From $41K in Ad Spend to $4M+ in Revenue: A Recruitment Case Study

Anonymous Healthcare Recruitment Case Study
Case Study

Turning $41K in Ad Spend Into Millions in Revenue

Anonymous healthcare recruitment firm scaled international nurse applicants with a multi-channel strategy across Google, Facebook, and LinkedIn—driving exceptional efficiency and revenue potential.

Total Spend
$41,403
Applicants
~2,300
Avg. CPA
$18
Best Month CPA
$12 (Sep)

The Strategy

Objective: Scale qualified international nurse applicants while stabilizing cost per applicant.

  • Multi-channel: Google for intent, Facebook for scale, LinkedIn for niche.
  • Geo targeting: Philippines, South Africa, Middle East, Latin America.
  • Creative testing: Comment-monitored Facebook ads to lift engagement and lower CPA.
  • Performance modeling: Forecasts compared to actuals to validate ROI.
High Intent Scale Efficiently Creative Iteration

Spend vs. Applicants

Monthly Spend vs Applicants (Aug–Dec 2022)
Best month: September — 668 applicants at $12 CPA.

The Results (Aug–Dec 2022)

  • Total Spend: $41,403
  • Applicants Generated: ~2,300
  • Average Cost per Applicant (CPA): $18
  • Best Month: September — 668 applicants at $12 CPA
Cost Per Applicant Trend (Aug–Dec 2022)
CPA trend remained efficient with a notable September dip.

Revenue Impact

Avg nurse salary $75,000; placement fee 20–25% ($15,000–$18,750 per placement).

  • 5% placement rate (115 nurses): $1.7M–$2.15M revenue
  • 10% placement rate (230 nurses): $3.45M–$4.3M revenue

Conservative scenarios point to 40–100x ROI on marketing spend.

Revenue Impact Scenarios (Placement Fee 20–25%)
Projected revenue range by placement rate (5% vs 10%).

Key Takeaways

  • Facebook = volume engine (broad reach, low CPA).
  • Google = high-intent quality (top ROI in South Africa & Philippines).
  • LinkedIn = costly (best reserved for niche audiences).
  • Projections validated: Actuals closely matched forecasts.