google Business Profile review velocity over the engagement period.

What the numbers don't show

Every successful engagement also has constraints we don't paper over. Some practices needed to fix operational issues (intake response time, no-show rates, review collection workflow) before marketing investment produced returns. Some markets had compliance constraints (ASCI restrictions on cosmetic before/afters, HIPAA tracking requirements for mental health) that limited the channels we could deploy. Some engagements required us to recommend the practice scale spend slowly (or pause certain layers) when ROAS dipped — preserving the practice's capital is more important than maximising our short-term retainer.

Where appropriate, the case files note the operational fixes, compliance work, and strategic pivots required to produce the headline numbers. Healthcare marketing isn't magic — it's disciplined execution against the right diagnostics. Practices that engage us understanding this tend to compound results across years; practices that expect channel-level miracles without operational alignment tend to churn within 6-9 months regardless of agency.

Specialties represented in the ledger

• Hospitals + multi-specialty — cardiology, oncology, orthopedic, neurology, emergency line growth (Apollo, Care, Manipal, Fortis, Apollo Athenaa)
• IVF + fertility — Nova IVF, World IVF, Urvara, Femmenest — long-cycle empathic intake, doctor-brand led campaigns
• Mental health — Harmony United, Turnwell, TWA, Karma, Resiliency — HIPAA-aligned tracking, telehealth-led growth, US partner network
• Dental — Alora, Upshaw, Gnathos Face — implant programmes, multi-location chains, same-day-call funnels
• Aesthetic + dermatology — La Midas, Estique, Rapple, Khatib — visual-led acquisition, membership models, ASCI-compliant campaigns
• Medical tourism — GHC, La Midas international — country-pair funnels, multilingual SEO, escrow trust mechanics

Engagement structure across the ledger

Most engagements are 12-24 months because healthcare marketing compounds — first-year results assume foundation work that pays back in years 2-3. Engagement scope typically includes SEO + paid acquisition + AI receptionist + reputation engine + reporting cadence; specialty-specific additions (international intake, doctor brand-building, multi-location operations) layer on for relevant practices. Pricing scales with practice size, from ₹85K-1.8L/month for solo + single-location to ₹4-25L/month for hospital lines.