Fill Your Clinic—Only Pay Us When Patients Show Up

We handle all the marketing and follow-ups. You cover the ad spend, but we only get paid per actual patient visit—no wasted fees on unbooked leads.

Perfect for advanced treatments like IVF, PRP, hormone therapy, etc.

Traditional marketing often eats up your budget on ads and ‘leads’ that never turn into real appointments.

We created the Autonomous Patient Acquisition System (APAS) to solve exactly that.

You invest in ad spend to reach potential patients, but we handle everything else—ads setup, AI-powered follow-ups, scheduling—and you only pay us if patients actually show up for appointments. No more wasted retainers or guesswork.

How The Pay-Per-Show APAS Works

You Fund the Ad Budget

You decide how much you want to invest in monthly ads, ensuring full control over your spend.

We Build Targeted Campaigns

We create AI-driven ads and funnels specifically for fertility/regen med audiences in your area, ensuring each lead is highly qualified.

We Automate Follow Ups

Our AI system sends instant texts/emails, nurtures the lead, follows up, schedules appointments, and confirms each patient. You do nothing but watch your calendar fill.

Pay Us Per Show

We only charge a set fee for each patient who actually arrives. No shows? You keep your money. We share the risk so you can grow confidently. (This does not include the ad spend, which you cover directly, ensuring total transparency of costs.).

Ready to get started?

How The Pay-Per-Show APAS Works

You Fund the Ad Budget

You decide how much you want to invest in monthly ads, ensuring full control over your spend.

We Build Targeted Campaigns

We create AI-driven ads and funnels specifically for fertility/regen med audiences in your area, ensuring each lead is highly qualified.

We Automate Follow Ups

Our AI system sends instant texts/emails, nurtures the lead, follows up, schedules appointments, and confirms each patient. You do nothing but watch your calendar fill.

Pay Us Per Show

We only charge a set fee for each patient who actually arrives. No shows? You keep your money. We share the risk so you can grow confidently. (This does not include the ad spend, which you cover directly, ensuring total transparency of costs.).

Ready to get started?

Real Clinics, Real Outcomes

This growth platform for clinics is incredible. The marketing automation features are especially helpful, and the analytics dashboard provides valuable insights into what's working and what's not. The Cima team is also top-notch. The team behind the platform is incredibly responsive and always willing to go the extra mile. If you're looking to take your clinic to the next level, this is the platform for you. Highly recommend!

- Shalistar Y.

Brandon and his team at Cima Growth Solutions have gone above and beyond to make our business grow exponentially in such a short amount of time. Their expertise in the clinical and Healthcare arena has allowed us to target our audience in a very strategic and effective manner. Brandon can quite possibly be the smartest person we have ever worked with.

- Suzie R.

Cima is amazing... working with Cima eases a lot of redundant work. The workflow is easy to understand and most importantly brought us the results we’ve been looking for. Brandon and his team is very open minded and always accessible and happy to help. Definitely recommended especially you would like to focus on providing the best service with patients.

- Christine C.

Why Fertility & Regenerative Medicine Clinics Love Pay-Per-Show

High-Value Procedures Demand High-Quality Leads: Our targeted approach ensures you only talk to genuinely interested patients.

No More No-Shows Eating Your Budget: We handle follow-ups and confirmations, so fewer people back out last-minute

Full Ad Spend Control: You decide how much to invest in ad placement. We simply optimize it, so you see actual ROI.

True Partnership:

We only profit when you get paying patients in the door, aligning our success with yours.

How Much

Does it Cost?

Our model is simple: You cover the ad spend—which we’ll help you optimize—then pay a set fee per actual show. We also have a one-time setup or onboarding fee to get everything running (ad accounts, funnels, automation). No monthly retainers or hidden charges. If patients don’t show, you don’t pay us a dime beyond the ad spend you budgeted.

Powerful Plans to Grow Your Business

Select the plan that best fits your needs and seamlessly adapts to support your future growth.

Start

(and Ditch Your Expensive Agency)

$2,999/year

and NO Set Up Fee

  • AI Powered Intelligent Facebook and Google Ad Management (you cover the ad spend)

  • Custom AI Bot Creation

  • Integration to Ads and Forms to Automate Lead Response and Nurturing with AI

  • Respond to all ads inquiries with AI

  • Integration to Facebook and Instagram Messenger

  • Dedicated Phone Number for Texting with Leads, Allowing for Human Takeover

  • Sales Pipeline Management

  • HIPAA Compliant CRM with No Contact Limit to Manage Leads

  • Reporting and Analytics

  • 24/7 Support

  • Dedicated Cima Mobile App

  • Access to Our AI Content Creation Tool for Life

Grow

(and Automate Your Business)

$4,999/year

and NO Set Up Fee

  • EVERYTHING in Start

  • Custom Built and Managed Monthly Reactivation Campaigns to Get Old Leads Back

  • Chat Widget for Your Website to Capture Organic Leads

  • Sales Pipeline Management

  • Custom Build Out of HIPAA Compliant CRM with No Contact Limit to Manage Leads

  • Reporting and Analytics

  • Automated Reputation Management System to Manage Google Reviews

  • AI Suite to Create Email Content, Landing Page Content, Social Media Content, Images and More

  • Social Media Posting and Calendar Management System

  • Instagram and Facebook Comment Automation and DM Automation (for respond with "XYZ" below style posts)

  • Integration to TikTok and LinkedIn Ads

  • WhatsApp Integration

  • Email Newsletter Management

  • Drag and Drop Funnel Builder

  • Blog Management

  • Form, Quiz, and Survey Builder

  • Social Media Posting and Calendar Management System

  • Instagram and Facebook Comment Automation and DM Automation (for respond with "XYZ" below style posts)

  • Integration to TikTok and LinkedIn Ads

  • WhatsApp Integration

  • Email Newsletter Management

  • Drag and Drop Funnel Builder

  • Blog Management

  • Form, Quiz, and Survey Builder

  • Automation Builder to Literally Automate Anything, and Build with AI

  • Calendar Integration and Calendar Booking Links

  • Online Course and Community Builder

  • Reputation Management System to Manage Google Reviews

  • PLUS, Monthly Strategy Calls with Cima's Marketing Team, access to early releases, and more.

Done For You Scale

(Custom AI Buildout)

$7,999/year

and NO Set Up Fee

EVERYTHING in Start and Grow

  • External Platform Integration Builds with API Connections

  • Custom Sales or Patient Pipeline Development

  • Unlimited additional subaccounts for your business (for multi specialty practices, satellite offices, etc)

AND A FULL CUSTOM AI BUILD OUT

  • Unlimited AI Chat Bot Build Outs to Automated Literally Anything at Your Business from Reactivations, to Upsells, and Even Support Questions

  • AI Video Avatars Built for Any Staff Member/Doctor

  • Automations to Send Personalized Videos to Leads and Patients

  • AI Voice Receptionists Customized for Your Business to Answer Calls After Hours, Call For Follow Up and More

  • AI Ad Video Campaigns Created Using UGC (User Generated Content)

  • AI Created Personalized Quote Cards and Greeting Images for Leads and Patients

  • Custom GPT Creation to Build and Automate any Processes for Your Clinic or Business, even if It's not related to marketing.

Additional Phone, SMS, and AI Usage Costs and Can Be Found Below

Every plan comes with $10/month free usage credits

  • Text: $0.0083/segment

  • Email: $0.000709 ea.

  • Local Outbound $0.0147/minute

  • Local Inbound $.0084/minute

  • Local Number: $3.00 ea/month

  • Toll-Free Number: $5.00 ea./month

  • AI Content Creation $.09/1000 words

  • AI Funnel Creation: $1.05/funnel

  • Text: $0.0083/segment

  • Email: $0.000709 ea.

  • Local Outbound $0.0147/minute

  • Local Inbound $.0084/minute

  • Local Number: $3.00 ea/month

    .

  • Toll-Free Number: $5.00 ea./month

  • AI Content Creation $.09/1000 words

    .

  • AI Funnel Creation: $1.05/funnel

Frequently Asked Questions

1. Why Do I Still Pay for Ads?

We believe in transparency. You control your monthly ad budget, so you see exactly where your money goes, and only pay us per show on top of that. It’s the fairest way to align incentives.

4. What if Someone Cancels or Doesn't Show?

Then you don’t pay us. Plain and simple.

2. How Do You Verify a 'Show'?

We track each appointment’s attendance with your front desk or scheduling software. If they come in, we count it as a show.”

5. Does This Apply to All Procedures?

Yes, we tailor the campaigns to your target audience.

3. How Many New Patients Can I Expect?

Results vary based on your ad budget and local demand. However, most clinics see 15–30 new appointments monthly within the first couple months.

6. Do You Offer Other Marketing Services?

Yes! We got started as a marketing agency, and we provide a full suite of done for you marketing services as well...from social media management, to ads, design, SEO, and more! Plus we have a HIPAA Compliant CRM that you can learn more about here.



Ready To Get More Patients?

Apply Now!

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