Fractional CMO and strategy
From Phase 1 launch to Phase 2 scaling. I manage the budget planning, the patient LTV strategy and the offer economics so every new patient is profitable on day one.
Telehealth, GLP-1 and HRT clinics
Patient acquisitioninfrastructure forhigh volume telehealth.
I build LegitScript compliant ad systems, intake workflows and retention loops that scale clinics from $250k a month to $1.2M+ a month. From the first click to the prescription, one architect owns the pipeline.
Latest GLP-1 campaign, Feb 2026 11x ROAS
01~$3Verified lead
02~$6HIPAA intake form
03~$11Booked consult
0450%Consult show rate
On a $175 a day budget. Industry average for a similar consult: $80 to $150. Read the breakdown
Ekai Stone, revenue architectMedical revenue architecture
I don't just run medical ads. I engineer patient pipelines. Your problem isn't traffic; it's triage.
From the first click to the medication and treatment orders, I build the systems that filter out tire kickers and deliver the qualified, ready to pay patients your doctors actually want to see.
Stress test
My volume broke their ops.
A forensic HRT campaign summary: 880 leads and 238 HIPAA verified intakes at about $29 per intake. In 18 days, that produced a conservative $150,000+ revenue opportunity.
238 HIPAA verified intakes71 patients at a 30% close
Converted in the 30% scenario Waiting on one sales rep
0Verified phone leads, days 1 to 18
0Complete patient files: license plus compliance signatures
~$0Cost per intake. Industry standard is $150+
0xROAS on the 12 month opportunity
01 The setup
A national telehealth brand told me: "We are staffed to handle double our current volume ($500,000 a month). Just bring us new patient intake forms." It was a case of operational overconfidence.
02 The surge
I deployed my Medical Revenue Architecture: LegitScript compliant campaigns, iPhone exclusive targeting, and a P2P SMS infrastructure that delivered humanized blue bubble messages instead of the green bubble that kills conversion.
03 The crash
Their team was a single sales rep, who hit capacity by day 3. Qualified, ready to buy HRT and GLP-1 patients sat untouched for 5 to 10 days. The ads and automations worked. The fulfillment failed.
The math left on the table
If they converted just 30% of the 238 intakes, 71 new patients, here is what the architecture produced.
Bloodwork $155 plus consult $75, times 71 patients$16,330Front end fees paid for the whole ad spend 2.3x over before a single prescription.
HRT medication baseline $210, times 71 patients$14,910A ~4.5x ROAS floor. With typical GLP-1 and life enhancement upsells, the realistic upside is 20x.
12 month patient value lost to the bottleneck$150,000+Conservative, and excluding longer term LTV.
Scaling exposes weakness. That is valuable. If you run a team that can convert new patients, these are the results we can replicate.
Results shown are from real client campaigns and reflect years of experience, proven systems, ad spend and execution. They are not guarantees of income or performance. Your results depend on your offer, your intake capacity, your team and your market. Marketing involves risk.
Ekai's revenue calculator
Your ad spend, run through my system.
Verified leads to intakes to closes to revenue opportunity, using the conversion rates from my campaigns. Move the spend, pick the product, choose the window.
Monthly ad spend$5,000
$5,000$200,000
Product strategyWindowProjected revenue$53,786Based on 135 closed deals
Staff savings$24,0002 intake reps required without Orion (est.)
Total impact, 3 months$77,786Revenue plus staffing impact
Projections use conversion rates from my real campaigns (about $3 per verified lead, 59% lead to intake, 48% intake to consult, 56% show, 51% close) and count closed deals only, not scheduled consults. They exclude upsells, add ons and cross sells. They are estimates, not guarantees. How Orion handles the volume
Start here
Telehealth growth failures.
Most telehealth brands don't fail at lead generation. They fail at the ad UX strategy that generates intakes, at intake capacity, at staffing for each pipeline stage, at speed to lead and at meticulous data tracking. I documented a real breakdown across 18 days, 880 leads and 238 HIPAA verified intakes to show exactly what breaks when demand outpaces infrastructure. If you are scaling, or about to, start here.
Operator disclaimer: this series is not written to shame a business. It is a forensic review of what breaks when demand outpaces intake capacity.
Recognize your own clinic in these breakdowns? The problem is infrastructure and patient acquisition strategy as a whole, and it compounds quickly.
Request an infrastructure reviewServices
An end to end growth partner.
I don't just consult, strategize and advertise. I take ownership of building, operating and scaling the entire revenue system.
Compliant media buying
I work directly with LegitScript reps to get ads approved. I build ad libraries and creative that scale patient volume without triggering platform violations or risking your license.
Orion, the AI intake engine
A 24/7 AI intake agent that stops revenue leak. It qualifies, follows up and books consults automatically, so volume grows without staffing overhead.
How Orion worksHIPAA ready intake systems
The patient journey automated from click to booked consult. I build the form libraries and routing logic so your intake team only talks to qualified patients.
Asset ownership and SOPs
You own the data. You own the ad account. I document the entire acquisition system so your brand builds permanent enterprise value.
Patient attribution
The exact cost to acquire a patient (CAC) across every channel. No vanity metrics. Just verified appointments and revenue.
Process
Engineered for 9 figure growth.
The partnership, the logic, the systems and the discipline required to dominate.
01
Compliance and intake audit
Before I spend a dollar, I audit your funnel for compliance and conversion leaks. Is your offer compliant? Is your intake team ready? I fix the foundation first.
02
Architecture and build
I install the tracking, the branded intake forms, emails and texts. I create the ad library and ad copy variations, and prepare the Phase 1 creatives so we have a stable baseline before scaling.
03
Patient scale
We turn on the acquisition engine. We monitor cost per consultation daily and optimize for patient retention, not just lead volume.
Pricing
Three engagement models.
I solve growth problems at three stages. A forensic roadmap, a complete system build, or a long term partner who owns your advertising. Choose the one that matches your operational reality.
- Ad account and LegitScript compliance
- Intake pipeline and EMR handoff review
- Patient journey and drop off analysis
- Revenue attribution analysis
- 90 day patient volume roadmap
Problem, fix and goal
- Problem
- You have volume, but low visibility into why profit is leaking or where the system is fragile.
- The fix
- A forensic deep dive into your funnel, compliance and intake logic. I find the bottlenecks so you can stabilize the foundation before you scale vertically (more spend), horizontally (more service lines) or add fulfillment headcount.
- Goal
- A documented execution plan that makes your CRM workflows and pipeline logic hiring ready for the next stage of scale.
- Compliant ad account build
- HIPAA compliant forms and logic
- Lead routing and triaging
- Tracking from ad to prescription sale
- Sales and clinician handoff SOPs
Problem, fix and goal
- Problem
- Your CRM is a junk drawer of unmanaged leads. Tracking is broken, follow up is inconsistent, and you lose patients to the friction of your own intake and renewal process.
- The fix
- I custom build your revenue engine: LegitScript compliant intake UX, automated lead triage, and full fidelity tracking (CAPI plus Pixel) that connects front end clicks to back end prescriptions.
- Goal
- A sovereign, high integrity infrastructure that turns traffic into patients with zero data leakage. The clinic owns every asset on full payment.
- Fractional CMO and compliance oversight
- Continued DFY ads and email marketing
- Patient pipeline management
- State by state expansion strategy
- Executive reporting and ROAS truth
Problem, fix and goal
- Problem
- You have the infrastructure, but no senior strategist to own daily execution, creative evolution and media spend across platforms.
- The fix
- I step in as your Fractional CMO and take full accountability for ad spend, creative testing and scaling strategy, inside strict unit economic targets (CAC and LTV).
- Goal
- Sustainable, high ROAS growth managed by a veteran who protects your margins while capturing market share.
My strategic pricing protocol.
I don't believe in flat rate agency retainers. A clinic operating in one state at $100k a month has very different infrastructure needs and operational friction than a multi state organization scaling past $750k a month.
So every engagement is priced by a tiered investment structure, matched to the complexity of your pipeline and the size of your internal team. The estimator below gives you a range in under a minute.
Scope and the exact price are set on the call. Ad spend and software are paid by you, on your own accounts. Financing is provided by third party lenders and is subject to approval.
Engagement tiers for telehealth clinics
Estimate your investment.
Five quick questions for clinic owners. A recommended path, a price range and your payment options, in under a minute.
What is your clinic's monthly revenue today?
FAQ
Compliance questions?
Don't risk your ad account. Ask me about specific medical restrictions directly.
Message EkaiWhat makes you different from a general medical marketing agency?
General agencies focus on leads, brand awareness and traffic campaigns. I focus on new patient intake forms completed and booked consults: what generates patients and money. My infrastructure filters out low quality inquiries so your intake team only talks to qualified patients ready for treatment.
How do you handle patient data and HIPAA compliance?
I operate with strict adherence to HIPAA guidelines. All lead data is routed directly to your compliant CRM. We never store protected health information (PHI) on unsecure servers. You own the data; I build the pipes, routing by service type and more.
Will this overwhelm my intake team with bad leads?
No. The goal of this infrastructure is triage to medications. I implement automated pre-qualification steps that filter out non-serious inquiries. Your team only speaks to patients who have been vetted, warmed up, completed the intake form and are financially ready to start treatment.
I am only licensed in specific states. Can we control the flow?
Yes. I build geo-fenced campaigns that strictly target your licensed territories. As you add state licenses, I unlock those regions in the ad set configuration to scale patient volume.
Is LegitScript certification required?
To run compliant ads for prescription medications on Meta or Google, LegitScript is non-negotiable. I only partner with clinics that hold this certification or are in the final stages of approval. I will not risk my 12 year advertising relationship with Meta, my name, your ad account or your medical license.
Who is this not for?
Grey market operators. If you lack LegitScript certification, rely on spreadsheets instead of a HIPAA compliant CRM, or want churn and burn tactics, we are not a match. I build infrastructure for legitimate medical practices that want to scale safely and legally.
Comparison
Revenue architect vs. agency.
Stop letting junior account managers learn on your dime. Get senior execution.
Ekai Stone, revenue architect
- Direct LegitScript and compliance protocols
- You own the ad library and patient data
- Phased budgeting: Phase 1 validation to Phase 2 scale
- Qualified patient intake workflows
- Proactive pivot plans engineered 10 steps ahead
Others
- Aggressive claims that get ad accounts banned
- They hold your ad account and data hostage
- Spend more, without profitability logic
- Floods your phone lines with unqualified leads
- Risks your brand reputation for quick clicks
Reviews
Partners, not just clients.
Direct feedback from people I've helped scale.
"I'm old. I have no idea what he was doing, but it was working. Long after he left, the marketing helped me thrive during COVID."
"In the last 10 years I've spent over $250,000 on business and ads coaching and never got results until I met Ekai. Working with him I reached my first million dollars. Our highest ROAS was 35x. The next month was 31x. He knows how to keep things consistent and predictable."
"Working with Ekai was exceptional for my business and my life as a whole. He wasn't just an ads guy, he was a true partner. I was his client for 2 years. Our highest ROAS was 19x, but the whole 2 years we averaged 10x consistently. I hit my highest revenue months ever with him."
"Ekai is the ROAS hunter."
"We already knew Kai from Tanner's program. We knew his logic and ads worked. Obviously. He's a genius and genuine. But we went to another agency promising studio quality videos and dfy ads and marketing. No results. We were $40k in the whole. We got back in touch with Kai for his 1-on-1 support. We hit a sale in 2 days and cleared the debt in 4 months. He's what we needed all along."
"After Ekai presented to my group of students, everyone's mind was blown. He articulates strategy better than anyone I've seen. We immediately wanted to bring him on as our in-house media buyer. He genuinely cares about client success."
Reviews are from real clients and colleagues. Individual results vary and are not typical.
Strict limit: 13 active partners
Ready for the next level of patient volume?
I prioritize fit over fees. Apply, and we will see on the call whether we are a match.
Results shown are from real client campaigns and reflect years of experience, proven systems, ad spend and execution. They are not guarantees of income or performance. Your results depend on your offer, your intake capacity, your team and your market. Marketing involves risk.