The buyer has consolidated, so we sell to the committee, not one chair
A group marketing decision runs through a committee: a marketing director, a COO or CMO, and a PE sponsor behind them. Per-location CAC varies 5 to 10 times across a group, so aggregate reporting hides exactly the variance the committee is paid to manage. We name and serve each seat at that table. The director gets the per-location operating detail, the COO gets the roll-up, and the sponsor gets the click-to-PMS-revenue line that ties marketing spend to the production metrics in the governance deck.
We also work on the timeline a committee buys on. We expect a 60 to 180 day cycle, support an RFP and vendor-vetting process, sign the Business Associate Agreement your compliance team requires, and structure the engagement month to month so there is no lock-in to defend internally.
Multi-location is infrastructure we have already built
Scaling marketing across locations without scaling cost is a system, not a headcount problem. A multi-location optometry group in Alberta expanded from 3 to 6 clinics while cutting patient acquisition cost 30%, on centralized local-search and per-location Google Ads infrastructure with reporting that rolled up to a group dashboard and broke down to each clinic. The multi-location eye care case study shows the model; it transfers directly to a dental group or DSO. The same approach underpins the high-value implant playbook when a group's growth thesis leans on full-arch and specialty cases.
We report at the granularity a consolidated buyer actually governs on
Dental has consolidated fast: Heartland Dental runs 1,650+ locations, Aspen Dental 1,000+, and Pacific Dental Services 900+, and per-location CAC across a group of any size varies 5 to 10 times. A marketing director answering to a COO or a PE sponsor cannot defend that variance from an aggregate dashboard. We resolve every lead to its location and procedure through gclid-verified offline conversions, then report each location individually and roll it up to the group view, so the number in the governance deck ties marketing spend to booked production site by site.