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Healthcare marketing, since 2007

We get healthcare practices
found and chosen.

Macbach is a healthcare marketing agency. We build the system that gets a practice found and turns that visibility into patients who book. Search, maps, a site that converts, run as one program for medical and dental practices. A pipeline that compounds, not a campaign.

$63M
in added revenue.
New-patient revenue we sourced for client practices in 2025.
628
practices, since 2007.
Healthcare only. Every single one.
6
verticals.
Concierge, specialty, dental, weight loss, medspa, DPC.
1
operating system.
MapsPRO, RankPRO, AdsPRO, SitePRO, Architect.

The full numbers, across the field, live in our 2026 State of Healthcare Marketing report.

How we count these numbers
$63M added revenue
The revenue value of new patients sourced into client practices through Macbach-built forms and call tracking during 2025. Counted and attributed by our own systems; not independently audited against each practice’s financials.
628 practices
A lifetime count of the distinct healthcare practices Macbach has engaged since the firm was founded in 2007. Lifetime, not current; the active roster is a subset.
1M+ appointments
Appointments booked through Macbach-built sites and booking systems. A deliberately conservative floor: current volume runs in the hundreds of new appointments a day across the book.
96% retention
The share of active clients retained year over year, measured from our internal client records.
What you log into

A CRM the
work fills.

Because we own the rankings, the maps, and the forms, scored patient leads land in the portal as the program runs. The system builds the pipeline; you work the leads it brings.

The forms are HIPAA-safe by build. Lead data lands in the portal; patient health information is never passed to analytics or to any vendor without a BAA in place.

Patient leads · live
crm.macbach.com
  • Maria Alvarez
    Local search · semaglutide near me
    Hotnow
  • James Okafor
    Google Maps · dentist near me
    Hot4m
  • Dana Cole
    Website form · membership
    Warm11m
  • R. Whitfield
    Organic search · concierge
    Warm26m
Fed by the rankings, the maps, and the forms we own. The CRM fills as the work runs.
A twelve-year client

Vince didn’t just deliver a marketing strategy, he delivered presence, identity, and distinction.

I am the successful Las Vegas concierge physician because of him and his team.

Retention, not churn

The number that tells
the truth about an agency.

Anyone can win a client. Keeping a solo dentist on the same relationship for eighteen straight years, or watching a single concierge physician become eleven across three locations while staying on the same operating system, is a different test. The numbers below are the current book. How we count them →

18 years
Macbach’s first client engagement, and still active today. Solo dentist; 10,000+ appointment requests online.
1 → 11
Griffin Concierge Medical, Tampa. Single concierge physician to eleven across three locations on the Architect operating system.
1M+
Appointments booked across the Macbach book over nineteen years.
96%
Annual client retention across the active roster.
Ninety seconds

Where is your practice
actually losing?

Five questions. Answer them and we tell you which of the four numbers a healthcare practice actually measures is the one bleeding, plus which Macbach service would stop the bleed first.

Email optional, and this is the ninety-second version. The full Practice Audit, ten questions, is the deeper read when you want it.

01 · 05

What kind of practice
do you run?

The approach

Strategy before spend.
Evidence before opinion.

Most practices buy tactics. An SEO package, a paid-ads retainer, a new website. They get stitched together with hope and a Google Sheet. They rarely add up to anything.

The practices that grow stop buying tactics and start building systems. Google Maps foundation. Organic search engine. Conversion-built sites. PPC layered on top when the unit economics actually support it. We architect the stack and run it (with you or for you) until it runs itself.

Read the full methodology →
Fit, not funnel

Who this is for,
and who it isn’t.

A fit
  • Private-pay or growth-oriented healthcare: concierge, dental specialty, medspa, weight loss, DPC, specialty medicine, high-value general dentistry.
  • High patient value and real local search demand.
  • Owner-led growth decisions, not a committee.
  • Ready to build for six to nine months, not chase a 30-day spike.
Not a fit
  • Insurance-volume practices buying on lowest price.
  • Anything outside healthcare.
  • Anyone who wants a ranking or lead-count guarantee (we don't make them).
  • A practice that wants tactics bought one at a time, with no system behind them.
dentist near me
  • Your practice
    yourpractice.com
    Rank 1
  • A competitor
    competitor-dental.com
  • A directory listing
    healthgrades.com
The result

Top of the search,
where patients look.

When someone searches for what you do, the job is simple: be the practice they find first. That is the organic and local ranking work, run as a system, not a one-off.

Vince Schwellenbach, founder of Macbach
Vince Schwellenbach
01 · 07
The person behind the system
After nearly two decades I stopped calling what we do marketing. It’s practice growth. The distinction is everything.

Vince has been running growth for concierge physicians, specialty medical groups, dental specialty practices, medspa operators, and weight-loss clinics since 2007. What works in healthcare and what doesn’t. That pattern library is what Macbach runs on. Methodology, not trend-chasing.

Vince Schwellenbach
Founder · St. Petersburg
Local

First in
the map-pack.

Most new patients start with a local search. We engineer the Google Business Profile, the review velocity, and the local pages that win the three-pack, the highest-value spot on the map.

Your Practice
Carrollwood, Tampa · Open until 5pm
4.9 ★
Map-pack #1
The system, not the tactics

Six products.
One connected outcome.

Each Macbach product earns a different part of the growth equation. Read the matrix below left-to-right. These aren’t services in a brochure sense; they’re contributions to the four numbers a practice actually measures.

Product
Visibility
Traffic
Conversion
Retention
MapsPRO
Primary driver
Supporting
Supporting
No direct contribution
RankPRO
Supporting
Primary driver
Supporting
Supporting
AdsPRO
No direct contribution
Primary driver
Significant
No direct contribution
SitePRO
Supporting
Supporting
Primary driver
Supporting
AiPRO
Primary driver
Supporting
Supporting
No direct contribution
Architect
Significant
Significant
Significant
Primary driver

Primary driverSignificantSupporting

AI answer

“Who’s the best concierge doctor in Tampa?”

Your Practice
Citedyourpractice.com
The new front page

Cited when patients
ask the machines.

Patients increasingly ask ChatGPT and the AI overviews to find a doctor. No one can promise a citation, but this is the work that earns it: the authority, structure, and source clarity that make a practice the kind of source these answers retrieve and cite, not a link buried below it.

How engagements go

Audit. Scope. Build.
Operate.

Every Macbach engagement moves through four phases in the same order. The reason pricing is published is that the work is standardized enough to publish. What changes per client is the content in the Strategic Command Plan, not the plan’s shape.

Week 1
01
Audit

Ten questions. Three minutes.

A real read on where the practice stands across visibility, traffic, conversion, and retention. No fluff, no generic PDF, no qualification ritual. You come out with a document.

  • Grade on the four outcomes the business measures
  • Top three priority plays specific to the practice
  • Honest call on whether Macbach is a fit
Weeks 2-3
02
Scope

Strategic Command Plan.

For every engagement, we build the plan first. 40 to 100 pages, rendered in the portal, specific to the practice. Sitemap, schema strategy, keyword matrix, funnel, local SEO, competitive intel, E-E-A-T, KPIs.

  • Full URL inventory with schema assignments
  • Primary + secondary keyword mapping per page
  • Competitive moat analysis with named practices
  • Twelve-month KPI framework
Weeks 4-12
03
Build

Foundation, engine, accelerator.

Maps first, organic second, paid third, site as the conversion asset underneath all three. We build in the order the math rewards, not the order an agency would sell you.

  • GBP + citation footprint operational
  • Content engine producing weekly, medically reviewed
  • Site pages Core-Web-Vitals green and converting
  • Paid infrastructure ready when channel economics clear
Month 4+
04
Operate

Compounding, not launching.

The system is built to run. Monthly report opens with what moved and what didn't, with the cause and the fix. Architect engagements get the fractional CMO working the business, not the campaign.

  • Monthly Map-pack grid across service radius
  • GA4 + CallRail + conversion API reconciliation
  • Keyword ranking delta report
  • Quarterly review tied to practice financials
The seat

When a fractional CMO
isn’t a compromise.

The Architect engagement is how a small number of practice owners hire the growth brain they don’t want to fill a full executive seat for, without getting an agency pitch deck and a quarterly report designed to hide what didn’t work.

We hold twelve to fifteen active Architect engagements at a time. Current clients include concierge physician groups, specialty medical practices, specialty dental groups, and multi-location medspa operators.

Three ways in

Start anywhere.
Most start with the audit.

Path 01

Run the audit.

Ten questions, three minutes. We return a real read on the practice, three priority plays, and an honest call on whether Macbach is a fit.

Path 02

Pick a product.

You know what you need. MapsPRO, RankPRO, AdsPRO, or SitePRO. Tier pricing published, scope calls booked within 48 hours.

Path 03

Apply for Architect.

For practice owners who want the fractional CMO seat, not a vendor. Twelve to fifteen active engagements. Application required.