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Beyond Agency Frustration: How a Strategic Healthcare Partner Transforms Your Role

WRITTEN BY:   David McDonald
TAGS:
Strategy
AORvSPOR

This is a crucial career fact for hospital marketing professionals

As a hospital marketing professional, do you ever think of yourself as the bridge between your hospital’s mission and your community’s needs?

If you answered ‘yes’, then you are an enlightened professional on the road to success.  Yet,  if you’re spending your days in project management hell—scrambling to execute one campaign after another—then you’ll never be seen as the healthcare marketing leader you need to be in order to succeed and gain the respect of leadership. Survival today is built on the bedrock of business acumen and intellect—a landscape that is very different from just a few years ago.

An AOR can’t make you smarter. A SPOR can.

When you bring in a marketing strategic partner of record (SPOR), you go from “the marketing person downstairs” to “the strategic thinker with important insights and perspective” in the room. And your team goes from a service bureau to a force multiplier who is respected and sought after across your entire system. 

When you align your professional focus with a Strategic Partner of Record, four things happen:

  1. You gain access to deep insights that unlock new direction
  2. You earn leadership’s trust with a clear, aligned marketing strategy
  3. You empower your creative partners with thinking and focus, so they can execute better
  4. You stop reacting and start leading

And that’s a game-changer for your hospital growth strategy and your career.

Evolving into a thinking marketer

The traditional Agency of Record (AOR) model is no longer fit for the realities of modern healthcare marketing. Once the dominant structure for managing creative and media work, AOR relationships were built for a time when marketing was about pushing campaigns out into the world and hoping they’d stick. But today’s healthcare marketing environment is fundamentally different.

Margins are thin. Competition is fierce. Consumer expectations are rising. And more than ever, hospital marketers are being asked to show both financial return and community impact—simultaneously.

In this environment, hospitals don’t need another vendor to run ads or produce content. They need a strategic healthcare partner who can help them navigate complexity, align leadership, and drive meaningful growth.

What’s wrong with the AOR model?

The AOR model was designed for execution. It’s built on a rhythm of deliverables—campaigns, assets, ads, impressions. Most AORs organize around project management, creative execution, and media services. But what they often don’t offer is what you and your hospital need most: strategic clarity.

Here’s why the AOR model is failing hospitals:

It’s reactive. AORs typically respond to briefs. They don’t shape them.

It’s siloed. They focus on marketing outputs—ads, emails, campaigns—not the broader healthcare business strategy.

It’s superficial. The AOR model doesn’t get deep into the lived realities of patients, the psychology of health behavior, or the economic challenges facing health systems.

It’s outdated. AORs are often structured as they were 20 years ago, disconnected from the pace, pressure, and purpose of modern hospital marketing.

The result? Hospital marketing leaders like yourself are left with executional partners who do the “work,” but not the thinking.

Here’s what your CFO and CEO are asking:

  • Are we growing?
  • Are we attracting the right patients?
  • Do we understand the market and stakeholders well?
  • Are we educating our community?
  • Are we moving the needle financially, strategically, and economically?

Tactics alone won’t answer these important questions about hospital growth strategy. You can’t report your way to relevance. And you can’t solve real problems with pixel-perfect creative that lacks strategic depth.

If your agency is focused on ad volume and asset delivery instead of insight and alignment, then you’ve got a vendor, not a partner.

And you deserve better.

The Rise of the SPOR: The move that elevates you in the eyes of leadership

The SPOR model puts you in the seat you’ve always deserved: at the table with leadership, driving smart healthcare marketing strategy, not just delivering assets. Because here’s what a Strategy Partner of Record does:

  • Surfaces the human truths behind patient behavior
  • Aligns marketing with financial and operational goals
  • Creates the strategic and creative architecture upon which campaigns can actually succeed
  • Builds frameworks to accelerate execution, not slow it down
  • Arms you with the language of strategy—so you speak CFO, not just CTR

SPORs don’t just add capabilities. They accelerate outcomes. And they build the foundations upon which stronger agency relationships and internal executions are built.

In short, a Strategic Partner of Record will provide you with the acumen and credibility you need to lead and gain the respect of leadership and the board.

How a Strategy Partner of Record supports hospital success:

A SPOR doesn’t start with deliverables. It starts with discovery and healthcare insights. It doesn’t ask “What campaign do you want?” It asks, “What does your market need? What does your hospital want to become? What outcomes matter most?”

Maps reality. Through ethnographic research, stakeholder interviews, and market analysis, a SPOR reveals consumer and market insights and the lived experience of patients, providers, and communities.

Clarifies vision. By aligning stakeholders across departments, a SPOR helps define a shared understanding of where the hospital is headed—and how marketing can contribute to its success.

Builds frameworks. Whether it’s a brand architecture, messaging blueprint, or market prioritization model, a SPOR provides structure to decision-making and tools that fuel relevant and impactful creative and strategic thought. 

Enables execution. A SPOR doesn’t own all execution—they inform it. They guide your team and your preferred vendors, ensuring that campaigns are rooted in strategy and built to deliver impact.

AOR vs. SPOR: What’s the Real Difference?

Let’s break it down in a way that matters to you—the hospital marketing director developing a hospital marketing plan, earning trust, and delivering results.

Agency of Record (AOR)Strategic Partner of Record (SPOR)
Primary FocusCampaign execution, media, creativeBusiness alignment, strategic clarity, human insight
Starting PointBriefs, Tactics, DeliverablesResearch, Dynamic Alignment, Multi-stakeholder goals
RelationshipVendorStrategic Co-pilot
MetricsImpressions, Clicks, Open RatesGrowth, Volume, Access, Education, Community Impact
OutcomeCampaign DeliveredLeadership Elevated

SPORs don’t just help you make things– they help you make things that matter. And perhaps most importantly, a SPOR ensures that marketing is aligned with healthcare business strategy and goals, not just marketing objectives.

So What’s the Next Move?

We’ve built a Strategic Marketing Transformation Roadmap specifically for leaders like you—hospital marketers who are ready to evolve their influence, approach, and outcomes.

Here’s what the roadmap includes:

  1. A discovery audit to assess where your marketing sits today (and what’s missing)
  2. Stakeholder alignment interviews to uncover gaps and goals
  3. Insight development: qualitative and quantitative data translated into action
  4. Messaging architecture and positioning framework
  5. A leadership alignment workshop to embed strategy across teams and functions

This roadmap isn’t a one-off deliverable. It offers the enlightened hospital marketer a platform upon which to build their next level of leadership and the foundation upon which their future marketing investments will reside.


At LIFT Healthcare, we believe strategy must lead marketing, not follow it. And, that belief informs everything we do—from market research and stakeholder insights to strategy and creative. We don’t just bring insight, we unlock clarity. We fuel confidence. We multiply your impact. We position your work as indispensable to leadership and the communities you serve.


One Final Thought

Look around your organization. Who is leading with vision? Who is translating complexity into strategy? Who is trusted by leadership to chart the path forward?

That can—and should—be you.

But it won’t happen if your work is stuck in tactics. You need a partner who sees what you see, and helps you build what only you can lead.

Don’t hire an agency. Hire a Strategy Partner of Record.

Ready for the Transformation Roadmap? Learn More Here.


business headshot

David McDonald, Co-founder & CEO

As CEO of LIFT and a trained anthropologist, David brings a deep passion for human understanding to every facet of leadership. Blending empathy with innovation and data, he drives empathic, people-centered solutions that elevate the healthcare marketing profession and successful client outcomes.