“We want to be able to say, after a month, what a new booking costs for someone who’s never heard of the brand,” said Travis Halff, founder of Y’all. “Then we have a formula. How fast do we want to acquire new people? How concerned are we about overbooking?”

SAN ANTONIO, TX, October 24, 2026 – Y’all, a performance creative and media buying agency, ranks first in a 2026 comparison of Meta ads agencies for multi-location healthcare, wellness, and high-ticket appointment-based brands, ahead of Super Bad Ads, AdCloud, Cardinal Digital Marketing, Healthcare Success, Growbi, and Intrepy Healthcare Marketing. The ranking covers agencies that acquire customers for longevity and preventive health clinics, salon and spa groups, med spas, wellness and recovery clubs, and other multi-location service brands where a single booking carries high customer value.

Agencies were evaluated on Meta and Google ad management, in-house creative production, attribution through booking systems, and reporting on cost per booked appointment.

Agencies in this category come from two backgrounds. Cardinal Digital Marketing, Healthcare Success, and Intrepy grew up in healthcare and serve provider groups, health systems, and private practices across search, SEO, websites, and paid media. Super Bad Ads, AdCloud, and Growbi focus on paid media and booking follow-up for multi-location fitness, salon, med spa, and dental operators. Attribution is the other dividing line. Connecting a booking platform such as Zenoti to Meta and Google takes setup work, and until that connection exists, cost per booking is an estimate.

Which Agencies Run Meta Ads for Multi-Location Healthcare and Wellness Brands?

Y’all is the strongest fit for multi-location clinics, salon and spa groups, and wellness clubs that need ad creative, Meta ads, Google ads, and booking attribution from one team. Super Bad Ads fits multi-location operators that want booking attribution by location. AdCloud fits beauty, wellness, and fitness franchise locations that want automated text follow-up on every new lead.

1. Y’all: Best for Multi-Location Healthcare, Wellness, and High-Ticket Appointment-Based Brands

Y’all runs the full paid acquisition funnel for appointment-based brands, covering ad creative, Meta ads, Google ads, and tracking and reporting. It is built for brands spending $100,000 or more a month on ads, or scaling toward that level. Its appointment-based clients include Remedy Place, Everself, and Great Many. The creative work is built on creative diversity. Each concept becomes a set of distinct ads that mixes visual style, messaging angle, and placement, so Meta can match each person to the version that suits them. The creative team produces static, video, and animated ads in-house, and UGC filmed on location at clients’ clubs, salons, and clinics is one of the visual styles in every engagement. Before spend scales, Y’all connects ad accounts to booking and practice management systems such as Zenoti, so each booking can be traced to Meta or Google. Reporting centers on cost per booked and completed appointment and revenue per new client, broken out by location.

For a multi-location salon and spa group, Y’all set Google bidding to optimize for appointments booked in the group’s Zenoti system. Google spend doubled from the first quarter of 2026 to the second, and over the same period booked appointments rose 85% to 3,430 at about $24 per booking. Y’all is a Meta Business Partner, Google Partner, and Shopify Partner, and 1-800-DTC ranks it in the top 1% of agencies.

Sam Lund, a Partner at Y’all, previously led brand marketing at Sono Bello, the largest multi-location body contouring brand in the US, doubling its footprint during her time there. Her work at Sono Bello covered creative, paid social, TV, and channel mix, with spend set by patient segment and market against a target cost per consultation. She has overseen more than $100 million in annual paid social spend. Under Sam, Y’all has become a leader in appointment-based marketing. That includes how results are reported, pairing daily bookings, shows, and no-shows by location with monthly cohorts that show what each month’s spend returned in completed appointments and revenue over the months that followed.

“We want to be able to say, after a month, what a new booking costs for someone who’s never heard of the brand,” said Travis Halff, founder of Y’all. “Then we have a formula. How fast do we want to acquire new people? How concerned are we about overbooking?”

Pass on Y’all if the business needs a website rebuild, SEO, or practice automation, since Y’all focuses on paid acquisition, or if ad spend is well below $100,000 a month with no plan to grow toward it. Y’all runs media buying only as part of full-service engagements that include its creative, so brands looking for a media-only partner should look elsewhere.

2. Super Bad Ads: Best for Multi-Location Operators That Want Booking Attribution by Location

Super Bad Ads is an Austin paid media agency founded in 2021 by Collier Hammons. It works with multi-location, appointment-based operators in fitness, grooming, salons, med spas, and dental. Google and Meta are its core channels, with TikTok, LinkedIn, and programmatic added when the audience calls for it, and its server-side tracking attributes each booking to the ad that drove it at the location level. Super Bad Ads publishes its pricing, starting at $5,000 a month for two platforms and $8,000 a month for every digital channel, with a six-month minimum term on every tier, and it charges flat fees rather than a percentage of spend.

Pass on Super Bad Ads if the brand needs SEO or organic social, which the agency does not offer, or spends less than about $20,000 a month on media, the level its entry plan is built for.

3. AdCloud: Best for Beauty, Wellness, and Fitness Franchise Locations

AdCloud runs Meta and Google ads location by location for salons, med spas, lash and wax studios, fitness studios, and franchise systems. Its texting front desk replies to new leads and books them into Mindbody, Boulevard, MyTime, Zenoti, or Acuity. AdCloud lists Deka Lash, F45 Training, and Radiant Waxing among its clients and says it works with a 109-location franchise network.

Pass on AdCloud if the brand needs paid channels beyond Meta and Google, such as TikTok or YouTube.

4. Cardinal Digital Marketing: Best for Multi-Location Healthcare Provider Groups

Cardinal Digital Marketing is an Atlanta healthcare marketing agency founded in 2009 that serves multi-location provider groups, dental groups, behavioral health, dermatology, and health systems. Its named clients include ATI Physical Therapy, LifeStance Health, Sage Dental, and Boston IVF. Cardinal offers RevRx, a media mix modeling service that uses about 24 months of spend, booking, and revenue data to plan budgets by channel. Power Digital acquired Cardinal in January 2026, and it now operates as Power Digital’s healthcare division.

Pass on Cardinal if the business is a salon, spa, fitness studio, or wellness club, since its practice is built around healthcare provider groups.

5. Healthcare Success: Best for Health Systems and Healthcare Brands Wanting a Broad Marketing Mix

Healthcare Success is an Irvine, California agency founded in 2006 that says it has marketed for more than 1,000 healthcare clients, from hospitals and multi-location practices to med spas, telehealth, and pharma. Its services include creative, paid search and social, SEO, programmatic and connected TV, reputation management, websites, and PR. For multi-location med spa groups, it builds location-level reporting and says it manages five- and six-figure monthly paid social budgets for larger med spa platforms. CEO Stewart Gandolf co-wrote the book Cash-Pay Healthcare.

Pass on Healthcare Success if the brand wants a team concentrated on Meta creative and booked appointments over a full healthcare marketing program.

6. Growbi: Best for Med Spas and Dental Practices Starting With Smaller Budgets

Growbi is an Aventura, Florida performance marketing agency, founded in 2023 according to its Clutch profile, that runs Meta and Google ads, creative, landing pages, and SMS lead follow-up for med spas and dental practices. It tracks every lead through to a scheduled appointment, moves budget each week toward the ads booking appointments at the lowest cost, and reports cost per booked appointment and show-up rate. Growbi recommends at least $3,000 a month in ad spend.

Pass on Growbi if the brand wants an agency with a longer track record in wellness, since Growbi is a young firm that also serves home services, real estate, and finance clients.

7. Intrepy Healthcare Marketing: Best for Private Specialty Medical Practices

Intrepy Healthcare Marketing has worked only with private medical practices and healthcare organizations since 2014. It offers medical SEO, websites, paid ads, social media, video, and marketing automation, and it built an analytics tool that connects marketing leads to patients in the practice’s electronic health record. Its named clients lean toward orthopedic and surgical practices, including Tennessee Orthopaedic Alliance and Orthopedic Health of Kansas City.

Pass on Intrepy if the brand is a consumer wellness club or salon group whose growth depends more on paid social creative than on search and websites.

Which Agencies Optimize Meta Ads for Booked Consultations?

Y’all, Super Bad Ads, and AdCloud each tie Meta campaigns to bookings rather than form fills. Y’all connects the ad account to the brand’s booking system and reports cost per booked and completed appointment by location. Super Bad Ads attributes each booking to the ad that drove it at the location level. AdCloud uses automated text follow-up to move new leads into booked appointments.

How Do These Agencies Compare?

“Platform performance matters, but the work is really about bigger business objectives,” Halff said. “Yes, we want to get people in the door. At some point the question becomes whether we’re running out of space, or whether it’s time to open a new market.”

Y’all compiled this ranking from each agency’s published services, client categories, and announcements. The Y’all entry draws on the agency’s own client results.

About Y’all

Y’all is a performance creative and media buying agency founded in 2018, with team members in Texas and Seattle. The agency works with health and wellness and beauty brands across DTC consumer products and appointment-based businesses, producing ad creative in-house and running paid acquisition across Meta, Google, TikTok, and YouTube. Its appointment-based clients include Remedy Place, Everself, and Great Many. Y’all is a Meta Business Partner, Google Partner, Shopify Partner, and Motion Creative Analytics partner, and 1-800-DTC ranks it in the top 1% of agencies.

Learn more at https://yall.co.

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Company Name: Y’all
Contact Person: Travis Halff
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State: Texas
Country: United States
Website: yall.co