Performance-based advertising
The pillar guide
Performance-based healthcare advertising.
Healthcare advertising where the agency only gets paid when it delivers. No retainers, no management fees—pre-paid patients with 90%+ show rates, across Facebook, Google, and every treatment we run.
No retainersNo management feesPaid on delivery
The direct answer
As of 2026
What is performance-based healthcare advertising?
Performance-based healthcare advertising is a model where the agency's compensation is tied entirely to delivered results—booked, pre-paid patients—instead of monthly retainers or management fees. The practice pays nothing upfront; the agency only earns when a committed patient walks through the door.
The numbers — Performance-based at Profit Zombies
$0
Upfront Cost
90%+
Patient Show Rate
250K+
Patients Acquired
100%
Performance-Based
The model — Why performance-based is different
Agencies should earn results, not retainers.
The standard healthcare agency model is broken: practices pay $2,000-10,000 a month whether the ads work or not, and the agency reports on clicks and impressions instead of patients. Performance-based advertising flips the incentive. We build the ads, the landing pages, and the pre-pay funnel at our own risk. Patients pay a deposit before they ever become a lead—so they actually show up—and our compensation is tied to those delivered, committed patients. If we don't perform, we don't get paid.
“If we don’t perform, we don’t get paid.”
The model, in one sentence
01
We fund the campaign
Ads, landing pages, payment processing, follow-up—built and launched at our risk, not billed to you as a retainer.
02
Patients pre-pay
Before submitting contact info, the patient pays a deposit. Financial commitment is what turns a lead into a show.
03
You get committed patients
90%+ of pre-paid patients show up—versus 60-70% for traditional form-fill leads your front desk has to chase.
04
We earn on delivery
Our compensation is tied to delivered patients. Your ad spend is an investment with a receipt, not a monthly gamble.
Where we run it — The performance channels
One model, every channel
01
Facebook & Instagram
Meta is where healthcare pre-pay funnels perform best. Dedicated playbook: performance-based healthcare Facebook advertising.
02
Red light therapy
Pain, recovery, skin, and wellness membership patients—pre-paid and primed for packages. See the red light therapy program.
03
Red light contouring
Body contouring patients who pre-pay for their first session. The flagship program that proved the model.
04
Every practice type
Chiropractors, med spas, dentists, aesthetic practices, regenerative medicine—the model works wherever patients book appointments.
Retainer vs performance-based
Side by side
The old way
Retainer agency
- $2,000-10,000/mo retainer, results optional
- Paid whether ads work or not
- Reports on clicks and impressions
- Leads with zero financial commitment
- 60-70% show rates
- Locked into 6-12 month contracts
The Profit Zombies way
Performance-based
- $0 retainer, $0 management fees
- Agency paid only on delivered patients
- Reports on booked, pre-paid patients
- Every lead has paid a deposit
- 90%+ show rates
- No long-term contracts
Questions, answered
06 common questions
FAQs
Common questions about performance-based healthcare advertising, answered directly.
Still have questions? We have answers.
Ask us anything →Keep reading
The performance-based series
Get started
It’s time to stop paying for
Promises.
Book a free strategy call. We'll show you the exact performance model—what you pay, what you get, and why we only earn when patients walk through your door.
No long-term contracts100% performance-based