Building the infrastructure behind profitable paid media

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.

Why Grayvault Exists

Grayvault was built on a simple belief: most paid media underperforms not because of bad campaigns, but because of weak infrastructure.

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.

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2017

Grayvault Founded on systems-first paid media strategy

7

Senior operators with deep media and growth experience

100+

Brands supported across healthcare, DTC, and enterprise
Our Values

The core mantras that drive everything we do

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Expertise

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.

Meet the team

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.

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Craig Graham
Co-Founder/Managing Director
Craig specializes in designing paid media and attribution systems for complex organizations, including DSOs, multi-location healthcare groups, and high-growth DTC brands.

Over the past 15+ years, he has led strategy and execution across more than $100 million in paid media spend. His expertise spans Google Ads infrastructure, measurement architecture, conversion tracking, and enterprise-level growth strategy.

Craig is known for helping leadership teams move from reactive campaign management to scalable, defensible growth systems.

Based in Victoria, BC, he works with organizations across North America.
Lindsay Graham
Co-Founder/CFO
Lindsay oversees financial strategy, operations, and organizational infrastructure at Grayvault.With a background in DTC operations and executive leadership, she brings a disciplined approach to growth, margin management, and operational scalability. Her experience as a founder gives Grayvault a practical, real-world understanding of what sustainable growth requires.
Jaime Rose Tieu
Sales & Client Strategy
Jaime works closely with prospective and current partners to align growth objectives with the right engagement model. With over 13 years of experience in sales and program leadership, she helps ensure every partnership begins with clarity and measurable expectations.

Join Our Team

Interested in joining the Grayvault team? We're always looking for talent. We'd love to hear from you, reach out today.

Frequently Asked Questions

Q. I’m interested in working with Grayvault. How do I get started?
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<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>

Q. On average, what returns are Grayvault customers seeing?
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<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>

Q. How long does it take to see results?
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<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>

Q. What industries does Grayvault specialize in?
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<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>

Q. Do you offer ongoing support after completing a Paid Media Audit?
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<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>

Q. What makes Grayvault different from other paid media agencies?
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<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>

Q. How much do Grayvault's services cost?
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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.

Get in touch

Build the system your paid media deserves.

If your organization needs clarity, accountability, and scalable growth infrastructure, let’s talk.

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