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Healthcare
Marketing

On misaligned expectations, disconnected infrastructure, and why the function that’s supposed to drive growth keeps having to justify its own existence.

The CMO is working harder than anyone in the C-suite understands. That’s not a compliment. It’s the symptom of a function that hasn’t been connected to the outcomes leadership actually measures.


Health system marketing creates real value — patient acquisition, service line growth, physician engagement, brand differentiation. The problem isn’t the output. It’s that the output is measured in the wrong units. Impressions, engagements, campaign performance. None of those answer the CFO’s actual question, which is simpler and harder: what did we grow?


The expectations have changed faster than the measurement systems. CFOs are asking sharper questions — not just “what are we investing in” but “what did it return.” A CMO who can answer in awareness metrics is speaking a language the C-suite has stopped respecting. Not because awareness is irrelevant, but because it’s too far upstream from the number that matters.


The isolation is the problem. In most health systems, marketing operates separately from strategy, finance, and operations. The CMO sets priorities based on what’s visible to marketing — not what the CFO is trying to defend to the board, not what the CSO prioritized in the growth plan, not what the COO says is actually constraining volume. Each of those leaders holds part of the growth picture. Almost no health system has a process that connects them.


Where it works differently, something concrete changes: the CMO can walk into the CFO’s office with a number. Not an impression count — a patient acquisition cost by service line, a referral conversion rate by channel, a contribution margin on a campaign. That shift doesn’t happen because you hired a better CMO. It happens because someone built the infrastructure to produce those answers — connecting marketing execution to strategic priority to operational data to financial outcome.


The function isn’t underperforming. It’s operating in a system that was never designed to surface what it produces.


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