trust5 min read2026-04-12

10 Patients in 90 Days: How the Guarantee Actually Works

Mike Kohl guarantees 10 new patients in 90 days or your money back. Here's how the system works, what counts as a patient, and why offering this guarantee is the only honest way to sell marketing.

MK

Mike Kohl

Founder, Health Biz Scale

Every marketing agency talks about results. Very few put their revenue on the line for them.

Here's exactly how my guarantee works, what it covers, and why I think every agency that won't offer one is telling you something about their confidence.

The guarantee

If your practice doesn't see at least 10 new attributable patients within the first 90 days of working together, you get a full refund of your monthly fees. You keep everything we built — the assets, the content, the infrastructure. The refund covers the monthly retainer, no questions asked.

What counts as a "new patient"

A new patient is someone who completes a paid first visit — an initial consultation or intake — that is directly attributable to the marketing channels I manage. Not a website visit. Not a form fill. Not a phone call that goes nowhere. A patient who actually shows up, sits in your chair, and pays for care.

This is the only honest way to measure marketing ROI. Everything else is a vanity metric.

How 10 in 90 is possible

It's possible because the system attacks from multiple angles simultaneously.

Paid ads fire on day one. While SEO builds for the long term, Google Ads and Meta campaigns bring patients who are actively searching right now. Intent-mapped campaigns targeting symptom language — "why am I always tired," "mold toxicity treatment near me" — capture patients at the moment they're looking for help.

SEO compounds underneath. The SCALE framework builds organic visibility that strengthens every month. By month 3, the SEO and paid channels are reinforcing each other.

Automation catches the leaks. AI automation — voice receptionists, lead qualifiers, follow-up sequences — makes sure that no patient who raises their hand gets dropped. Most practices lose 27% of calls to voicemail. That leak alone can be the difference between hitting the guarantee and missing it.

Pre-consult conversion does the closing. The CLOSE module — quizzes, PDF guides, pre-consult videos, testimonial sequences — warms patients up so they show up ready to commit.

Who this works for

The guarantee applies to practices that are ready for growth — you have a working practice, you're accepting new patients, and you have capacity. It's not designed for someone who just got their license last week and has no office.

The ideal fit: a functional medicine, naturopathic, or integrative health practice doing $20K+/month in revenue that wants to predictably add 10+ new patients per month.

Why most agencies won't guarantee this

Because most agencies sell deliverables, not outcomes. They'll guarantee you 8 blog posts a month. They'll guarantee a certain number of backlinks. They'll guarantee a monthly report.

None of that is a patient.

I guarantee patients because that's the only metric that actually matters to your business. If the blog posts and backlinks and reports aren't producing patients, they're not working — regardless of how many were delivered.

What happens after 90 days

Most practices don't stop at 10. Dr. Diane Mueller hit 10x her previous patient call volume and went on a waiting list. Dr. Alison Egeland saw consistent month-over-month growth. The system compounds.

After 90 days, we evaluate what's working, double down on the highest-performing channels, and set new growth targets. The guarantee de-risks the first 90 days. After that, the results speak for themselves.

If you want to see whether your practice qualifies for the guarantee, book a strategy session. I'll walk you through exactly what the first 90 days would look like.

Ready to grow?

10 new patients in 90 days, or your money back.

Book a free strategy session and see what’s possible for your practice.