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

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

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.

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.