Quick answer
Analytics at HM is the measurement layer that makes every other service accountable. Executive Reporting is the part of that work this page covers, and it sits in the Infrastructure pillar because you cannot rank a site that does not exist, and you cannot improve what you do not measure.
Key takeaways
- If they want a single number that proves ROI, we tell them we can build it from their data and that it will take 60–90 days of clean tracking, and that anyone offering it faster is guessing.
- That’s a misreading.
- The bulletin was sub-regulatory guidance, and the vacatur changed neither the Privacy Rule nor the Security Rule.
- Executive Reporting sits in the Infrastructure pillar, and you cannot rank a site that does not exist, and you cannot improve what you do not measure.
- The approved figure for average client ROI is 15:1, per the register in Section 20.1, and it is the only version that appears in any asset.
01 — OverviewWhat Executive Reporting is, and what it is not
If they want a single number that proves ROI, we tell them we can build it from their data and that it will take 60–90 days of clean tracking, and that anyone offering it faster is guessing. If they want us to grade our own homework with no independent path to the data, we point out that they own the GA4 property, the Search Console property, the ad accounts, and the call tracking account. If they don’t already, that’s the first fix. If they ask for a category benchmark for patient acquisition cost or lifetime value, the answer is that no primary, peer-reviewed, or association-published benchmark exists at any tier. We build theirs from their data and label it client-specific. We will not publish a category CAC or LTV figure, and neither should they. This pillar sits under our services index, which covers all twelve service lines.
Executive Reporting is part of Analytics and Reporting, one of the twelve service lines Healthcare Marketing runs, and it belongs to the Infrastructure pillar of the 4-Pillar Framework.
Who buys it, and what they already believe
That’s a misreading. HIPAA governs the use of PHI, not advertising as such. General advertising that uses no PHI isn’t “marketing” under 45 CFR 164.501 at all. Exposure sits in patient lists, targeted outreach, identifying testimonials, and tracking configurations — not in counting how many people booked.
Explore the full guide
50 in-depth guidesThis page is the hub. The guides below apply Executive Reporting to a specific specialty or a specific practice situation, because the work is not the same for a solo psychiatrist and a six-location orthopaedic group.
Start here — cornerstone guides
By specialty and situation
Behavioural health
Primary care
Medical
Diagnostic and acute
The complete index — all 50 guides in this pillar
02 — SearchThe queries this hub is built on
These are the queries that decide the build. Read the right-hand column as the work order: each one names a page that has to exist before the query can be won.
6 priority queries for Executive Reporting. Keywords are intent-matched from the sitemap and are not volume-validated; confirm in a keyword tool before build.
Depth is a topical authority play that happens to produce volume
A twelve-page site can answer twelve questions, rank for twelve and be cited twelve times. A five-hundred-page site answers five hundred, and each new page strengthens the topical authority of every page already there. The entry tier is 500-plus pages, scaling to 10,000, and there is nothing below it. On top of the foundation, seven blogs a week produces more than 365 indexed pages a year.
WebFX analysed 130,070 healthcare queries in July 2025 and found that 51 percent trigger AI Overviews, roughly double the cross-industry rate, rising to 66.9 percent for informational queries. Google’s own documentation states that for topics affecting health, its systems give more weight to content aligned with strong E-E-A-T signals, and that of the four components, trust matters most.
03 — What owners care aboutThe questions this work has to answer
The bulletin was sub-regulatory guidance, and the vacatur changed neither the Privacy Rule nor the Security Rule. Separately, state wiretapping and CIPA class actions over health-site pixels continue regardless of federal posture, which is the exposure that should actually shape the tracking configuration. “What do I do with the report?” Make one decision a month. That’s the design goal. Every report closes with a recommendation, the reasoning, and what we expect to see if it’s right. If a client reads the report and takes no action, we wrote it badly.
The problem
General advertising that uses no PHI isn’t “marketing” under 45 CFR 164.501 at all. Exposure sits in patient lists, targeted outreach, identifying testimonials, and tracking configurations — not in counting how many people booked.
The solution
“What do I do with the report?” Make one decision a month. That’s the design goal. Every report closes with a recommendation, the reasoning, and what we expect to see if it’s right. If a client reads the report and takes no action, we wrote it badly.
The resolution
What counts as a lead, what counts as a qualified lead, what counts as a booked appointment, and who at the practice confirms the last one. Written down, agreed, and not changed mid-engagement without a note in the report. Measure — weeks 1–3. GA4 rebuilt or audited against the taxonomy.
Thirty minutes with Steven. A diagnosis of where Executive Reporting is costing you, not a pitch.
Schedule a Meeting04 — The delivery standardWhat actually gets done, and when
Improve — month 2 onward. Monthly report on day 10, covering the prior month. Structure: what we said we’d do, what we did, what happened, what it means, what we’re changing, what we expect. Quarterly deep dive with cohort and channel analysis and a revised forecast. Control — ongoing. Quarterly tracking audit, because tracking breaks silently. Annual review of the conversion taxonomy against how the practice has changed. | Deliverable | Owner | Timing | | — | — | — | | Conversion taxonomy, written and agreed | Analytics + client | Week 1 | | GA4 build or audit complete | Analytics | Week 2 | | Call tracking live with DNI | Analytics | Week 2 | | Offline conversion import configured | Analytics | Week 3 | | Baseline report | Analytics | Week 3 | | Live dashboard access | Analytics | Week 4 | | Monthly report with one recommendation | Account + analytics | Day 10, monthly | | Quarterly deep dive and forecast | Strategy | Quarterly | | Tracking integrity audit | Analytics | Quarterly | Every account is created in the client’s name with the client as owner. HM holds admin access. That arrangement survives the relationship ending, which is the point.
05 — The first 90 daysWhat the build sequence looks like
Marketing timelines in this category are usually vague because vagueness is safer. Here is the published sequence, and it is the same one every engagement runs.
Brand book, then a workable site
The Brand Intelligence Book and brand guide are delivered in week one, before anything is designed or written. A workable site goes live in weeks two to three. Content and Google Business Profile work start in week one in parallel.
Press and local targeting
The first press release goes out in week five. Local targeting begins in weeks five to six, at roughly 25 pages per city-and-service target for every $1,000 per month of spend.
Depth, and the first movement
Local SEO moves in 2 to 4 months and organic rankings in 3 to 4, so this is the window where the first measurable change usually appears. Inquiries follow at 6 to 12 months, and the strongest returns at 12 to 18.
06 — Hard stopsWhat we will not do here
Every recommendation has a cost, a timeline and a thing it makes harder. These are the limits on Executive Reporting, stated before the contract rather than after the first report.
The rules that bite in analytics and reporting. The approved figure for average client ROI is 15:1, per the register in Section 20.1, and it is the only version that appears in any asset. — practice management or EHR system, and whether an appointment-level data handoff is technically possible. — state of operation, for call recording consent and CIPA exposure. — full tracking configuration and consent banner, client counsel review before launch.
07 — Where it sitsExecutive Reporting in the 4-Pillar Framework
Executive Reporting is one of three services inside Analytics and Reporting, alongside attribution tracking and call tracking. All three sit in the Infrastructure pillar, and you cannot rank a site that does not exist, and you cannot improve what you do not measure.
That sequence is not a preference. A practice that buys only this service will move slowly, because the twelve services have a dependency order and the 4-Pillar Framework encodes it. Nothing in Visibility gets sold before Infrastructure is in place or in flight, Authority starts in week one because it has the longest lead time, and Growth is only worth what the Infrastructure can convert.
08 — PricingWhat this costs, and why there is no band
Engagements start at $2,000 per month. That floor is published. There is no band above it, and the honest reason is that a band would be a fiction.
What a practice pays is set by how contested its market is, how large it is, and how much has to be built before anything can be amplified. Executive Reporting is rarely bought alone, and where it is, we will say on the call whether it will do anything useful without the pillar beneath it. The number for a specific practice is given on that call rather than after three meetings.
No exclusivity, and the reason
We do not offer market exclusivity. An exclusivity promise is a promise to turn away a practice that needs the work. What we build instead is an asset a competitor cannot copy, because it is five hundred pages deep in the practice’s voice with its clinicians’ names on it.
The bottom line
Executive Reporting is the infrastructure work that makes the rest of the programme legible to a patient and to a search engine. It is bought as part of a sequence, not as a tactic. The next step is thirty minutes to find out whether it is the thing actually holding you back.
Frequently asked questions
How long before Executive Reporting produces new patients?
Rankings move in 3 to 4 months, inquiries grow in 6 to 12 months, and the strongest returns arrive in 12 to 18 months. Local search moves faster, typically in 2 to 4 months. Those are the timelines we publish and they do not improve when a prospect asks. Anything faster is either paid media, which has its own economics and stops when the spend stops, or a promise nobody can substantiate. The compounding is the point: page 300 makes page 12 rank better, which is why the curve is slow at first and then is not.
Can we buy Executive Reporting on its own?
Sometimes, and we will tell you on the call whether it will do anything useful by itself. Executive Reporting sits in the Infrastructure pillar, and you cannot rank a site that does not exist, and you cannot improve what you do not measure. The most common way marketing money is wasted in healthcare is buying an amplification service before the thing being amplified is worth pointing at. If that is your situation we will say so before the contract rather than after the first report, which costs us a sale and saves you a quarter.
What will you not do in Executive Reporting?
The approved figure for average client ROI is 15:1, per the register in Section 20.1, and it is the only version that appears in any asset. — practice management or EHR system, and whether an appointment-level data handoff is technically possible. — state of operation, for call recording consent and CIPA exposure. — full tracking configuration and consent banner, client counsel review before launch.
What does it cost?
Engagements start at $2,000 per month and we publish that floor. There is no band above it because a band would be misleading. Cost is driven by how contested the market is, how large the practice is, and how much has to be built before anything can be amplified. Local page production runs at roughly 25 pages per city-and-service target for every $1,000 per month of spend, which gives a concrete way to reason about what a given budget buys. The specific number comes on the first call, not after three meetings.
Who actually does the work?
Steven Lockhart is on strategy for every engagement and is the named principal you will reach. The firm is deliberately small and grows only at the rate that lets it hold the standards it publishes. Healthcare Marketing is healthcare-exclusive across thirty-two specialties, and the specialty register behind this work is researched per specialty rather than adapted from a general template.
What happens to the work if we leave?
It stays with the practice. The site, the content, the profiles, the analytics and the data. The site is the only asset in a marketing programme that the practice owns outright, that appreciates, and that cannot be removed by an algorithm change, a platform policy or a lapsed subscription. It is worth asking any agency this question directly and listening for whether the answer involves a proprietary platform, a template licence, or content that lives on infrastructure you do not control.
How we reviewed this page
Every statistic on this page carries its source at the point of use, and each source is listed below. Regulatory statements are cited to the Federal Trade Commission, the Department of Health and Human Services, and Google’s own published policy rather than to secondary summaries. The delivery standard and the hard stops are drawn from Healthcare Marketing’s own service register for Analytics and Reporting, which is revised on the same cadence as this page.
Written and reviewed by Steven Lockhart, founder of Healthcare Marketing, who brings 25-plus years of marketing experience, 15-plus of it healthcare-exclusive. Healthcare Marketing is a marketing agency and does not employ clinicians, so nothing on this page is presented as clinical review. It is reviewed quarterly, and within 14 days of any Google core update or advertising-platform policy change that contradicts it.
What’s new: September 2026 — first publication.
References
- ftc.gov — https://www.ftc.gov/news-events/news/press-releases/2023/03/ftc-ban-betterhelp-revealing
- hhs.gov — https://www.hhs.gov/hipaa/for-professionals/faq/276/can-business-associates-use-protecte
- consumer.ftc.gov — https://consumer.ftc.gov/consumer-alerts/2018/10/ftc-takes-aim-deceptive-stem-cell-thera
- Federal Trade Commission. Advertising and marketing business guidance. consumer.ftc.gov
- U.S. Department of Health and Human Services. HIPAA for professionals: privacy. hhs.gov