SH

Marketing

Channel spend, attribution, ROAS and return on investment

Last 30 days · paid media + owned retention for Sereno Health

Ad spend

14 paid acquisitions

$2,388
First-month ROAS

$8,470 total month-one revenue

2.92x
LTV ROAS

$33,881 lifetime revenue

11.7x
LTV : CAC

$1,993 LTV vs $171 paid CAC

11.7x

Paid media spend

Biggest paid investment: Facebook · 50% of ad budget

Facebook

Meta Ads

Facebook + Instagram · Advantage+ shopping

Ad spend$1,194
Impressions6.7K
Clicks97
Leads (intakes started)15
New patients6
Cost per acquisition$199
Month-one revenue$2,989
Lifetime revenue$11,958
Attribution share35.3%
Return on investment447%

Klaviyo — owned retention

Email + SMS flows, not paid advertising

Platform cost

$210

Emails sent

1.7K

Flow revenue (month-one)

$1,495

Flow LTV revenue

$5,979

New patients

3

Cost per acquisition

$70

Month-one ROAS

7.1x

LTV ROAS

28.5x

Paid media spend vs attributed month-one revenue

Ad spendMonth-one revenue

Sep

Oct

Nov

Dec

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Month-one ROAS lands near 2.5x because many patients prepay for 3-6 month supplies on intake. The return still compounds over the 9.1-month average retention, which is why LTV ROAS lands at 11.7x. Klaviyo flows run on top at near-zero incremental spend.

ChannelTypeSpendImpressionsClicksLeadsNew patientsCACMonth-1 revenueLTV revenueMonth-1 ROASLTV ROASROIAttribution
FacebookPaid media$1,1946.7K97156$199$2,989$11,9582.5x10x447%35.3%
GooglePaid media$8601.6K62125$172$2,491$9,9652.9x11.6x533%29.4%
TikTokPaid media$3345.2K6373$111$1,495$5,9794.48x17.9x878%17.6%
KlaviyoOwned$2101.7K76133$70$1,495$5,9797.1x28.5x1455%17.6%
Blended$2,38817$171$8,470$33,8812.92x11.7x675%100%

Attribution model

Last non-direct click, 30-day window, deduplicated against the intake form source field.

Facebook
35.3%
Google
29.4%
TikTok
17.6%
Klaviyo
17.6%

Payback and profitability

Blended paid CAC$171
Average LTV$1,993
LTV : CAC11.7x
CAC payback1.4 months
Gross profit on cohort$18,499
Return on investment675%
Share of MRR from paid42.5%

Where to move budget next

Klaviyo is owned retention — it returns 28.5x at $70 per patient with almost no media spend. Expand abandoned-intake and refill-reminder flows first.

TikTok is the best paid channel at 17.9x LTV ROAS and $111 CAC — shift incremental paid budget here.

Facebook carries 50% of ad spend and 35.3% of new patients — hold budget and refresh creative weekly.

Demo prototype — all marketing figures are illustrative and no ad accounts are connected.