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.
Upgrade to our CRM system today and experience comprehensive growth.
CRM
&
Custom AI System
$4999/year and NO set up fee
Our Done-With-You System to Automate ALL of Your Marketing Needs and Save You Thousands
HIPAA Compliant CRM with No Contact Limit to Manage Leads
Custom AI Bot Creation
Integration to Ads and Forms to Automate Lead Response and Nurturing with AI
Integration to Facebook and Instagram Messenger
Dedicated Phone Number for Texting with Leads, Allowing for Human Takeover
Sales Pipeline Management
Dedicated Mobile App
Monthly Reactivation Campaigns to Get Old Leads Back
Chat Widget for Your Website to Capture Organic Leads
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
Automation Builder to Literally Automate Anything, and Build with AI
Calendar Integration and Calendar Booking Links
Online Course and Community Builder
Reporting and Analytics
24/7 Support
MOST POPULAR OPTION
CRM, Custom AI System
AND
the APAS Ads System
$9999/year with no set up fee
Everything in the CRM and Custom AI System Plan
Fully managed Facebook & Instagram ad campaigns
Unlimited creative testing (images, copy, targeting)
High-converting landing pages and lead forms (custom built for your clinic)
Instant AI lead response (<1-minute reply across all channels)
Custom-trained AI conversations based on your services and brand
Automated patient booking into your calendar
Calendar sync and smart scheduling logic
Real-time lead tracking dashboard (view every lead + conversation)
Call tracking and missed-call automation
Monthly lead reactivation campaigns (AI + SMS/email)
Seamless EHR integration available (eIVF, MedIT, Wawa, etc.)
Weekly reporting and campaign performance reviews
Ongoing optimization and full human support
and DITCH your current agency fees...all ads management is included here!
APAS
Only
No platform fees. No retainers. Just results.
You only pay when a qualified patient shows up for a consult
Typical cost per show: $300–$500
Minimum ad spend required: $1,500/month
Fully managed Facebook & Instagram ad campaigns
Unlimited creative testing (images, copy, targeting)
Instant AI lead response (<1-minute reply across all channels)
Custom-trained AI conversations based on your services and brand
Does not include CRM access
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.