How to Measure Marketing ROI in Behavioral Health: From Click to Admit

A conversation with Oluna CMO Megan Pitcher on tracking marketing from the first click to a confirmed admit, and the one number that shows whether it is working.

In conversation with
Megan PitcherChief Marketing Officer @ Oluna

Megan has sat on both sides of the ROI question: as the chief marketing officer of an addiction treatment center, and now as the person agencies’ former clients call when they “don’t know if it’s working.”

Listen to the conversation3:02
In this article

Most treatment centers can tell you what they spent on marketing last month. Far fewer can tell you how many admits it produced. Megan Pitcher, our Chief Marketing Officer, has sat on both sides of that problem: as the chief marketing officer of an addiction treatment center, and now as the person agencies’ former clients call when they “don’t know if it’s working.” I asked her how she proves it. We recorded this conversation on September 15, 2026; it is lightly edited for length.

Megan Pitcher, Chief Marketing Officer of Oluna, and Alex Vere Nicoll, Chief Operating Officer, laughing during their recorded conversation about marketing ROIMegan PitcherAlex Vere Nicoll
What drew you into behavioral health marketing?
Megan PitcherChief Marketing Officer, Oluna

I initially started my career in digital marketing, and I was doing marketing for a company that sold used cars to people with bad credit. Let’s just say it wasn’t a passion of mine. I learned a lot in that space but really wanted to do something that I felt like I could make a difference on.

I have several close friends and family members that are affected by mental health and addiction issues. So that’s initially where it started. I then became the chief marketing officer for a treatment center here in Colorado, and I guess you could say that the rest is history.

What problem led you to start Oluna?As a fractional CMO she kept referring digital work out to agencies, and saw what their reports left out.
Megan PitcherChief Marketing Officer, Oluna

I ultimately became a fractional CMO doing chief marketing officer work for behavioral health companies, and I just kept referring out work for digital marketing. In that process, I got exposed to several different marketing agencies in this space.

A lot of the companies were getting up on stage talking about how they could help grow census, or lower costs, or help people grow. But then they weren’t reporting on that. They aren’t saying, “You’re spending a dollar in marketing and seeing X number of clients start.” They were just able to say, “We got your ad in front of this many people,” or “this many people clicked,” or maybe even as far as “this many people picked up the phone.” But they didn’t have the data to really show: this is working, and this is making a significant impact on your business.

I thought, I’m already kind of doing this. So why not create my own agency and use it for good.

Why do clients come to you?
Megan PitcherChief Marketing Officer, Oluna

What I see most is, honestly, they’ve been burned by other marketing companies. It’s more like, “We’ve been doing marketing, and I don’t feel like it’s working, or I don’t know if it’s working.” They come to me and say, “Can you take a look at this?”

How do you demonstrate ROI to a client?Four layers of tracking, from the first click to a confirmed start.
Megan PitcherChief Marketing Officer, Oluna

Analytics is the foundation of everything we do. It’s the first step in working with us: we set up a foundation of understanding not just who’s clicking to your website or clicking on your ads, but who’s calling you and what sources they’re calling from.

What gets tracked, in her words:

  1. An analytics foundation. Who is clicking, from where.
  2. Call tracking. “We use systems like CallTrackingMetrics or CallRail to identify: this user came from an ad. They also came from this exact campaign and this exact keyword.”
  3. Form tracking. “So we understand where the form submissions come from.”
  4. Admissions confirms the start. “We work with the admissions teams, or whoever’s on the intake side of things, to identify whether or not those clients started.”
Megan PitcherChief Marketing Officer, Oluna

Which means that we can say (I’ll keep using a dollar) we spent a dollar on marketing last month and we had ten people admit. So we know that, on average, it costs us this much to attract a customer. And therefore we know what we’re getting reimbursed by insurance, and we understand the true return on that investment.

The number at the end: marketing spend divided by confirmed admits is your cost per admit. Compare that with what an admit is reimbursed, and you have the return.

Is attribution harder when every client uses different systems?Every program runs its own CRM, call system and admissions process. Ours have included HubSpot, KIPU, Dazos and Salesforce.
Megan PitcherChief Marketing Officer, Oluna

That’s where we go the extra mile. We’re pretty agnostic. We’re not going to come in and make you use our systems. There’s a few that we’re super familiar with and that are super common in the behavioral space.

An admissions coordinator on a call, noting which marketing source the inquiry came from
Megan PitcherChief Marketing Officer, Oluna

What sets us apart is we do work closely with admissions teams, or internal CMOs, or marketing directors to say, “What’s going on with these clients?” Usually agencies are just like, “We can make the phone ring, but we’re not going to give you any coaching in that direction.” We go the extra mile to work with folks on creating better conversion rates and really understanding how we can grow as a team.

Where are behavioral health organizations wasting money?The cost of a lead is climbing, which makes unmeasured spend more expensive every year.
Megan PitcherChief Marketing Officer, Oluna

I see a lot of waste in both ads and SEO, which is kind of why we got into this space. There’s a lot of people spending a lot of money on ads, but they don’t know what the return is, and they don’t know what is working for them and what isn’t.

$141average cost per lead in mental health paid search, up 146% in a year
$120average cost per lead in addiction recovery, up 77%

Source: LocaliQ healthcare search benchmarks, Oct 2024–Sep 2025

Megan PitcherChief Marketing Officer, Oluna

Same thing to say about SEO. There’s a lot of smoke and mirrors around what’s actually happening and the result of marketing efforts.

Megan Pitcher, Chief Marketing Officer of Oluna, smiling during the interview
How do you balance performance with a brand families can trust?
Megan PitcherChief Marketing Officer, Oluna

We don’t want to be talking about people as numbers or talking about people as money, but there is a business side to behavioral health. If we are helping people grow, and we can prove that with data, which we can and do, then we can serve more people.

That’s where the actual brand and the experts come into play. We like to help good people do great things. We do a full intake where we get mission, vision, values, their clinical services, straight from the horse’s mouth, so to speak. And then we’re interviewing experts on detailed topics. So we’ve got the performance side, and they have the culture and brand side.

What it has looked like

Megan PitcherChief Marketing Officer, Oluna

We’ve helped an autism clinic grow from one clinic to five clinics in the past 24 months, and have really seen revenue growth that in turn creates more ability to grow and serve more kids. That’s about 2.7x of revenue in 24 months with an ABA clinic.

We’ve helped a luxury treatment center in Arizona that wasn’t even on the map grow into new markets and new services and new levels of care. Even in the first six months, we’ve seen two, three X growth with them.

1 → 5clinics in 24 months, an ABA provider
2.7×revenue over the same 24 months
4×average return on ad spend across Oluna clients

Source: Oluna client results; past results, not a guarantee

The ABA provider is Cardinal. Performance & results disclaimer: case studies and growth figures represent past results achieved for specific clients. These outcomes are non-typical and depend on numerous factors, including client ad budgets, location, clinical offerings, market demand, and internal intake execution. Oluna does not guarantee specific revenue growth, cost per admit, census levels, or search rank positions for future campaigns.

How Oluna helps. Oluna is a behavioral health marketing agency built around admit tracking: knowing which marketing actually fills beds. We set up the analytics, call and form tracking, work inside the CRM you already use, and report SEO and paid search through to admits. Want to see your true cost per admit? Schedule a strategy call with Megan.

Watch the conversation: “From Click to Admit: How to Prove Marketing ROI” (PC-03.2), embedded above.

References

  1. LocaliQ. (2026, January 13). Healthcare search advertising benchmarks (October 2024–September 2025).
  2. Pitcher, M. (2026, September 15). Interview with A. Vere Nicoll on proving marketing ROI [Recorded interview]. Oluna.

Ready to put this to work?

Request a Growth Audit