Grayvault helps healthcare organizations, DSOs, multi-location brands, and enterprise teams design and operate paid media systems that scale with clarity, accountability, and measurable ROI.
Too often, organizations scale spend before they build clarity. Attribution is unclear. Conversion tracking is misaligned. Reporting focuses on platform metrics instead of business outcomes.We help organizations reverse that order.We design the data, attribution, measurement, and optimization systems that paid media depends on. Once the system is sound, scale becomes predictable.Systems before scale. Clarity before spend.
Book a Discovery callExpertise
We are not entry-level media buyers. Our team has managed over $100M in paid media spend across healthcare, DTC, and multi-location brands. We understand how growth systems are built, not just how ads are launched.
ROI Discipline
We measure performance against business outcomes, not vanity metrics. Revenue, contribution margin, pipeline value, patient acquisition cost - these are the metrics that matter.
Collaboration
We integrate with internal teams, executives, and operations leaders. From HIPAA-conscious tracking to enterprise reporting structures, we build systems that align with how your organization actually operates.
With 40+ years of combined experience in the media-buying and lead generation space, we pride ourselves on putting our best foot forward to deliver the best service to our clients.
Interested in joining the Grayvault team? We're always looking for talent. We'd love to hear from you, reach out today.
<p>Book a discovery call through the website. Before the call, we'll ask you to complete a short intake questionnaire so we can understand your organization's structure, current paid media setup, and goals. From there we'll assess fit and put together a custom proposal if it makes sense to move forward.</p>
<p>It depends on where you're starting from. For organizations with weak attribution infrastructure or structural issues in their accounts, the impact of fixing those systems tends to be significant and relatively fast. For more mature programs, we focus on compound improvements over time. We don't promise specific ROAS targets - we focus on building systems that make performance predictable and defensible.</p>
<p>For audit engagements, you'll have a full diagnostic and roadmap within 2-3 weeks. For ongoing system-building work, meaningful attribution and structural improvements typically take 60-90 days to fully take effect - though you'll often see early wins before that.</p>
<p>Our primary focus is healthcare - specifically DSOs, multi-location dental and orthodontic groups, and other regulated healthcare organizations. We also work with enterprise ecommerce brands and complex multi-location businesses outside of healthcare. If your organization manages significant paid media spend across multiple locations or product lines, we're likely a fit.</p>
<p>Yes. Many clients start with an audit and move into an ongoing consulting or management engagement from there. The audit gives us a shared foundation - we know exactly where the gaps are and what needs to be built. Ongoing support can take the form of consulting retainers, full paid media management, or a hybrid depending on what your team needs.</p>
<p>We're not an agency in the traditional sense. We don't focus on campaign management as the end product - we focus on building the systems that campaigns depend on. That means attribution architecture, conversion tracking, account structure, and measurement frameworks that give you clarity at the executive level. Most of our clients come to us because their current setup has stopped scaling or they can't defend their spend internally. We fix the infrastructure first.</p>
Our pricing depends on the specific services and level of engagement your business requires. We encourage you to reach out to us through our website or during the client discovery call to discuss the best options for your business and to receive a custom proposal tailored to your needs.
If your organization needs clarity, accountability, and scalable growth infrastructure, let’s talk.
Build a unique-to-your-business media-buying infrastructure and take your customers on a journey to conversion with profitable paid ads