You're a community health company. You're paid to change outcomes in neighborhoods you didn't come from, for people who don't know you yet. So you hire ambassadors, buy lists and make calls. People hang up. Members enroll and never show up again. A payer doesn't renew.
It's not your marketing. You're too far from the people. That costs money.
And most companies are still running the old playbook. It's the same deficit habits the nonprofit world built: talk to residents like cases, send a stranger with a clipboard, count touches instead of outcomes. Different company, same playbook, same result.
Do you want revenue for a year, or revenue for the next forty?
Is your trusted face someone the neighborhood already trusts?
The people running the real circles of trust right now. Every neighborhood has them.
Outreach, enrolled, engaged, retained. We find the step where it breaks.
If the contract pays for wellness visits and your dashboard counts phone calls, you're measuring the wrong thing.
Local partners carrying follow-up your contract depends on, with no agreement and no pay. When they stop, your members stop.
We don't bring you feelings. We bring you a dollar figure: what the distance between you and the ground is costing you in enrollment, retention and renewals. Every finding is labeled for what it is: documented, estimated, or not yet measured.
| Offer | Timing | Cost | Conversation |
|---|---|---|---|
| The Cost of Distance read One written page from public information. No call needed. Four companies a month. | 5 business days | Free | Book The Cost of Distance read |
| Red Flag Screen Where your engagement is stranding money, with each flag priced and a fix for each. Founding rate for the first three companies, credited toward a pilot. | 10 business days | $10,000 ($7,500 founding) | Book Red Flag Screen |
| Founding Pilot 90 days fixing the way in, with the people who already hold the neighborhood's trust, paid. | 90 days | $20,000 founding / $35,000 list | Book Founding Pilot |
| Community Bridge The long build, only after a pilot proves it. | 6 to 12 months | From $75,000 | Book Community Bridge |
SAMPLE. Fictional company: Northline Health. Illustrative only.
All observations, documents and interviews below belong to this fictional example, not a real company or client.
What we can document, what we estimate, what we cannot yet measure, and what would change our view.
I spent thirty years at the table where money gets decided, and I've run an operation that kept energy assistance flowing to 75,000 Central Ohio residents. I know what it takes to be trusted on a block you didn't grow up on. I'm not here to make you feel bad. I'm here to make your model work.
Deena Strategic Group designs and advises. It never holds or moves money.
