Marketing infrastructure built for PE-backed healthcare platforms
We build scalable patient acquisition systems for private equity-backed medical groups — from pre-close due diligence through post-close integration, platform growth, and pre-exit positioning. Reporting tied to EBITDA, not impressions.
Why PE healthcare marketing is different
Most agencies optimize for traffic. We optimize for your exit multiple.
PE-backed healthcare platforms have fundamentally different marketing requirements than independent practices. You're managing multiple locations, multiple brands, and multiple stakeholders — all while building toward a liquidity event where your patient acquisition infrastructure will be scrutinized by the next buyer. Generic healthcare marketing agencies aren't built for that. We are.
We speak EBITDA, not just impressions
PE sponsors don't care about click-through rates. They care about EBITDA, patient volume, revenue per location, and exit multiples. Every marketing strategy we build is tied to the financial metrics that matter to your investment thesis — with reporting that maps directly to your portfolio dashboards.
Built for multi-site rollup speed
Integrating a new acquisition into your platform's marketing infrastructure in 30 days, not 6 months. We've built onboarding playbooks for every major specialty — so when you close a deal, we can launch a fully integrated marketing program before the ink is dry.
Brand architecture across the portfolio
Whether you're running a unified platform brand, a house-of-brands model, or a hybrid, we build the brand architecture and digital infrastructure to support it — with consistent messaging, shared SEO authority, and centralized reporting across every location.
De-risking the marketing dependency
Acquirers discount practices that are over-reliant on a single referral source or a founder's personal brand. We build diversified, scalable patient acquisition systems that reduce concentration risk and make your platform more attractive to the next buyer.
Services
Marketing services built for platform scale
Every service we offer is designed to work at the platform level — scalable across acquisitions, reportable to sponsors, and tied to the financial metrics that drive your investment thesis.
Platform Brand Strategy
Brand architecture, naming strategy, and visual identity systems that scale across acquisitions — whether you're building a unified brand or managing a portfolio of distinct practice identities.
Multi-Location Website Infrastructure
Scalable website platforms built for rapid location onboarding. New acquisitions get a fully optimized, brand-compliant web presence within 30 days of close — not 6 months.
Portfolio-Wide SEO
Centralized SEO strategy that builds shared domain authority across your platform while maintaining location-specific rankings. We manage SEO for platforms with 3 locations and platforms with 80+.
Paid Search at Scale
Unified Google Ads management across every location — with location-level budgets, performance reporting, and the ability to surge spend into high-growth markets or newly acquired practices.
Revenue Attribution & Reporting
Marketing dashboards built for PE sponsors and operating partners — showing patient volume, cost per acquisition, revenue attribution, and location-level performance in a single view.
Acquisition Integration
A proven 30-day onboarding playbook that migrates acquired practices into your platform's marketing infrastructure — redirects, listings, brand updates, and campaign launch — without disrupting existing patient volume.
Across the investment cycle
We work with you from deal close to exit
Most marketing agencies are built for steady-state management. We're built for the full PE investment cycle — with specific playbooks for each stage.
Pre-close due diligence
We audit target practices' digital presence, SEO authority, paid search efficiency, and online reputation — giving your deal team a clear picture of marketing upside and risk before you close.
Post-close 100-day plan
A structured marketing integration plan that aligns with your 100-day operational playbook — brand migration, website launch, paid search activation, and baseline reporting all within the first quarter.
Platform growth acceleration
Ongoing marketing management across the full portfolio — driving organic patient volume growth, reducing cost per acquisition, and building the digital infrastructure that supports your exit story.
Pre-exit positioning
In the 12–18 months before a planned exit, we build the marketing narrative, clean up attribution reporting, and demonstrate scalable, repeatable patient acquisition — the story that commands a premium multiple.
Our process
How we build your platform's marketing infrastructure
A proven 6-step process refined across 30+ PE-backed healthcare platforms — from initial audit to portfolio-wide reporting.
Portfolio Audit & Baseline
We audit every location's digital presence — website quality, SEO authority, paid search efficiency, listings accuracy, and online reputation — and establish a baseline against which we measure growth.
Platform Strategy & Architecture
We build the brand architecture, SEO strategy, and digital infrastructure plan for the full platform — including how new acquisitions will be integrated and how authority will be shared across locations.
Infrastructure Build
Website platform, campaign structure, tracking and attribution framework, and reporting dashboards are built and deployed — creating the foundation that scales with every new acquisition.
Location-by-Location Activation
Each location is activated on the platform's marketing infrastructure — campaigns launched, SEO optimized, listings standardized, and performance tracking confirmed.
Acquisition Onboarding Playbook
Every new acquisition follows a standardized 30-day onboarding process — brand migration, website launch, paid search activation, and reporting integration — executed without disrupting existing patient volume.
Portfolio Reporting & Optimization
Monthly portfolio-level reporting for sponsors and operating partners, with location-level drill-down, trend analysis, and strategic recommendations for where to invest marketing dollars next.
Client results
From 14 disconnected programs to a unified platform — and an 8.2× exit
Southeast US — 14 locations, 38 surgeons
The Challenge
A PE-backed orthopedic platform with 14 locations running 14 disconnected marketing programs — no shared brand, no centralized reporting, and a $340 average cost per surgical lead with no visibility into which locations were driving ROI.
The Solution
Unified platform brand architecture, a centralized website platform with location pages for all 14 sites, a consolidated Google Ads account with location-level budgets, and a monthly reporting dashboard mapped to the sponsor's portfolio metrics.
"NEXA gave us something we'd never had before — a single view of marketing performance across the entire platform. When we went to market, the acquirer specifically called out our patient acquisition infrastructure as a premium asset."
Operating Partner
Regional Orthopedic Partners (PE-backed)
Timeline
18 months to exit
Specialty coverage
Deep expertise in the specialties PE is consolidating
We work exclusively in healthcare, with deep specialty knowledge in the sectors seeing the most PE activity. We understand the patient acquisition dynamics, competitive landscapes, and referral patterns specific to each specialty — so we're not learning on your portfolio's time.
Common questions
PE healthcare marketing FAQs
Related services for PE-backed platforms
Ready to build your platform's marketing infrastructure?
Let's talk about your portfolio
Whether you're pre-close, post-close, or 12 months from exit — we'll build a marketing strategy tied to your investment thesis. Schedule a platform consultation and we'll show you exactly what's possible.