Fractional CMO | Internal Profits
Fractional Chief Marketing Officer

$2,500 to Win a
Three-Year Hospital
Contract.

A healthcare AI company, competing for category terms against two of the largest technology companies in the world. A 120-day campaign: zero to 38 page-one rankings, 30 demo requests, six qualified opportunities, two signed three-year contracts.

Expert marketing strategy, implementation and automations at your fingertips. Without the overhead, the payroll, or the full-time salary.

$5,500 /month
16 hours of executive marketing leadership every month · 3-month initial term, then it renews
Your first month’s hours go into the Marketing Audit & Roadmap
HEALTHCARE AI COMPANY ORGANIC SEARCH POSITIONS WON · 120-DAY CAMPAIGN PAGE-ONE RANKINGS 0 2 12 25 38 START 30 DAYS 60 DAYS 90 DAYS 120 DAYS PROJECTED MONTHLY VALUE OF POSITIONS WON, BY TERM TYPE Category head term $20,064 Primary service term $17,214 Product terms (3) $8,411 Exact-match terms (3) $2,126 Cost per click in this category ranged from $4.56 to $26.55 MONTHLY SEARCH VOLUME WON 7,340 PROJECTED VALUE / MONTH $47,815 PROJECTED ANNUAL VALUE OF POSITIONS WON $573,785 projected from the positions won in 120 days
A healthcare AI client · What executive marketing leadership produced
0 → 38
Page-one Google rankings in 120 days, from a standing start in the category
7,340
Monthly searches now landing on positions they own rather than positions they rent
$47,815
Projected monthly value of the search demand behind the positions won
$4.56–$26.55
What a single click costs to buy in this category, depending on the term
Competing for category terms against two of the largest technology companies in the world. Rankings, leads and signed contracts are recorded results from this engagement. Dollar values are a projection of what that search demand is worth at Google’s published rates, not revenue and not a forecast of your results.
Days 90 to 120 · One Client, One Month

Rankings Are the Input.
Signed Contracts Are the Point.

Traffic that never becomes a conversation is a vanity metric. So here is one month of a real engagement, start to finish: what it cost, what came in, and what closed. Sales cycles in this category run long and every deal goes through a committee, which makes the month below unusually clean to read. This is a multi-year relationship, not a project.

$5,000one month of retainer
the rate at the time
30demo requests
6qualified
2signed 3-year contracts
$833
Cost Per Qualified Lead
Thirty demo requests came in at $167 each. Six became qualified opportunities, in a category where a single click can cost $26.55 and a lead takes many
$2,500
Cost Per Signed Contract
Total acquisition cost for a new hospital contract, start to signature
3 Years
Contract Term
Hospital agreements covering charting, coding and prior authorization, held for three years per signature
$2,500
is what it cost to win a three-year hospital contract. Not a trial, not a pilot, not a lead. A signed multi-year agreement for recurring clinical services. Whatever that contract is worth to you across thirty-six months, the acquisition cost is a rounding error against it, and the search positions that produced it are still standing.
This Year
Organic Search
0 → 38 page-one rankings
120-day campaign, run against the same category terms with the tracking from the launch still in place
50/50 BUDGET SPLIT
Organic search, site SEO, keywords
Google Ads, paid search

Then the tracking tells you where the next dollar goes.

One of those closed contracts came in through a paid campaign. The other came in through an organic product search. That is not a guess, it is what the call tracking and conversion tracking recorded, down to the term and the campaign that produced each one.

So the recommendation wrote itself: split the budget evenly between organic search development and Google Ads, and keep both instrumented. That is not a hedge. Both channels have already produced for this client, paid at the 2023 launch and organic this year, which is why the split is a decision rather than a guess. Two closes is still a small sample, which is exactly why the tracking stays on. As volume builds the split stops being a judgment call and becomes arithmetic, and A/B testing has enough underneath it to mean something.

That instrumentation is installed during the audit and it stays yours. Every lead from that point forward is attributable to a keyword, a campaign, or a page, which is the difference between a marketing budget you defend with a story and one you defend with a report.

The Part Nobody Puts a Number On

What Those Positions Are
Projected to Be Worth.

Thirty-eight page-one positions in 120 days is the recorded result. This is the projection built on top of it: the search demand sitting behind those positions, priced at what Google charges to buy the same clicks. It is how the client decides what the campaign is worth continuing.

Positions won Monthly searches Cost per click Projected value
Category head term 4,400 $4.56 $20,064/mo
Primary service term 1,900 $9.06 $17,214/mo
Product terms (3) 950 $4.86–$24.38 $8,411/mo
Exact-match terms (3) 90 $17.77–$26.55 $2,126/mo
Total 7,340 $47,815/mo

This is a projection, and it should be read as one. It prices the full search demand behind the positions won, at Google's own rates. It is not revenue and it is not money banked: a page-one position captures a share of the searches behind it, not all of them, and that share moves with position. What it does size honestly is the market this client now competes in without paying per click, and how far a category's CPCs can range. Your volume and your CPCs will be different, which is what the Marketing Audit & Roadmap measures before month one. Nothing here says stop running ads. If the math works, double up.

$66K
is what a year of executive marketing leadership costs at the entry tier. Run whatever comparison you like against the projection above, and discount it as hard as you want. The part that survives any discount is the direction: a position keeps producing after the invoice stops, and paid clicks stop the day the card declines. One is an asset on the books. The other is rent.
What You're Actually Buying

You Don't Have to Know What
Marketing You Need.

That's the job. An agency retainer sells you a fixed bucket of deliverables and then you spend the year negotiating to change it. This sells you the senior judgment that decides what belongs in the bucket in the first place. It is the decisions, not the hands. When you want the work delivered as well as decided, you add a Growth or a la carte package, and most clients who run both do exactly that.

Leadership & Direction
  • Marketing strategy and priority
  • Implementation planning and sequencing
  • Sales and marketing alignment
  • KPI dashboards and reporting
  • Tracking requirements and what gets measured
  • Budget allocation and spend control
  • Vendor and agency management
Search & Content Direction
  • SEO direction and keyword strategy
  • Content strategy and editorial standards
  • What gets refreshed, retired or rewritten
  • Content marketing direction
  • Google Business Profile
  • Technical priorities and what gets fixed first
  • Site performance standards
Demand & Systems Direction
  • Paid media strategy and budget allocation
  • Funnel design and conversion strategy
  • Lifecycle and email strategy
  • Social strategy and brand voice
  • CRM requirements and data standards
  • Which tools to buy, keep or cut
  • AI strategy and where automation pays
If it's marketing and it needs doing, it can come out of your hours. You are not buying a scope document. You are buying the person who decides what deserves to happen, and then has the hands to make it happen.

Delivery is $250 an hour. Advice across the whole business is $350. Every price here is hours times one of those two numbers, and the hours are printed next to the work.

After the Recommendation

You Get the Decision.
Then You Pick Who Does It.

The seat produces a recommendation and the reasoning behind it. What happens next is your call, and there are three doors. None of them is assumed, and none of them is bundled in without you agreeing to it.

01
Your team does it

You already have people, or an agency you like. We hand over the spec and hold them to it. Reviewing their work is part of the hours you already bought.

No extra cost
02
We do it

A Growth package if it is ongoing, or a la carte if it is a defined piece of work. Either way you get a written scope with the hours and the price on it before anything starts.

$250/hour · the delivery rate
03
We train your people

You want the capability in house rather than rented. We teach whoever you have, on your accounts, using your real campaigns, until they can run it without us.

$350/hour · the advisory rate
Why training costs more than doing. Doing it is delivery. Teaching someone to do it is advice, and it ends with you not needing us for that thing again. That is worth more to you than another month of us running it, so it is priced as advice.
The Cost Side

What Marketing Leadership
Actually Costs to Staff

There are three ways to get senior marketing decisions made in your business. Two of them are expensive in different ways.

A Growth retainer is a box of work we run. This is the seat that decides what should be in the box. It does not run your channels. It sets the direction and the budget and holds whoever executes accountable, whether that is your team, another agency, or us under a separate package. On Growth the advice covers what we run. Here it covers the business, which is why it runs under a mutual NDA and at the advisory rate.

How you get itWhat it costsWhat you actually get
Full-Time Marketing Director
Salaried employee
$140K–$220K/yr
plus benefits, payroll tax, equipment, ramp time
One person's forty hours a week, whether or not you have forty hours of senior work
Nobody Senior
Owner runs marketing between everything else
$0 in payroll
paid for in budget spent on the wrong things
Vendors with nobody grading them, ad spend with nobody cutting it, and positions your competitors take instead
Internal Profits Fractional CMO
Executive partner, 3-month initial term
$66K/yr at 16 hrs a month
$5,500/mo, no benefits, no ramp
The same decisions, made by someone who has made them before, at the number of hours your business actually has work for
Three Tiers · One Executive Partner

Pick the Number of Hours
Your Business Has Work For

Every tier is the same person making the same calibre of decisions. The difference is how many hours a month you get and how often we sit down. Three-month initial term, then it renews. You will know by month two whether having me in the seat is worth it, because unlike a campaign, judgment has no data lag.

Billed monthly across a three-month initial term.
Tier One
CMO Essential
Growing businesses that need senior direction and a plan worth following
$5,500 /mo
First month’s hours cover the Marketing Audit & Roadmap · 3-month initial term
🕐 16 Hours per month
  • Monthly leadership meeting
  • Marketing strategy and channel priority
  • Budget planning and spend allocation
  • Sales and marketing alignment
  • Vendor management and grading
  • KPI dashboards and call tracking
  • Quarterly growth planning
  • Email and Slack support
  • Monthly leadership report
  • Annual marketing budget
  • Marketing scorecard
Best For
$1M–$5M businesses ready to build a real marketing foundation
Book a 45-Minute Strategy Session
Enterprise
CMO Enterprise
Multi-location, healthcare, SaaS, and organizations with a board to answer to
$12,500 /mo
First month’s hours cover the Marketing Audit & Roadmap · 3-month initial term
🕐 36 Hours per month
  • Everything in CMO Executive
  • Weekly executive check-ins
  • Board and stakeholder reporting
  • Multi-location marketing strategy
  • Marketing department buildout
  • M&A marketing due diligence
  • Board-ready infrastructure recommendations
  • Custom SLA and response time
  • Dedicated Slack channel
  • Annual strategic planning session
Best For
$15M+ businesses, healthcare groups, SaaS companies, multi-location brands
Book a 45-Minute Strategy Session
Above Enterprise
From $20,000/mo
6 or 12 month term · one at a time
Past 36 hours a month you are not buying more time, you are buying capacity I have to stop selling to anyone else. Priced per engagement, and I hold one at a time.

Before Month One:
The Marketing Audit & Roadmap

Nobody makes good decisions about a business they haven't measured. Before the retainer starts, we sign an NDA and I spend roughly fifteen hours getting fully caught up on your market, your numbers and your competition. You keep everything produced here whether or not we continue.

15 hrs
Runs inside your first month
$5,250 if you buy it on its own
  • Mutual NDA signed before anything is shared
  • Market positioning and competitive review
  • Call tracking requirements specified
  • Growth assessment: site, SEO, ads, and current spend
  • Competitive set mapped, including who owns your keywords
  • Google Ads account structure mapped and costed
  • Written roadmap with the first two quarters sequenced
Why this comes first. The click math above only works if you know what your category charges per click and where you currently sit. That's what this measures. It's also why month two starts producing instead of month four.
Where the Hours Go

What the Work
Actually Looks Like

Fractional doesn't mean occasional. Here's the shape of the work inside an engagement.

Leadership
📋
Executive Meeting
Priorities, blockers, and what the numbers changed since last time
Team
👥
Team & Campaign Review
What shipped, what converted, what gets killed this month
Vendors
🏢
Vendor Accountability
Deliverables graded against spend, and the ones not earning it get cut
Data
📊
Performance Analysis
Call tracking, conversion paths, cost per lead by channel
Planning
🧭
Roadmap & Budget
Next quarter sequenced, budget reallocated to what's working
10+
Years Running Internal Profits
85+
Businesses Served
100+
Growth Campaigns
$10M+
Marketing Spend Managed
Where This Fits

Complex Businesses,
Expensive Categories

Fractional CMO engagements earn their cost where the decisions are complicated and the clicks are expensive: long sales cycles, multiple products, real competitors, and a number at the top that someone has to answer for.

🏥
Healthcare & Health Tech
Medical groups, DSOs, healthcare software, and clinical AI companies
💻
B2B SaaS
Software companies fighting for category terms against much larger budgets
🏭
Manufacturing & Industrial
Long sales cycles, high contract values, and technical buyers
💼
Professional Services
Law firms, accounting, consulting, and staffing groups
📍
Multi-location Brands
Franchise and regional groups needing one plan executed across many markets
📊
Investor-Backed Companies
PE or VC-backed businesses with a board that needs marketing reported properly
Ownership

Who Owns What, and What
Happens If You Leave.

Most agencies keep the accounts in their own name so leaving is expensive. It works until the client leaves anyway, and then it shows up in the reviews. We do it the other way, and it is written into the agreement.

Ad spend is billed to you by Google directly, on your card, in your account. We never front it and never mark it up.

What it is
Whose name
If we stop
The handover, step by step
  1. Thirty days' notice, either direction, in writing.
  2. We list every account, number and asset and mark which bucket it is in, so there are no surprises on the last day.
  3. Leads, recordings and reporting exported in a format you can import.
  4. Number porting started, because that one takes the longest.
  5. Our access removed from your accounts, and yours confirmed.

No charge for any of it.

Side by Side

Find Your Tier

CMO Essential CMO Executive ⭐ CMO Enterprise
Monthly Investment $5,500$8,500$12,500
Executive Hours 16 hrs24 hrs36 hrs
Meeting Cadence MonthlyBi-weeklyWeekly
Initial Term 3 months, then renews3 months, then renews3 months, then renews
Marketing Audit & Roadmap First month’s hoursFirst month’s hoursFirst month’s hours
Vendor Management
KPI Dashboards & Call Tracking
Budget Planning
Team Leadership
Marketing Hiring Assistance
Board Presentations
Marketing Dept. Buildout
M&A Marketing Diligence

Find Out What Your
Category Charges Per Click.

Call and we'll be into your actual numbers inside ten minutes: what the positions in your market are worth, what you're currently buying, and whether there's enough gap to be worth doing. If there isn't, I'll tell you on that call.

Call to book an appointment 866-TRACK-SALES Mon–Fri · 9am–5pm MST · You reach Patrick directly
Every Call Tracked. Every Dollar Accountable.