CC

Marketing

Channel spend, attribution, ROAS and return on investment

Last 30 days · paid media + owned retention for Cobblestone Clinic

Ad spend

16 paid acquisitions

$3,500
First-month ROAS

$15,015 total month-one revenue

2.86x
LTV ROAS

$60,072 lifetime revenue

11.4x
LTV : CAC

$2,503 LTV vs $219 paid CAC

11.4x

Paid media spend

Biggest paid investment: Facebook · 50% of ad budget

Facebook

Meta Ads

Facebook + Instagram · Advantage+ shopping

Ad spend$1,750
Impressions7.8K
Clicks113
Leads (intakes started)17
New patients7
Cost per acquisition$250
Month-one revenue$4,379
Lifetime revenue$17,521
Attribution share29.2%
Return on investment447%

Klaviyo — owned retention

Email + SMS flows, not paid advertising

Platform cost

$227

Emails sent

4.5K

Flow revenue (month-one)

$5,005

Flow LTV revenue

$20,024

New patients

8

Cost per acquisition

$28

Month-one ROAS

22x

LTV ROAS

88.2x

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 11.4x. Klaviyo flows run on top at near-zero incremental spend.

ChannelTypeSpendImpressionsClicksLeadsNew patientsCACMonth-1 revenueLTV revenueMonth-1 ROASLTV ROASROIAttribution
FacebookPaid media$1,7507.8K113177$250$4,379$17,5212.5x10x447%29.2%
GooglePaid media$1,2601.9K74156$210$3,754$15,0182.98x11.9x551%25%
TikTokPaid media$4905.2K6373$163$1,877$7,5093.83x15.3x737%12.5%
KlaviyoOwned$2274.5K203358$28$5,005$20,02422x88.2x4716%33.3%
Blended$3,50024$219$15,015$60,0722.86x11.4x837%100%

Attribution model

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

Klaviyo
33.3%
Facebook
29.2%
Google
25%
TikTok
12.5%

Payback and profitability

Blended paid CAC$219
Average LTV$2,503
LTV : CAC11.4x
CAC payback1.5 months
Gross profit on cohort$32,799
Return on investment837%
Share of MRR from paid22.6%

Where to move budget next

Klaviyo is owned retention — it returns 88.2x at $28 per patient with almost no media spend. Expand abandoned-intake and refill-reminder flows first.

TikTok is the best paid channel at 15.3x LTV ROAS and $163 CAC — shift incremental paid budget here.

Facebook carries 50% of ad spend and 29.2% of new patients — hold budget and refresh creative weekly.

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