Marketing
Channel spend, attribution, ROAS and return on investment
Last 30 days · paid media + owned retention for Fulcrum Performance
14 paid acquisitions
$10,961 total month-one revenue
$43,846 lifetime revenue
$1,993 LTV vs $185 paid CAC
Paid media spend
Biggest paid investment: Facebook · 50% of ad budget
Meta Ads
Facebook + Instagram · Advantage+ shopping
Klaviyo — owned retention
Email + SMS flows, not paid advertising
Platform cost
$225
Emails sent
4.2K
Flow revenue (month-one)
$3,986
Flow LTV revenue
$15,944
New patients
8
Cost per acquisition
$28
Month-one ROAS
17.7x
LTV ROAS
70.9x
Paid media spend vs attributed month-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 10.8x. Klaviyo flows run on top at near-zero incremental spend.
| Channel | Type | Spend | Impressions | Clicks | Leads | New patients | CAC | Month-1 revenue | LTV revenue | Month-1 ROAS | LTV ROAS | ROI | Attribution |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Paid media | $1,294 | 6.7K | 97 | 15 | 6 | $216 | $2,989 | $11,958 | 2.31x | 9.2x | 405% | 27.3% | |
| Paid media | $931 | 1.6K | 62 | 12 | 5 | $186 | $2,491 | $9,965 | 2.68x | 10.7x | 484% | 22.7% | |
| TikTok | Paid media | $362 | 5.2K | 63 | 7 | 3 | $121 | $1,495 | $5,979 | 4.13x | 16.5x | 802% | 13.6% |
| Klaviyo | Owned | $225 | 4.2K | 191 | 32 | 8 | $28 | $3,986 | $15,944 | 17.7x | 70.9x | 3769% | 36.4% |
| Blended | $2,587 | 22 | $185 | $10,961 | $43,846 | 2.7x | 10.8x | 825% | 100% | ||||
Attribution model
Last non-direct click, 30-day window, deduplicated against the intake form source field.
Payback and profitability
Where to move budget next
Klaviyo is owned retention — it returns 70.9x at $28 per patient with almost no media spend. Expand abandoned-intake and refill-reminder flows first.
TikTok is the best paid channel at 16.5x LTV ROAS and $121 CAC — shift incremental paid budget here.
Facebook carries 50% of ad spend and 27.3% of new patients — hold budget and refresh creative weekly.
Demo prototype — all marketing figures are illustrative and no ad accounts are connected.