Cardiac Wire
| Creative | Spend | Subs | CPL | GOOD | Rate | CPQL | Signal |
| DCT_118 Text Call out | $883 | 368 | $2.40 | 84 | 22.8% | $10.51 | SCALE |
| DCT_117 Old vs New | $45 | 15 | $3.00 | 3 | 20.0% | $14.99 | TEST |
| DCT_112 EndangerPatient | $218 | 43 | $5.08 | 14 | 32.6% | $15.60 | TEST |
| DCT_103 Confession | $2,130 | 895 | $2.38 | 135 | 15.1% | $15.78 | HOLD |
| DCT_104 Life hack | $1,293 | 500 | $2.59 | 74 | 14.8% | $17.47 | HOLD |
| DCT_101 Reasons Why | $461 | 139 | $3.32 | 23 | 16.5% | $20.04 | REDUCE |
| DCT_105 UGC doctor | $239 | 67 | $3.57 | 3 | 4.5% | $79.66 | KILL |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 80 | 2 | 2.5% | $367 | $183.32 |
| DCT_104 | 14 | 2 | 14.3% | $249 | $124.44 |
| DCT_101 | 5 | 0 | 0.0% | $39 | — |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 237 | 22 | 9.3% | $242 | $11.53 |
| DCT_104 | 195 | 30 | 15.4% | $367 | $13.11 |
| DCT_101 | 28 | 4 | 14.3% | $47 | $11.74 |
| DCT_105 | 25 | 1 | 4.0% | $41 | $41.19 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 93 | 15 | 16.1% | $223 | $14.85 |
| DCT_104 | 141 | 22 | 15.6% | $318 | $15.14 |
| DCT_101 | 13 | 2 | 15.4% | $87 | $43.31 |
| DCT_105 | 10 | 1 | 10.0% | $61 | $60.62 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 83 | 20 | 24.1% | $302 | $15.09 |
| DCT_104 | 68 | 15 | 22.1% | $154 | $10.30 |
| DCT_101 | 24 | 5 | 20.8% | $114 | $22.84 |
| DCT_105 | 15 | 1 | 6.7% | $39 | $39.24 |
| DCT_112 | 1 | 0 | 0.0% | $55 | — |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 88 | 23 | 26.1% | $422 | $18.34 |
| DCT_104 | 35 | 4 | 11.4% | $133 | $33.36 |
| DCT_101 | 24 | 7 | 29.2% | $61 | $8.68 |
| DCT_112 | 16 | 7 | 43.8% | $42 | $6.07 |
| DCT_105 | 7 | 0 | 0.0% | $38 | — |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 117 | 25 | 21.4% | $304 | $13.21 |
| DCT_104 | 35 | 0 | 0.0% | $71 | — |
| DCT_101 | 15 | 1 | 6.7% | $45 | $45.05 |
| DCT_112 | 6 | 2 | 33.3% | $53 | $26.66 |
| DCT_105 | 6 | 0 | 0.0% | $15 | — |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_118 | 75 | 37 | 49.3% | $416 | $11.23 |
| DCT_103 | 55 | 16 | 29.1% | $184 | $11.50 |
| DCT_101 | 9 | 3 | 33.3% | $38 | $12.59 |
| DCT_112 | 6 | 2 | 33.3% | $36 | $18.05 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_118 | 195 | 33 | 16.9% | $256 | $7.75 |
| DCT_103 | 102 | 12 | 11.8% | $87 | $7.27 |
| DCT_112 | 12 | 3 | 25.0% | $31 | $15.56 |
| DCT_117 | 9 | 2 | 22.2% | $23 | $11.63 |
| DCT_101 | 12 | 0 | 0.0% | $31 | — |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_118 | 86 | 11 | 12.8% | — | — |
| DCT_103 | 40 | 3 | 7.5% | — | — |
| DCT_101 | 9 | 1 | 11.1% | — | — |
| DCT_117 | 6 | 1 | 16.7% | — | — |
Imaging Wire
| Creative | Spend | Subs | CPL | GOOD | Rate | CPQL | Signal |
| DCT_114 ReplaceJournals | $666 | 113 | $5.89 | 46 | 40.7% | $14.48 | SCALE |
| DCT_110 Radiologist Confession | $113 | 16 | $7.06 | 7 | 43.8% | $16.13 | TEST |
| DCT_119 Stay Current | $172 | 28 | $6.14 | 10 | 35.7% | $17.19 | TEST |
| DCT_104 Life hack | $151 | 24 | $6.28 | 8 | 33.3% | $18.85 | HOLD |
| DCT_103 Confession | $2,995 | 480 | $6.24 | 154 | 32.1% | $19.45 | HOLD |
| DCT_113 GPTResponse | $82 | 10 | $8.23 | 2 | 20.0% | $41.15 | REDUCE |
| DCT_120 Information Overload | $105 | 9 | $11.65 | 1 | 11.1% | $104.89 | KILL |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 15 | 7 | 46.7% | $472 | $67.38 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 108 | 48 | 44.4% | $480 | $10.66 |
| DCT_104 | 11 | 3 | 27.3% | $39 | $19.56 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 76 | 32 | 42.1% | $398 | $14.75 |
| DCT_114 | 6 | 3 | 50.0% | $25 | $12.26 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 55 | 18 | 32.7% | $349 | $20.54 |
| DCT_114 | 6 | 2 | 33.3% | $107 | $53.64 |
| DCT_104 | 9 | 5 | 55.6% | $0 | — |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 59 | 20 | 33.9% | $291 | $14.54 |
| DCT_114 | 21 | 11 | 52.4% | $191 | $17.34 |
| DCT_110 | 6 | 3 | 50.0% | $39 | $12.90 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 38 | 13 | 34.2% | $308 | $23.70 |
| DCT_114 | 31 | 9 | 29.0% | $194 | $21.60 |
| DCT_110 | 5 | 3 | 60.0% | $15 | $7.40 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 52 | 14 | 26.9% | $478 | $34.12 |
| DCT_114 | 22 | 13 | 59.1% | $40 | $3.06 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 53 | 7 | 13.2% | $220 | $31.43 |
| DCT_114 | 12 | 4 | 33.3% | $109 | $36.43 |
| DCT_119 | 8 | 2 | 25.0% | $133 | $66.27 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_103 | 24 | 4 | 16.7% | — | — |
| DCT_119 | 16 | 6 | 37.5% | — | — |
Digital Health Wire
| Creative | Spend | Subs | CPL | GOOD | Rate | CPQL | Signal |
| DCT_123 If you BUT | $721 | 296 | $2.44 | 81 | 27.4% | $8.90 | SCALE |
| DCT_115 AppleNotes | $880 | 165 | $5.33 | 77 | 46.7% | $11.42 | SCALE |
| DCT_122 Make Better Decisions | $153 | 33 | $4.64 | 12 | 36.4% | $12.77 | SCALE |
| DCT_104 Life hack | $2,031 | 451 | $4.50 | 156 | 34.6% | $13.02 | HOLD |
| DCT_102 Why read X | $373 | 52 | $7.17 | 18 | 34.6% | $20.70 | HOLD |
| DCT_121 Newspaper | $66 | 6 | $10.97 | 3 | 50.0% | $21.93 | TEST |
| DCT_103 Confession | $118 | 9 | $13.16 | 2 | 22.2% | $59.23 | REDUCE |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_104 | 13 | 8 | 61.5% | $425 | $53.15 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_104 | 95 | 37 | 38.9% | $372 | $10.05 |
| DCT_102 | 8 | 3 | 37.5% | $106 | $35.40 |
| DCT_115 | 5 | 3 | 60.0% | $0 | — * |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_104 | 86 | 32 | 37.2% | $424 | $13.67 |
| DCT_102 | 13 | 5 | 38.5% | $47 | $9.37 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_104 | 82 | 33 | 40.2% | $206 | $6.24 |
| DCT_115 | 12 | 8 | 66.7% | $0 | — * |
| DCT_102 | 10 | 5 | 50.0% | $52 | $10.37 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_115 | 66 | 34 | 51.5% | $0 | — * |
| DCT_104 | 42 | 12 | 28.6% | $192 | $15.99 |
| DCT_102 | 7 | 2 | 28.6% | $49 | $24.57 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_115 | 54 | 23 | 42.6% | $0 | — * |
| DCT_104 | 54 | 17 | 31.5% | $274 | $16.11 |
| DCT_102 | 6 | 2 | 33.3% | $65 | $32.52 |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_104 | 60 | 17 | 28.3% | $106 | $6.24 |
| DCT_122 | 21 | 8 | 38.1% | $49 | $6.12 |
| DCT_115 | 22 | 7 | 31.8% | $0 | — * |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_123 | 183 | 55 | 30.1% | $381 | $6.93 |
| DCT_104 | 17 | 1 | 5.9% | $32 | $31.98 |
| DCT_122 | 4 | 1 | 25.0% | $30 | $30.17 |
| DCT_115 | 3 | 1 | 33.3% | $0 | — * |
| Creative | Subs | GOOD | Rate | Spend | CPQL |
| DCT_123 | 109 | 24 | 22.0% | — | — |
| DCT_122 | 4 | 1 | 25.0% | — | — |
Key trends: DCT_118 CW peaked W11 (49%) then faded to 13% — creative fatigue confirmed. DCT_103 IW declining from 47% to 17% — creative fatigue confirmed. DCT_123 DHW launched big in W12 (30%) but dipped to 22%. DCT_114 IW is the most consistent quality performer (42% all-time).
How Scoring Works
Each subscriber is scored using a replication of the client's methodology — a combination of email domain signals and job title keywords. Subscribers pass if they show at least one strong healthcare professional signal.
The result is one of three outcomes: GOOD (likely ICP), EXCLUDE (not ICP), or Retired (excluded from quality calculations).
Scoring Tiers
- HC Org + Title — Healthcare organization email AND a matching job title. Highest confidence. Scores GOOD.
- HC Org Email — Healthcare organization email domain (hospital, health system, medical school) with no clear title match. Scores GOOD.
- Personal Email + HC Title — Personal email (Gmail, etc.) but job title clearly matches ICP (e.g., "Cardiologist", "CMO"). Scores GOOD.
- No HC Signal — Neither email nor title matches healthcare ICP. Scores EXCLUDE.
- Retired — Title explicitly indicates retirement. Excluded from quality rate calculations entirely.
Quality Rate Definition
Quality Rate = GOOD ÷ (Total subscribers − Retired). Retirees are removed from the denominator because they represent a data quality artifact, not a media buying signal.
Scoring Examples
| Email |
Title |
Score |
Reason |
| j.smith@clevelandclinic.org |
Interventional Cardiologist |
GOOD |
HC Org + Title |
| m.jones@massgeneral.org |
Administrator |
GOOD |
HC Org Email |
| dr.lee@gmail.com |
Chief Medical Officer |
GOOD |
Personal + HC Title |
| john.doe@gmail.com |
Marketing Manager |
EXCLUDE |
No HC Signal |
| r.williams@mayo.edu |
Retired Physician |
EXCLUDE |
Retired |
What This Dashboard Doesn't Cover
- Subscribers acquired before Feb 1, 2026
- Cross-signups (subscribers acquired from another newsletter on the same list)
- Organic (non-paid) subscriber sources
- Engagement or open rate data — scoring is identity-only
- Archived/cleaned Mailchimp subscribers (5–7% of ad-sourced subs, removed by client)
- Meta lead events that never became confirmed Mailchimp subscribers
How This Was Built
This scoring system was independently built by replicating the client's GOOD/EXCLUDE methodology from their shared analysis spreadsheet.
| Step | Source | What We Did |
| 1. Domain dictionary |
Client xlsx (6,107 scored subscribers) |
Extracted 1,008 healthcare org email domains from leads the client scored as GOOD. Added pattern rules for .edu, .gov, .mil, and domains containing "health", "hospital", "medical", etc. |
| 2. Title keywords |
Client xlsx + standard HC taxonomy |
Built keyword list from titles the client scored as GOOD (physician, MD, cardiologist, nurse, director, etc.). Added retiree exclusion rules based on client feedback in Slack about non-target retirees. |
| 3. Cross-signup logic |
Client call (Mar 26) + UTM analysis |
Per client team: only count subscribers on the newsletter their ad targeted. We match each subscriber's UTM to the campaign's target newsletter and exclude cross-signup spillover. |
| 4. Subscriber data |
Mailchimp API (live pull Mar 27) |
Pulled all ad-sourced members (status: subscribed) from all 3 newsletter lists. 7,812 total → 5,625 primary after cross-signup filtering. |
| 5. Spend data |
Meta Ads API via Pipeboard |
Pulled ad-level and adset-level spend for Feb 1 – Mar 27. Weekly breakdown available through W12 (Mar 16–22). W13 spend pending. |
| 6. Scoring |
Automated replication |
Applied domain + title + retiree rules to every subscriber. Scored as GOOD, EXCLUDE, or Retired. Assigned role tiers (Physician, Executive, Nurse, Allied Health) where 1P title data exists. |
Validation Against Client Scoring
We compared our automated scores against the client's manual xlsx for the overlapping window (Feb 1 – Mar 15). Our replication matches within 5% on all four tested segments.
| Newsletter | Agency | Our Count | Client Count | Delta |
| Cardiac Wire | TFM | 1,549 | 1,511 | +2.5% |
| Cardiac Wire | GL | 1,790 | 1,783 | +0.4% |
| Digital Health Wire | TFM | 688 | 690 | −0.3% |
| Digital Health Wire | GL | 1,013 | 1,031 | −1.7% |
Imaging Wire was not included in the client's original analysis. Our IW scoring is net-new and pending client validation.
Known Limitations & Accuracy Notes
| Factor | Impact | Direction |
| Archived/cleaned subs missing |
5–7% of ad-sourced subscribers were archived or cleaned in Mailchimp (CW: 367, IW: 168, DHW: 184). These are not scored. Most were likely removed for being non-target — they would score EXCLUDE. |
Understates total subs, overstates quality rate by ~1–2 points. CPQL unaffected. |
| Executive title false positives |
~5.7% of GOOD leads were scored via "Personal Email + HC Title" with generic executive titles (CEO, Owner, President) at non-healthcare companies. |
Slightly overstates GOOD count for both agencies equally. Does not skew the comparison. |
| HC domain dictionary completeness |
Built from 1,008 domains in client's xlsx + pattern matching. May miss some smaller hospitals or international health systems not in the training set. |
Slightly understates GOOD for "HC Org Email" bucket. Validated to within 2.5% of client scoring. |
| Meta CPL vs Mailchimp CPL |
Meta reports 2–3x more "leads" than confirmed Mailchimp subscribers. Our CPL uses Mailchimp (more conservative). Meta CPL would be ~40–60% lower. |
Our CPL is higher than what you see in Ads Manager. CPQL is the same either way (uses GOOD count, not total leads). |
| W13 spend gap |
Pipeboard weekly breakdown ends at W12 (Mar 16–22). W13 (Mar 23–26) has subscriber data but no weekly spend. All-time totals include W13 spend. |
Weekly CPQL shows "—" for W13. All-time scoreboard and Tab 2 totals are complete. |
| AppleNotes weekly spend |
DCT_115 has a naming mismatch between Pipeboard ("Transformation") and Mailchimp ("Tramsfromation"). All-time spend is correct ($880), but weekly breakdown could not be mapped. |
DCT_115 weekly CPQL shows "—". All-time CPQL ($11.42) is accurate. |
| 1 borderline scoring case |
Canadian .ca university domains are treated as HC org emails (same as .edu). One student at a non-medical university was scored GOOD. |
Negligible — 1 subscriber across 5,625. |
QA Verification (3 independent audits, Mar 27)
- Dashboard numbers vs source data: 27 checks passed, 0 failed. All spend, subs, GOOD, CPL, and CPQL values independently recomputed and confirmed.
- Scoring methodology: Cross-signup exclusion verified (0 violations). Retiree exclusion verified (0 GOOD retirees). 20-lead sampling: 19–20/20 legitimate GOOD scores.
- Spend data: All 6 agency totals independently verified. All high-CPQL outliers explained by small sample sizes. No $0-spend anomalies on creatives with 50+ subs.