Built from the funnel up: site visitors, signups and intake starts, what the welcome and abandonment flows convert, what broadcasts add on top, and what each new patient is worth over 12 months. ROI is measured on gross profit so it lines up with CAC and LTV.
Use the 3x fee as the ceiling when pricing on value. If your quote sits well under the 5x fee, there is room to price higher as the brand grows. A commission at the "share of email + SMS revenue" rate pays the same as your retainer today and scales with results.
| Leads / month | Per day | New patients | Email + SMS revenue / mo | Store sales / mo | 12-mo gross profit | Return on retainer | Verdict |
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Main figure at the selected flow rate, range below it at 5% to 15%. Email + SMS revenue / mo is the steady-state monthly figure once about a year of cohorts has stacked up, which equals the 12-month revenue from one month of leads. Store sales are directional: today's store sales scaled by lead volume, with email's share underneath. Broadcast layer and incrementality settings apply to every row.