Think Bullish
Proof, not promises

Real practice owners. Real client results.

These are real clients — never compensated for what they say or write. Extraordinary practice owners, and the receipts to match: real doctors, real numbers, real results.

441+
practices served
$9.1M+
ad spend managed
91%
average retention
8.5 yrs
doing only this
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Trusted by 441+ high-producing medical offices · As seen on

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Client case studies

The same patient-acquisition strategy produced every one of these.

Blue Mountain Wellness: $46k - $100k/mo in 8 months

Dr. Jimmy needed help taking his new niche programs off the ground. He has some pretty deep knowledge of marketing. Even so, he wanted to partner up with someone who has a proven system so he wouldn't have to worry about managing things all day.

Process: We started by helping him advertise his new neuropathy program. He had some funnels set up, but they weren't tested, and he had no process in place to follow up with the leads, qualify them, and get them to show up qualified.

We helped him build it all out with condition-specific neuropathy advertising and back-end educational material via quizzes and email content. In addition, we helped him integrate his online scheduling from his website with one system to track and organize it all - to avoid frequent scheduling conflicts.

Results: In his first 12 days, he booked 25 new patients and converted multiple into his neuropathy program. His staff did very little work, and he can now focus on other areas like integrating, which he plans to do next.

As he's continued working with us, he acquired many new neuropathy and plantar fasciitis cases and has officially broken the renowned $100,000-month goal.

Blue Mountain Wellness

$46k - $100k/Mo In 8 Months

Niche: Chiropractic with expertise in treating chronic conditions like neuropathy and plantar fasciitis.

Founder: Dr. Jimmy McKinney

Blue Mountain Wellness results
Blue Mountain Wellness resultsBlue Mountain Wellness results

Fairwood Health & Body Transitions: $1,016,045.00 in Additional Revenue Collected With Us In 16 Months

Dr. Jason hired us to scale his neuropathy and weight loss campaigns which were previously very inconsistent. Within the second month working with us, they closed an additional $45,209.00 in revenue and have consistently brought in $40k-$120k/mo since. They spend no more than $3,000 each month in ad spend.

Process: Nurse Jane, who's pictured on the right, leads all the sales in their office. On our end, we got started by expanding the marketing for their previous weight-loss program. We also helped them launch the marketing for their neuropathy program (which they hadn't promoted in a while). At first, they weren't closing as well as they could, and the show rate had dropped around month three.

We jumped on private coaching calls to review their sales process and provide feedback. Now, they're closing more patients than the majority of our offices. In addition, we provided training to the front desk staff to book more appointments and adjusted their funnels and messaging sequences to produce a higher show rate. Now, 75% of appointments are showing up and many are starting care.

Results: Along with closing over a million dollars in revenue with us in 16 months, they now have a consistent system that brings in equally consistent new business month over month. They've integrated our systems throughout their website and other marketing to track and manage all leads properly. They have generated over 2,777 leads and booked over 1,400 appointments.

Fairwood Health & Body Transitions

$1,016,045.00 in Additional Revenue Collected With Us In 16 Months

Niche: Weight Loss & Peripheral Neuropathy

Founder: Dr. Jason Peisley

Fairwood Health & Body Transitions — $1,016,045 in 16 months
Fairwood Health & Body Transitions results
Fairwood Health & Body Transitions resultsFairwood Health & Body Transitions results

Medical Center Plus: $104,045.20 in Recorded Revenue With Us In 5 Months

The majority of their revenue is not recorded, but the recorded portion that does exist amounts to over six figures in five months. They spend no more than $2,500 each month on advertising.

Process: We started with Dr. Peacock to help him rebrand his office to Medical Center Plus from the previous branding Auburn Chiropractic. As they've grown, they've medically integrated with prestigious medical doctors.

From there, we started their advertising by focusing more on the medical doctors and the specific conditions than marketing Dr. Peacock or chiropractic. At first, there were numerous revisions we made to the ads as Dr. Peacock and his team revised them to be in accordance with their branding and state board.

Now, we've adapted and handled everything from their advertising to front desk scheduling with our in-house team.

Results: In the 5 months they've worked with us, they've recorded $104,045.20 in added revenue. This doesn't account for unrecorded revenue, and in-office upsells and cross-sells. They've achieved better awareness for their new branding and now have a consistent and reliable system for producing new patients for their programs.

Medical Center Plus

$104,045.20 In Recorded Revenue With Us In 5 Months

Niche: Chiropractic, Physical Therapy, Regenerative Medicine, Neuropathy, and Sciatica

Founder: Dr. Hurst Peacock

Medical Center Plus results
Medical Center Plus results
Medical Center Plus results

Novis Health: 2 to 6 locations in 12 months

Dr. Valdes initially came to us for help with a condition-specific advertising program for their 2 offices. They had been around the block a few times, and he really appreciated the advertising he saw for our agency. He saw that we knew what we were doing and figured there was a good chance we could be long-term partners as they embarked on growing the first functional medicine franchise.

Process: We started advertising for their first two locations, and they saw immediate results. Dr. Ryan pushed us to build out a call center to handle the leads we were generating for them. Over time, they've achieved huge growth.

We faced a few challenges as we tackled some tough calls together. But over time, we've dialed in our processes and grown as a firm. Over the last year, the progress made has been immense. We've helped them align a specific brand message, generate consistent advertising for all locations, refine the front desk scripting and operations, and improve all aspects of the advertising and sales process.

Now, they're continuing to expand very quickly with more offices and new angles for their marketing beyond an autoimmune, diabetes, and thyroid focus.

Results: In the last year, they've grown from 2 to 6 locations. Their in-house team has grown significantly, and they've been able to focus on their ops and growth because the marketing has been off their shoulders. They've had a huge selling point offering a completely done-for-you system with the marketing on top of the franchise offering to prospective investors.

They've consistently hit record months, with an average of 30-60 new patients per month showing in each location for their high-ticket programs.

Disclaimer: Pictured is the recorded revenue for their first two locations in the last year. Much of this revenue has not been recorded by us, yet both have still recorded over six figures.

Novis Health

2 To 6 Locations In 12 Months

Niche: Functional Medicine

Founder: Dr. Ruben Valdes and Dr. Ryan Valencic

Novis Health results
Novis Health results
Novis Health results

Sacramento Naturopathic Medical Center: $21,400.00 Collected in the 1st month with us

Process: We've proven results in similar niches, so launching Dr. Godby's advertising for hormones was pretty easy.

We started by training his staff on how to handle the leads we'd be sending him. Once they were comfortable, we shipped the ads. We began with variations of winning ads in other markets, and his campaign went viral.

Results: In the month of April, at the start of their campaign, they generated 127 leads and 47 booked appointments. 21 were recorded to have shown up that month, and 18 of them closed.

With $1,000 in ad spend, Dr. Godby generated $21,400.00 in new patient revenue.

Sacramento Naturopathic Medical Center

$21,400.00 Collected In The 1st Month With Us

Niche: Naturopathic Medicine

Founder: Dr. Dennis Godby

Sacramento Naturopathic Medical Center results
Sacramento Naturopathic Medical Center results
Sacramento Naturopathic Medical Center results
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Extremely limited · 1 office per geographical area

Verified unit economics

Revenue vs. ad spend — the actual numbers.

$88,025.20

on $3,664.16 ad spend · 61 days

24.0x ROAS

$14,590.00

on $1,423.79 ad spend · 30 days

10.3x ROAS

$85,932.11

on $14,736.44 ad spend · 5 months

5.8x ROAS

$36,375.00

on $2,519.83 ad spend · 30 days

14.4x ROAS

$27,849.00

on $2,041.27 ad spend · 26 days

13.6x ROAS

$46,200.00

on $3,305.58 ad spend · 30 days

14.0x ROAS

Straight from the reports

Here's what that looks like in the dashboard.

Here's a client we took to $143,500.00 in revenue from just $2,477.20 in ad spend
$143,500.00 in revenue from just $2,477.20 in ad spend
Here's a client we took to $1,016,045.00 in revenue in just 16 months from $3,000/month in ad spend
$1,016,045.00 in revenue in just 16 months from $3,000/month in ad spend
Here's a client we took to $126,300.00 in revenue in 1 year
$126,300.00 in revenue in 1 year
Here's a client we took to $104,045.20 in revenue in 5 months
$104,045.20 in revenue in 5 months
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Extremely limited · 1 office per geographical area

The numbers

Results our clients actually collected.

$1.27M

collected on $98K in ad spend · neuropathy, 15 months

$2.0M

collected on $135K in ad spend · spinal decompression

$1.01M

added revenue in 16 months on ~$3K/mo · Fairwood Health

$143,500

in revenue from just $2,477 in ad spend

$46k → $100k/mo

in 8 months · Blue Mountain Wellness

$167K/mo

on just $4K/mo in ad spend · cash-pay clinic

$230,785

in revenue in one year

$126,300

in revenue in one year

$104,045

recorded revenue in 5 months · Medical Center Plus

$88,025

in revenue in 61 days

$27,849

collected in 26 days

2 → 6 locations

one client, in 12 months

In their own words

Hear it straight from the doctors.

“With Think Bullish, our revenues have doubled two years running.” — Dr. Stacy Chidester, Oxford Health & Wellness
Decade-old $50K/mo goal smashed in 30 days — Christina Hansen, Precision Spinal Care
“An 8–10x return on investment” — Dr. Edward Reilly, Asheville Neuropathy
$15,800 collected in just 12 days — Dr. Jimmy McKinney, Blue Mountain
93% show-rate with financially-qualified leads — Dr. Ruben Valdes, The Thyroid Place
½ the fees, ½ the ad spend, 2× the qualified shows — Karen Greenspan
Adding $20,000/month consistently — Dr. Sebastian Castelli
From slow days to $150K with spinal decompression — Disc Centers of America
An 11x return on ad spend — neuropathy funnel case study
“We’ve worked with 5 others — this is by far the best” — Dr. Andrew Segarra
So many new patients he bought a new filing cabinet — Dr. Ernest Davila
“A no-brainer — I’m busier than I’ve ever been” — Dr. Daniel Dierdorff
“Will patients know it’s A.I.?” — a client on the A.I. front desk
$175,500 from neuropathy patients in 8 months
$235K+ back from every $30K spent — neuropathy, knee & SoftWave
A neuropathy marketing testimonial
A neuropathy advertising testimonial

Trusted by

441+ high-producing medical offices.

HealthSource ChiropracticNovis HealthRELATYVDisc Centers of AmericaMaxLivingGameday Men's Health OcalaWinnipeg Regeneration & Weight LossNexGenEsis HealthcareTallahassee Spinal CareJackson County ChiropracticWestwood Family ChiropracticVictory Spinal CareWellness Wave ChiropracticOptimal Health U.S.LightRenew LaserFamily Chiropractic Health Center

Straight from the ad accounts

Cost per booked appointment — not per lead.

Real dashboards from real client accounts: pipeline value, appointments booked, and what each one actually cost.

Calls — Jan: 72, Feb: 43, Mar: 52 (line chart)
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Opportunities 154 · Pipeline Value $633,400.00 · Conversion Rate 10.39%
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Opportunities 571 · Pipeline Value $2,164,787.37 · Conversion Rate 2.28%
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Opportunities 125 · Pipeline Value $292,800.00 · Conversion Rate 2.40%
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Opportunities 89 · Pipeline Value $346,223.40 · Conversion Rate 4.49%
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Opportunities 63 · Pipeline Value $159,000.00 · Conversion Rate 6.35%
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Mar · Calls: 52 (zoomed crop of calls chart)
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Feb · Calls: 43 (zoomed crop of calls chart)
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$33.07 Per Appointment Booked — 267 leads / 115 appts / $3,875.98 spent
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$15.17 Per Appointment — 275 leads / 175 appts / $2,655.54 spent
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$12/Appointment!! Appointment! Not Lead. — 711 leads / 437 appts / $5,333.03 spent
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$10 Leads — 84 leads, $10.01 per lead, $840.42 total spent
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$13.99 Per Appointment Booked — 402 leads / 293 appts / $4,098.90 spent
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$24.02 Per Appointment Booked — 34 leads / 22 appts / $528.44 spent
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Pipeline Value $785,238.40 (Dec 1 2022-Jan 31 2023); Closed $88,025.20; 177 leads, $3,664.
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Pipeline Value $229,825.20 (Jan 2023); Closed $14,590.00; 80 leads at $17.80, $1,423.79 sp
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Pipeline Value $86,316.31 (Sep 2022-Jan 2023); Closed $85,932.11; 524 leads, $14,736.44 sp
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Pipeline Value $428,785.60 (Jul 2022); Closed $36,375.00; 140 leads at $18.00, $2,519.83 s
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Pipeline Value $747,849.00 (Dec 18 2022-Jan 5 2023); Closed $27,849.00; 75 leads, $2,041.2
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Pipeline Value $46,200.00 (Sep 27-Oct 27 2022); Closed $46,200.00; 244 leads at $13.55, $3
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Extremely limited · 1 office per geographical area

Forget the sales copy

Ready for results like these?

Unedited reviews, texts, and emails from the doctors we work with — including $62,200 collected in 75 days during COVID-19.

Dr. Roger Borbon 5 stars: "Their turn around time to go live was UNMATCHED... results are
Daniel Bridge 5 stars: "This team is very responsive and they do an excellent job with ads
Aiza Bitoon 5 stars: Professionalism, Quality, Responsiveness, Value — "AWESOME!!!!"
Dennis Godby 5 stars: "My experiences with Think Bullish has been amazing... highly recomm
Dr. Andrew Segarra 5 stars — Positive: Quality (no review body text)
Dr. Douglas Ferguson, 5 stars: "I highly recommend Think Bullish for Facebook marketing su
Dr. Roger Borbon, 5 stars: "Their turn around time to go live was UNMATCHED... we started
Dennis Godby, 5 stars: "My experiences with Think Bullish has been amazing. It is a wonder
mark ambrose-muzyl, 5 stars: "All of my expectations have been exceeded... extremely happy
Daniel Bridge, 5 stars: "This team is very responsive and they do an excellent job with ad
PATIENT FLOWS — Private Practice Secrets (book + monitor + phone mockup)
"I like your system. I want to work on National implementation soon."
FB post + comment: "You've got our business on FIRE the last few weeks, never been busier!
Dr Ed email: "May need to reduce FB ad spend" — converting a lot of leads to NP appointmen
Daniel Bridge email: Think Bullish taking over my ads was an excellent move, steady flow o
Roger email: happy to report we're receiving leads; Think Bullish is showing to be unmatch
Jane Zuchowski FB comment: from 15 appointments/week to booked solid, now we have a waitin
iMessage lock screen: "Keep sending us people... 3 of the best consecutive collection mont
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Extremely limited · 1 office per geographical area

What they tell us

More than 440 practices. One playbook.

The quality has honestly been the best I’ve ever seen in social media marketing.
Dr. Ryan Valencic · CEO, Novis Health
In just 12 days we booked 25 new patients — without overwhelming our staff — and have since broken the $100k/month mark.
Dr. Jimmy McKinney · Founder, Blue Mountain Wellness
In the mid six-figures I’ve spent on marketing, this has been some of the best money I’ve spent.
Dr. Matt Symons · Palm Beach Health Center
You’ve got our business on FIRE the last few weeks — never been busier!! Thanks Zack.
Nurse Jane · Ohio
The only thing that got us through COVID was the Think Bullish patients — the only ones we were seeing.
Dr. Alan · Montana
We’re spending half the agency fees and half the ad spend — and getting twice as many qualified shows.
Karen Greenspan · Greenspan Wellness Center

Our programs

Get started today.

Patient Recruitment Method

Our flagship practice growth accelerator

  • Market differently than anyone else in your area
  • Educate your patients before they show
  • Develop content to guarantee high close rates
  • Systemize your qualification and follow-up processes
  • Never hire another marketing agency again
  • Master sales & scale your team

Concierge: Patient Recruitment Method

For the elite practice

  • Everything from the Patient Recruitment Method
  • We call your leads, qualify, and schedule for you
  • Unlimited reactivation campaigns
  • We book directly into your EHR
  • Get daily reporting

Limited-time financing & performance-based pricing available.

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Extremely limited · 1 office per geographical area

You're probably asking…

“How much will this cost?”

A fair fee we'll walk through plainly on your call — with financing and performance-based pricing available. The better question: what does every empty appointment slot cost you right now?

“Where do you get the patients?”

YouTube, Facebook, Instagram, TikTok, Microsoft Bing, and Google Ads — omnipresent, condition-specific campaigns in your market.

“Ads don't work.”

When we do them, they do. Scroll back up — every number on this page came from the system you're reading about. That's a fact, not an opinion.

“How fast will I see results?”

As soon as your done-for-you appointment machine goes live: clicks, then inquiries, then appointments — often starting day one. Your closing ability is the X-factor, and we coach that too.

Frequently asked questions

What results can I expect working with Think Bullish?+

As long as you have prior sales, social proof, and a proven model, our campaign structure brings more leads, shows, and sales — while typically cutting ad costs 30% or more. Our average client sees a 3–10x return on their investment.

How long does it take to start seeing results?+

Onboarding is thorough but streamlined: your funnels, ads, CRM, and A.I. team are typically live in about 1 week. Once the ads go live, it's not uncommon to see leads within the first few days.

Do you do more than just Facebook ads?+

Yes — we run Facebook, Instagram, Google, TikTok, YouTube, and Microsoft Bing, backed by a full copywriting, video-production, web-development, and concierge live-phone scheduling team.

What do I need to work with your team?+

We work with practices of all sizes. To start, we'll get to know your business, your costs, and your current ad performance — we'll walk through it on your demo call.

Who is Think Bullish, and what have you done before?+

Over 8+ years we've helped scale 441+ practices to 6-, 7-, and 8-figure businesses (including our own clinic in South Florida), managing $9.1M+ in ad spend — and been featured in Thrive Global, MarketWatch, Disrupt, and Grant Cardone.

What if I'm in a niche you haven't worked with before?+

After working across chiropractic, medical, functional-medicine, aesthetics, and more, we're confident in our process. As long as your pricing structure is viable, we can profitably advertise it.

Ready to be the next result?

We take on one practice per area. Book a free demo call and we'll show you exactly how we'd fill your calendar — backed by a guarantee that puts the risk on us.

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Only pay for results

Get pre-paid and pre-qualified patients for your best treatment programs showing up in your office — guaranteed.

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