A Cardinal Digital Marketing alternative, for practices below their minimum.
Cardinal is a strong healthcare performance marketing agency and for the organisations they are built for we would recommend them without hesitation. They are also out of reach for most single-location and small-group practices, which is the reason this page exists.
Available to practices across the United States and Canada.
What is an alternative to Cardinal Digital Marketing?
Cardinal Digital Marketing is a healthcare performance marketing agency serving mid-market to enterprise clients, chiefly multi-location provider groups, dental support organisations and private equity backed platforms, with a reported minimum project size of $50,000 and named clients including LifeStance Health and ATI Physical Therapy. It was acquired by Power Digital Marketing in January 2026 and operates as its healthcare division. For organisations of that scale it is a strong choice. Practices below that minimum need a different kind of firm, and the useful distinction is what gets built first: an agency starts with campaigns and measures them, while a marketing technology firm starts with the measurement and then decides what is worth running. For a practice already spending at scale across many sites, Cardinal's order is the right one. For a practice that cannot yet say which spend produced which patient, running more campaigns first tends to produce more of the same problem. Figures checked 23 August 2026.
The facts, from their own material.
| Minimum project size | Reported at $50,000 and above | ||
|---|---|---|---|
| Client profile | Mid-market to enterprise, multi-location provider groups, dental support organisations and private equity backed healthcare organisations | ||
| Named clients | LifeStance Health, ATI Physical Therapy, SmileDoctors, North American Dental Group, VitalSkin Dermatology | ||
| Ownership | Acquired by Power Digital Marketing in January 2026, now operating as its healthcare division | ||
| Notable capability | RevRx, a patented media mix modelling tool | ||
| Specialties served | Behavioural health, DSOs, dermatology, primary care, veterinary | ||
Checked 23 August 2026. Agencies change ownership, pricing and focus, so treat anything here as accurate on that date and verify before deciding.
When to choose Cardinal Digital Marketing instead.
- You are a multi-location group, a DSO, or a private equity backed platform
- Your annual marketing budget comfortably clears their reported $50,000 minimum
- You need media mix modelling across many locations and a large media budget to model
- You want a large agency with a named enterprise client list your board will recognise
When we are the better fit.
- You are a single location or a small group and their minimum puts them out of reach
- The problem is that spend cannot be traced to treatments, rather than that campaigns need running
- You need software built, not only media bought
- You want to open the actual Search Console property and CRM on the call rather than receive a report
Two different purchases.
Cardinal is a performance marketing agency with an analytics product attached. We are a marketing technology and revenue operations firm that also buys media. The practical distinction shows up in what gets built first: an agency starts with campaigns and measures them, and we start with the measurement and then decide what is worth running. For an organisation already spending at scale, Cardinal's order is the right one. For a practice that cannot yet say which spend produced which patient, running more campaigns first tends to produce more of the same problem.
Show us where the revenue stops.
Thirty minutes, your real numbers, and an honest read on whether we are the right firm for it.