ABA · PHP/IOP · Senior living

Marketing that shows up as enrollments, not a report of clicks.

Search, ads, reviews and intake routing for multi-location healthcare operators. Every inquiry tracked from first click to enrollment, by location, in a portal you can open on your phone.

See if you qualify See the math

Month to monthBAA available on requestYou own every asset

EVERY INQUIRY GETS A CLOCKExample

Time to first human touch

1m 12s

0:00 form submitted15:00 limit

Three verticals. One intake problem.

A family looking for an ABA provider, an adult searching for an IOP program, and a daughter touring assisted living at eleven at night all decide the same way. They search, they read the reviews, and they go with whoever picks up first. Pick your door.

ABA THERAPY

Caseload, not clicks.

Insurance-first intake, per-center location pages, diagnostic evaluation funnels and waitlist nurture for multi-center ABA providers.

ABA therapy marketing →

PHP / IOP / RESIDENTIAL

Census and admissions.

LegitScript-ready search campaigns, verification-of-benefits routing and sub-24-hour assessment paths for treatment programs.

Behavioral health marketing →

SENIOR LIVING

Occupancy and tours.

Campaigns aimed at the adult child doing the research, tour booking with same-day confirmation, and the review engine that keeps communities above 4.7.

Senior living marketing →

We started as a general SEO shop. The healthcare accounts pulled ahead of everything else because these businesses have long sales cycles, five- and six-figure lifetime values, and an intake step where most of the value quietly leaks out. We built for that step. We take on other specialty practices only when the intake model is the same.

What clients say when nobody from Lukrah is in the room.

★★★★★

They're not a vendor. They're part of the operation. They built a system across all our locations and just kept improving it. The quality of families coming in, the consistency of the pipeline. It's not something we had before.

Founder, multi-state ABA providerABA therapy

★★★★★

Matisyahu took my thoughts and goals and created a comprehensive marketing plan. He brought in SEO leads within the first month of launch. I highly recommend his services.

Founder, mental health practiceBehavioral health

★★★★★

He has his pulse on the competition and doesn't lose focus on driving down conversion costs. He's generating quality leads and our site is getting a steady increase in organic traffic. A true partner in our company's growth.

Chief Marketing Officer, healthcare companyHealthcare

Quotes are from client emails and calls, attributed by role. Who said what, on a qualifying call.

The portal is the product. The campaigns feed it.

Spend, inquiries, speed to lead, enrollment status and review velocity, per location, updated as it happens. No monthly PDF. No waiting for the call.

portal.lukrah.com / scoreboard

The scoreboard, on a live account, is shown on the qualifying call. See the portal in detail →

Health flips on its own.

Green, yellow or red by location, driven by speed to lead and cost per enrollment. You see it the same hour we do.

Every inquiry has a clock.

Form submitted, routed, first call, benefits verified, assessment booked. Timestamped, per coordinator, auditable.

You close the loop monthly.

Mark each inquiry enrolled, waitlisted or disqualified. That one habit is what makes the cost-per-enrollment number real.

Four things we ask of every client.

They're written into the agreement. If your intake can't meet them yet, we'll tell you what to fix before we take your money.

Answer the phone live during business hours.

A full voicemail box is where enrollments go to die.

Call or text every web lead within 15 minutes.

Our routing starts the clock. The portal records the time.

Mark every inquiry's outcome once a month.

Enrolled, waitlisted or disqualified. Five minutes per location.

Send the review request after every intake.

Below 4.7 stars, families scroll past you no matter what we spend.

What one more enrollment should cost you.

10%Our target on every account: marketing under 10% of the lifetime revenue it produces

Pick your vertical and plan, set how many you expect to enroll each month, and see whether you clear it.

1 · Your vertical

2 · Your plan

3 · New enrollments per month3

112

Marketing cost as a share of what it brings in

Clears the 10% target

The black tick is the 10% line: our own rule, cost per enrollment from the portal against what one patient is worth. Most agencies never show you this number.

For every $1 you spend on marketing

in lifetime revenue from new enrollments

$24

Cost per enrollment: retainer plus ad spend, divided by enrollments$3,167

One enrollment pays for the plan for8 months

Lifetime revenue, 12 months of enrollments

$2,700,000

All-in marketing, 12 months

$114,000

Check these numbers against yours

Lifetime revenue per enrollment uses conservative gross program averages (ABA $75,000, PHP/IOP $35,000, senior living $120,000): revenue, not margin, not a guarantee. Cost per enrollment is the retainer plus typical ad spend for the plan (ad spend billed to you directly by Google), divided by enrollments: the same definition the portal reports. Bring your own numbers to the call.

THE ROAD TO LAUNCH

Thirty days. Five stops. Live on day 25.

Routing, tracking and the portal are checked against real test inquiries before a dollar of ad spend is released.

Intake

Days 1 to 3

Tech handoff

Days 4 to 7

Build

Days 8 to 18

Launch and QA

Days 19 to 25 · live on 25

Scale

Day 26 on

Day 1Day 10Day 20Day 25 · LaunchDay 30

1Intake

Kickoff call. Access to your Business Profiles, ad accounts and analytics. Baseline audit of every listing.

2Tech handoff

Call tracking, form routing and SMS alerts wired to intake. Portal credentials issued. The 15-minute clock goes live.

3Build

Landing pages, search campaigns and review sequences drafted and reviewed with your clinical lead.

4Launch and QA

Controlled ramp. The first real inquiries are hand-checked against routing and reporting before full budget.

5Scale

Budget follows whatever produces enrollments cheapest. The monthly outcome loop begins.

Matisyahu Friedman

Founder, Lukrah. Baltimore, MD.

Client names on request. Here's the shape of the work.

ABA · multi-state providerPer-center location pages, per-market ad landing pages and insurance-first routing into one admissions team. $25k to $35k a month in managed spend.

ABA · regional networkSite rebuild plus a diagnostic evaluation page per center, so the clicks that arrive are ones intake can actually enroll.

Senior living · assisted living communityCommunity pages, review automation and tour booking aimed at the adult child doing the research, routed to the on-duty director.

"A clinical director should never have to guess what their marketing partner is doing, or what it's bringing in. If I can't show you cost per enrollment, I haven't earned the retainer."

Latest from Lukrah.

All posts →

SENIOR LIVING · 2026-10-30

How to get more assisted living move-ins without paying referral fees

How an assisted living community builds a direct pipeline next to the referral sites: who searches, how fast to answer, reviews, pages per care level, and tracking cost per move-in.

Read, 5 min →

ABA THERAPY · 2026-10-14

How much is an ABA client worth? Hours, rates and tenure, by program type

A working model for the lifetime revenue of one enrolled ABA client, by program type, and what it means for how much you can spend to add one.

Read, 4 min →

ABA THERAPY · 2026-03-24

Local SEO for ABA Therapy Providers: The Complete 2026 Guide

Master local SEO for ABA therapy clinics. GBP strategy, multi-location optimization, HIPAA compliance, and proven tactics to compete in saturated markets.

Read, 7 min →

Questions we get on every call

Do you sign a BAA?

Yes, whenever you need one. Many of our clients' compliance teams require it, and we'll sign yours or ours before we touch a form or call log. Either way, no PHI goes to ad platforms.

Is there a long-term contract?

No. Retainers are month to month with 30 days notice. Landing pages, ad accounts, tracking numbers and portal data belong to you from day one.

Do you work outside ABA, behavioral health and senior living?

Our focus is those three. We take on other specialty practices selectively when the intake model is similar, and we will tell you honestly if we are not the right fit.

How fast can we launch?

Launch is day 25. Intake days 1 to 3, tech handoff by day 7, build through day 18, QA and a controlled ramp to day 25. Nothing goes live until routing, tracking and the portal have been checked against real test inquiries.

Do you replace our current agency or work alongside them?

Replace, usually. We need the ad accounts, the Business Profiles and the intake routing to report cost per enrollment. We can run alongside an in-house team.

What do you need from us to start?

Access to your Google Business Profiles, ad accounts and analytics, a named intake contact per location, and someone who will mark inquiry outcomes once a month.

Who owns the ad accounts and landing pages?

You do, from day one. If we part ways, everything stays with you: domains, pages, ad accounts, tracking numbers and portal data.

Can we see the portal before we sign?

Yes. On the qualifying call we walk through a live account with names blurred.

What happens if we can't meet the four standards?

We tell you, we help fix it for a month, and if it can't be fixed we pause the retainer rather than spend your ad budget into voicemail.

The people on your account.

Matis sets strategy on every account. These are the people who run it day to day. No offshore handoffs: the person on your kickoff call is the person on your account in month six.

Hillel P.

Head of Customer Success. Your day-to-day contact.

Miguel

Account Manager. Ads and SEO.

Brandon

Paid Media. Google Ads build and optimization.

Sonya

Paid Media. Landing pages and conversion tracking.

Austin K.

AI and Automation. Intake routing, the portal, the 15-minute clock.

Pricing, scoped by location.

Month to month with 30 days notice. No setup fee. Ad spend billed to you by Google and managed inside the plan.

Feature	Foundation $1,500 /mo	Growth $3,500 /mo	Enterprise $5,000+ /mo
Google Business Profile locations	1	2 to 4	5 to 10
Local SEO and AI search optimization	Included	Included	Included
Review request automation	Included	Included	Included
Google Search Ads management	Not included	Up to $10k/mo spend	Up to $15k/mo, then 12% of spend above
Intake routing and 15-minute alerts	Organic inquiries only	All inquiries	All inquiries, per coordinator
Portal	Included, with weekly reporting and a weekly leadership summary	Included, with weekly reporting and a weekly leadership summary	Included, with weekly reporting and a weekly leadership summary
Dedicated channel	Email	Email and account manager	Slack or Telegram with the whole team
	Start	Start	Talk to us

More than 10 locations, a diagnostic clinic launch, or a full site rebuild are scoped separately.

Healthcare compliance

BAA available on request No PHI sent to Google or Meta LegitScript certification handled for addiction and behavioral programs Call recording consent where state law requires it You own every domain, page, ad account and number

See if you qualify.

Fifteen minutes. We look at your locations, your intake and your numbers, and tell you yes or no. If it's no, we still tell you what to fix first.

You answer the phone live during business hours
You can call or text a web lead back within 15 minutes
You will mark each inquiry's outcome once a month
Your rating is 4.7 or you want help getting there

Prefer email? [email protected] · or call (443) 898-4129