9 Best Healthcare Marketing Agencies In 2026

July 21, 2026
Growth Marketing
Colby Flood

Healthcare marketing agencies now compete on two fronts at once: winning patients in a category where Google and Meta both restrict standard ad targeting, and proving every dollar of spend against a real cost-per-lead number instead of an impression count. Healthcare and medical advertisers already pay some of the highest search cost-per-click rates of any industry, according to WordStream's Google Ads industry benchmark data, and Meta's Special Ad Category rules for healthcare and pharma advertisers strip out the detailed age, gender, and interest targeting most other verticals still rely on. That combination pushes the real lever from media buying toward creative: the ad itself, not the audience settings, now carries most of the targeting signal, which is exactly why agencies that can produce compliant, high-volume patient-facing creative are pulling ahead of agencies that only know how to run a bid strategy.

The cost of choosing wrong compounds fast. A generalist agency without HIPAA-aware production and platform-specific health-category experience burns budget on ads that get rejected, delayed, or approved and ignored, while a specialized partner turns the same spend into a predictable, trackable cost per lead. This guide compares nine agencies working in healthcare marketing today, from full-funnel performance shops to creator-led production teams to hospital-system brand consultancies, scored on real patient-acquisition capability rather than a generic marketing checklist. No agency paid for placement.

Who This Guide Is For (and Not For)

This guide is for:

  • Practice owners, DSOs, and medspa groups evaluating a marketing partner for patient acquisition
  • Marketing directors at hospitals and health systems comparing agencies for a paid media or brand engagement
  • Pharma sponsors and healthcare SaaS companies that need HIPAA-aware creative production, not just media buying
  • Multi-location healthcare brands standardizing marketing performance across sites

This guide is NOT for:

  • CROs and pharma sponsors whose only need is recruiting patients into active drug trials, which runs on different economics than general patient marketing
  • Organizations that want brand or PR work only, with no patient-acquisition performance component
  • Agencies or vendors researching competitors for their own positioning
  • Non-US healthcare organizations

Quick Comparison: Best Healthcare Marketing Agencies in 2026

Agency Best For Specialty Key Services
Cardinal Digital Marketing Full-Funnel Patient Acquisition Performance Marketing Media Mix Modeling attribution Google Ads, paid social, SEO, content marketing, reputation management
Brighter Click Healthcare UGC and Compliant Creator Content Closed-loop UGC and paid media Compliant UGC production, healthcare influencer marketing, paid media (Meta, Google, TikTok), Creative Intelligence performance tracking
Intrepy Healthcare Marketing Physician and Specialty Practice Branding Physician-exclusive brand marketing Physician branding, practice marketing, telemedicine marketing, healthcare SEO
HigherVisibility SEO-Led Marketing for Healthcare and Pharma Brands 5x award-winning SEO agency SEO, PPC, social media, content marketing, local SEO, analytics
Digital Logic Dental, Urgent Care, and Multi-Location Practices Multi-location patient lead generation PPC, SEO, web design, content marketing, reputation management
Ten Adams Hospital and Health System Brand Strategy Health system brand strategy Brand strategy, digital transformation, patient experience, marketing automation
CMG Health Marketing Omnichannel Patient Acquisition, Digital and Broadcast Broadcast plus digital omnichannel reach Google Ads, social media, local SEO, TV and radio advertising
Healthcare Success Long-Tenure Hospital and Medical Group Consulting 20+ years of healthcare-exclusive consulting Strategic consulting, digital marketing, branding, physician referral marketing
Real Chemistry Enterprise Pharma and Biotech Marketing at Scale FDA-regulated enterprise pharma marketing Pharma commercialization, HCP marketing, patient marketing, clinical-trial recruitment

How We Chose These Agencies

We evaluated every agency in this guide against five criteria weighted toward proven healthcare-vertical work, not general marketing polish.

  • Verified healthcare-vertical client work (practices, health systems, DSOs, CROs, or pharma sponsors)
  • Platform capability across Google, Meta, and TikTok
  • Compliance awareness for HIPAA, FDA, and FTC-regulated creative
  • Service depth against this guide's patient-acquisition focus
  • Evidence of measurable outcomes, not self-reported claims

Agencies with no documented healthcare client work were excluded. No agency paid for placement, and no agency was contacted for inclusion.

The Best Healthcare Marketing Agencies

Cardinal Digital Marketing

Headquarters: Atlanta, GA

Best For: Full-Funnel Patient Acquisition Performance Marketing

Cardinal Digital Marketing is a healthcare-dedicated digital marketing division that specializes in full-funnel patient acquisition performance marketing for hospitals, health systems, and multi-location practices. The team runs paid search, SEO, and earned media against a single cost-per-lead and total-acquisition-cost target rather than reporting each channel in isolation, then layers Media Mix Modeling on top to show which channels are actually driving enrollments versus which ones are just claiming credit for them. Cardinal holds Google Premier Partner status, operates as HIPAA-compliant and BAA-ready, and has appeared on the Inc. 5000 list of fastest-growing private companies, credentials that matter to health systems running a formal vendor-approval process.

Key Services:

  • Google Ads and paid search management
  • Healthcare SEO
  • Paid social advertising
  • Content marketing
  • Conversion rate optimization
  • Online reputation management

Pros:

  • Healthcare-dedicated division with a formal HIPAA-compliant, BAA-ready workflow
  • Google Premier Partner status
  • Media Mix Modeling attribution ties spend to actual patient acquisition, not channel-reported credit
  • Multi-location and health-system experience at scale

Cons:

  • SEO- and paid-search-heavy positioning with less emphasis on creator-led or UGC creative
  • Enterprise-oriented pricing that can be a stretch for single-location practices

Verdict: Cardinal Digital Marketing is the top choice for health systems and multi-location practices that want every channel measured against one acquisition-cost number instead of a stack of siloed channel reports.

Brighter Click

Headquarters: Raleigh, NC

Best For: Healthcare UGC and Compliant Creator Content

Brighter Click is a performance UGC creative agency that specializes in compliant UGC production, influencer sourcing, and paid media management for healthcare organizations, fintech companies, and SaaS brands.

The team's core differentiator inside healthcare is compliance built into the brief itself, not bolted on after a shoot. Every healthcare brief is written to be compliant by design and signed off before a single video is filmed, then the creator gets room to say it in their own words rather than reading from a script, with extra takes and alternate phrasing captured on the day so anything that still needs adjusting for HIPAA, FDA, or FTC rules gets handled in the edit instead of forcing a stiff, over-lawyered read on camera. That is the difference between UGC that feels like an ad and UGC that feels like a real patient or provider talking, and it is why Brighter Click briefs all 525+ creators in its network on the compliance rules of the vertical before production starts, not after. Healthcare influencer sourcing and whitelisting round out the offering: providers and patient advocates get briefed and connected to paid distribution instead of posting organically and hoping the algorithm notices.

Brighter Click's Creative Intelligence platform categorizes live ad performance across nine dimensions, including creator, messaging angle, creative theme, and product feature, then feeds those insights back into the next healthcare creative brief. The platform reviews live performance data rather than predicting results before spend, which means the creative that is actually winning with patients today, not a pre-launch guess, is what shapes next month's production slate.

Platform coverage spans Meta, Google, TikTok, YouTube, and Pinterest, run by the same team producing content, and the team holds Google Partner, Meta Business Partner, and Meta Certified Creative Strategy Professional certifications.

Notable Clients: Adams Clinical, Retina Consultants of America, and Opencare in healthcare and CRO. Beyond healthcare, a three-year engagement with SaaS company Gelato ($240M-funded) grew ad spend 117% while cutting customer acquisition cost 17.6% across five market localizations, the kind of compounding result the closed-loop model is built to produce when the same team owns both content and media.

Key Services:

  • Compliant UGC production for HIPAA-regulated healthcare brands
  • Healthcare influencer marketing and whitelisting
  • Paid media management across Meta, Google, and TikTok
  • Creative Intelligence platform (nine dimensions of live performance categorization)
  • 90-day creative strategy framework (voice-of-customer research, competitor ad-library analysis, seasonality mapping)
  • Creator compliance briefing on HIPAA, FDA, and FTC rules

Pros:

  • Only agency on this list producing compliant creator content and running the paid media it feeds, under one roof
  • 525+ pre-vetted creators, briefed on HIPAA, FDA, and FTC compliance before production
  • Creative Intelligence platform surfaces live winning patterns across nine performance dimensions
  • Closed-loop structure removes the handoff gap between content and media buying
  • Google Partner, Meta Business Partner, and Meta Certified Creative Strategy Professional certifications

Cons:

  • Premium pricing relative to freelance creator sourcing or a single in-house UGC hire
  • Does not offer SEO, CRO, or organic search as standalone services
  • No flagship general-healthcare case study yet outside the CRO and clinical-trial vertical

Verdict: Brighter Click is the best healthcare marketing agency for organizations that need compliant, creator-led content produced by the same team running the paid campaigns it feeds.

Want to see what compliant, creator-led content could do for patient acquisition at your organization?

Book a free strategy call with Brighter Click's founder to walk through your current creative and paid media setup.

Intrepy Healthcare Marketing

Headquarters: Atlanta, GA

Best For: Physician and Specialty Practice Branding

Intrepy Healthcare Marketing is a healthcare-exclusive marketing agency that specializes in physician and specialty-practice branding for clinics, private practices, and telemedicine providers. Founded in 2014, the agency has built its entire model around physicians and specialty practices rather than treating healthcare as one vertical among many, which shows up in its telemedicine marketing expertise and healthcare-specific SEO work.

Key Services:

  • Physician branding
  • Practice marketing
  • Telemedicine marketing
  • Healthcare SEO
  • Content marketing

Pros:

  • Healthcare-exclusive focus since 2014
  • Physician branding depth most generalist agencies cannot match
  • Telemedicine marketing expertise

Cons:

  • Smaller scale than multi-location or enterprise agencies
  • Less paid-media and creative-production focus than performance-first competitors

Verdict: Intrepy Healthcare Marketing is the agency to hire when a physician-led practice needs its brand and telemedicine offering built from the ground up, not bolted onto a generic small-business marketing package.

HigherVisibility

Headquarters: Memphis, TN

Best For: SEO-Led Marketing for Healthcare and Pharma Brands

HigherVisibility is a full-service digital marketing agency that specializes in SEO-led marketing for healthcare and pharma brands ranging from startups to Fortune 1000 companies. The agency has won Search Engine Land's Agency of the Year award five times, and it runs dedicated healthcare and pharma practices rather than treating regulated industries as a side specialty inside a general SEO shop.

Key Services:

  • SEO
  • PPC
  • Social media marketing
  • Content marketing
  • Local SEO
  • Analytics and reporting

Pros:

  • Five-time Search Engine Land Agency of the Year winner
  • Dedicated healthcare and pharma verticals
  • Client experience spanning startups to Fortune 1000 companies

Cons:

  • Generalist agency with a healthcare arm rather than a healthcare-exclusive shop
  • Less UGC and creator-content focus than performance-creative specialists

Verdict: Few agencies match HigherVisibility for organic search authority in healthcare and pharma; five Search Engine Land Agency of the Year wins back a client roster that spans startups to Fortune 1000 healthcare brands.

Digital Logic

Headquarters: Shreveport, LA

Best For: Dental, Urgent Care, and Multi-Location Practices

Digital Logic is a healthcare-exclusive marketing agency that specializes in HIPAA-compliant patient lead generation for dental, urgent care, and multi-location practices. Founded in 2016, the agency built a data-first approach specifically for practices managing multiple locations, with particular depth in dentistry, urgent care, and specialty medicine.

Key Services:

  • PPC advertising
  • SEO
  • Web design
  • Content marketing
  • Reputation management

Pros:

  • Healthcare-exclusive since founding
  • Multi-location practice expertise
  • Dental and urgent care specialization

Cons:

  • Regional scale relative to national healthcare-marketing firms
  • Less brand and creative-production capability than agencies built around content

Verdict: For a multi-location dental or urgent care group juggling lead volume across sites, Digital Logic is hard to beat: the agency has built its entire model, since 2016, around HIPAA-compliant, data-first lead generation for exactly that structure.

Ten Adams

Headquarters: Clarksville, TN

Best For: Hospital and Health System Brand Strategy

Ten Adams is a strategic branding and digital transformation agency that specializes in brand strategy for hospitals and health systems. Named clients include AdventHealth and Riverside Healthcare, and the agency's work spans patient experience design, marketing automation, and web design alongside core brand strategy.

Key Services:

  • Brand strategy
  • Digital transformation
  • Patient experience design
  • Marketing automation
  • Web design

Pros:

  • Hospital and health-system scale experience
  • Named enterprise clients including AdventHealth and Riverside Healthcare
  • Branding depth beyond a standard marketing retainer

Cons:

  • Brand-strategy focus with less performance and paid-media emphasis
  • Engagement cycles run longer than a typical performance-media retainer

Verdict: Ten Adams is the most specialized pick for a hospital or health system rebuilding its brand from the system level down, with AdventHealth and Riverside Healthcare as proof it can operate at that scale.

CMG Health Marketing

Headquarters: Atlanta, GA

Best For: Omnichannel Patient Acquisition, Digital and Broadcast

CMG Health Marketing is a healthcare marketing agency, backed by Cox Media Group, that specializes in omnichannel patient acquisition across digital and broadcast channels. The agency runs an Identify-Engage-Acquire framework spanning Google Ads, local SEO, social media, and review management on the digital side, paired with TV and radio advertising through its parent company's existing media relationships.

Key Services:

  • Google Ads management
  • Social media marketing
  • Local SEO
  • Review and reputation management
  • TV and radio advertising

Pros:

  • Only agency here with real omnichannel reach through a media-company parent
  • Broadcast capability most digital-only competitors cannot offer
  • Combined digital and traditional media under one framework

Cons:

  • Broadcast adds a budget floor most single-location practices cannot justify
  • Less specialized than pure digital-only agencies for smaller accounts

Verdict: Nothing here matches CMG Health Marketing for reaching patients on television and radio alongside digital, a byproduct of running inside Cox Media Group's existing broadcast infrastructure instead of buying that reach as a line item.

Healthcare Success

Headquarters: Irvine, CA

Best For: Long-Tenure Hospital and Medical Group Consulting

Healthcare Success is a healthcare-exclusive consulting and marketing agency that specializes in strategic guidance for hospitals, medical groups, and health systems. The firm has operated exclusively in healthcare for more than 20 years, and its team includes people with clinical and hospital-administration backgrounds, which shapes how it approaches physician referral marketing and market research.

Key Services:

  • Strategic consulting
  • Digital marketing
  • Branding
  • Market research
  • Physician referral marketing

Pros:

  • 20-plus years of healthcare-exclusive tenure
  • Staff with clinical and hospital-administration backgrounds
  • Deep institutional knowledge of how hospitals and medical groups operate

Cons:

  • Consulting-heavy approach with less hands-on paid-media execution
  • More traditional methodology than performance-creative-led competitors

Verdict: A hospital or medical group that wants a partner who has sat on the other side of the admin desk will not find a more tenured consultancy than Healthcare Success, with 20-plus years of healthcare-exclusive work and staff who came up through clinical and hospital administration.

Real Chemistry

Headquarters: New York, NY

Best For: Enterprise Pharma and Biotech Marketing at Scale

Real Chemistry is a large-scale healthcare marketing and communications agency that specializes in enterprise pharma and biotech marketing. The agency operates with deep FDA-regulated marketing expertise and provides clinical-trial recruitment support at scale, serving pharmaceutical and biotech companies that need commercialization, HCP marketing, and patient marketing handled under the same regulatory review standard.

Key Services:

  • Pharma commercialization
  • HCP marketing
  • Patient marketing
  • Regulatory compliance
  • Clinical-trial recruitment
  • Data analytics

Pros:

  • Enterprise pharma and biotech scale
  • FDA-regulated marketing expertise
  • Global reach across commercialization and patient marketing

Cons:

  • Built for enterprise budgets rather than individual practices
  • Premium enterprise pricing out of reach for most single-location healthcare brands

Verdict: For enterprise pharma and biotech marketing that has to clear FDA-regulated review at every step, Real Chemistry is the go-to agency, built for the scale and clinical-trial recruitment demands single-location competitors on this list are not resourced to handle.

Tools and Capabilities Healthcare Marketing Agencies Use in 2026

Healthcare marketing agencies now run on a common technology and process stack, whether the agency leads with performance media or brand consulting. Media Mix Modeling and multi-touch attribution have become standard for any agency managing six-figure monthly ad spend, since platform-reported ROAS alone cannot separate a genuinely incremental patient from one who would have called anyway. Local SEO for multi-location practices and DSOs has its own discipline, built around location-specific landing pages, review generation, and Google Business Profile management across dozens or hundreds of sites at once. Reputation management sits next to local SEO as a standing workstream rather than a one-time project, since a single unanswered negative review can outweigh months of paid media in a prospective patient's decision. Business Associate Agreements, or BAAs, are table stakes for any agency touching patient data, whether that data lives in a CRM, an ad platform's Conversions API, or a call-tracking tool; an agency that cannot produce a signed BAA on request should not be handling PHI-adjacent campaign data at all. Creator content is moving from ecommerce into healthcare fast enough that most general UGC networks were not built to brief creators on HIPAA and FDA rules before a single clip is filmed, leaving compliance as a specialized skill rather than a standard one. Paid social, Google Ads, and programmatic display still carry most of the media budget, but the agencies pulling ahead are the ones connecting that spend to CRM and patient-intake systems, so a lead is tracked from ad click through scheduled appointment rather than stopping at form-fill.

Healthcare Marketing Trends Shaping 2026

Six shifts are reshaping healthcare marketing budgets going into 2026, and most of them trace back to cost pressure meeting stricter platform rules at the same time. Search and social costs keep climbing: Google and Meta both treat healthcare as a higher-CPC category than most consumer verticals, and Meta's Special Ad Category rules for the sector keep shrinking the targeting options agencies can lean on to offset that cost. Compliant UGC and creator content is the fastest-growing creative format in the category, with patient and provider stories outperforming brand video at the awareness and consideration stages, the same pattern already showing up across other trust-sensitive verticals like fintech. Telehealth marketing has matured past pandemic-era urgency messaging into a steadier acquisition channel built on convenience and access rather than crisis framing. Medspa and aesthetics marketing is one of the fastest-growing healthcare sub-niches, pulling budget and creative talent away from more traditional medical specialties. AI-driven local search, from AI Overviews to voice search on Google Business Profile listings, is changing how patients find a provider near them, raising the bar on structured data and review volume for any multi-location brand.

How to Choose a Healthcare Marketing Agency

Budget, transparency, and team structure are the three filters that separate a healthcare marketing agency that performs from one that just reports. Budget benchmarks vary widely by organization size: a single-location practice or small DSO typically works with $3,000 to $8,000 per month in agency fees for a single-channel paid media program, a multi-location group or medspa chain runs $10,000 to $25,000 per month once UGC production and multi-platform paid media are combined, and a hospital system or CRO managing six-figure monthly ad spend is closer to $25,000 to $60,000 per month for full-service strategy, creative, and paid media. For context, that full-service range overlaps with what a fractional CMO costs on a part-time engagement, worth comparing before assuming an agency retainer is the more expensive option. Watch for performance-washing: an agency that reports impressions, reach, and engagement but cannot produce a real cost-per-lead or cost-per-appointment number is managing your perception, not your pipeline. The same red flag shows up in how fintech brands vet paid media partners, another category where compliance pressure makes it tempting for an underperforming agency to hide behind vanity metrics. In-house teams make sense when a healthcare brand has a single, stable paid channel and low creative-volume needs; an agency earns its retainer once the brand needs multi-platform coverage, creator sourcing at volume, or entry into a new channel such as TikTok or connected TV, since building that capability internally usually takes 12 to 18 months longer than hiring a team that already has it built.

Final Verdict

The right healthcare marketing agency depends on which bottleneck is actually limiting growth. For organizations that need compliant, creator-led content produced by the same team running the paid media it feeds, Brighter Click's healthcare service line is built around exactly that gap, briefing all 525+ creators in its network on HIPAA, FDA, and FTC rules before a single clip is filmed. For a health system or multi-location practice that wants every channel measured against one acquisition-cost number, Cardinal Digital Marketing's Media Mix Modeling approach is the stronger fit. For a physician-led practice building its brand and telemedicine offering from scratch, Intrepy Healthcare Marketing specializes in exactly that. For organic search authority in healthcare and pharma, HigherVisibility's five Search Engine Land awards carry real weight. For dental, urgent care, or multi-location lead generation, Digital Logic. For hospital and health-system brand strategy, Ten Adams. For omnichannel reach across digital and broadcast, CMG Health Marketing. For long-tenured hospital and medical-group consulting, Healthcare Success. For enterprise pharma and biotech marketing under FDA-regulated review, Real Chemistry. Organizations recruiting patients for active clinical trials are a different use case entirely: start with the FAQ above on how clinical-trial recruitment differs from general healthcare marketing, not this ranking. Brighter Click's compliance-first model was built inside healthcare, but the same closed-loop structure is proving out in other regulated categories too, including how financial brands structure paid creative under similarly strict platform and legal review, worth a look for any healthcare marketer whose remit also touches insurance or patient financing. Organizations ready to put this model to work can schedule a free strategy call today.

FAQ

What does a healthcare marketing agency do?

A healthcare marketing agency manages paid media, SEO, creative production, or some combination of these for practices, hospitals, DSOs, and pharma sponsors trying to acquire patients or build referral volume. Scope varies by agency: some run performance media and compliant creative production together, others focus on SEO and reputation management, and others consult on brand strategy for large health systems. The common thread is fluency in HIPAA, FDA, and the platform-specific ad restrictions that apply to healthcare advertisers.

How much does healthcare marketing cost in 2026?

Costs scale with organization size and channel mix. Single-location practices typically spend $3,000 to $8,000 per month on agency fees for paid media alone. Multi-location groups and medspa chains combining UGC production with paid media run $10,000 to $25,000 per month. Hospital systems and CROs managing full-service strategy, creative, and paid media at scale typically spend $25,000 to $60,000 per month, not including ad spend itself.

Is UGC (user-generated content) compliant for HIPAA-regulated healthcare marketing?

Yes, when it is briefed correctly. HIPAA governs how patient health information is handled, not the format of the marketing content itself, so UGC is not automatically out of bounds. The compliance work happens at the brief stage: the creator's script and claims need sign-off before filming, testimonials from actual patients need documented consent, and any health claims need to match what the product or provider can substantiate under FDA and FTC rules. Agencies that skip this step and edit for compliance after the shoot end up with reshoots, delays, or content that never clears legal review.

What's the difference between healthcare marketing and clinical-trial patient recruitment marketing?

General healthcare marketing optimizes for patient volume and brand awareness across a practice, health system, or medspa. Clinical-trial patient recruitment is a narrower discipline that optimizes for cost per randomized or enrolled patient against a fixed trial budget, IRB-approved creative, and hyperlocal geographic targeting by trial site. The two require different agency skill sets: dedicated CRO and clinical-trial paid media support looks at patient-motivator messaging (hope, symptoms, availability) tested against enrollment economics, not brand awareness. Brighter Click's work scaling Adams Clinical's clinical-trial recruitment spend from $360K to $600K per month, while cutting cost per lead 45.9%, shows what that narrower discipline looks like in practice; it is a different service line from the compliant-UGC healthcare positioning covered in this guide.

How do you measure ROI from a healthcare marketing agency?

Track cost per lead and cost per appointment scheduled, not just cost per click or impressions. For practices with a defined patient lifetime value, calculate a target cost-per-acquisition ceiling before the campaign launches, then hold the agency to reporting against that number by channel and by creative. Agencies using Media Mix Modeling or multi-touch attribution can separate incremental patients from ones who would have booked anyway, which matters more as ad platforms' own reported ROAS becomes less reliable under privacy changes.

Should a multi-location practice or DSO evaluate agencies differently than a single-location practice?

Yes. A multi-location practice or DSO needs an agency that can run location-specific landing pages, local SEO, and review management across every site without manual duplication, plus reporting broken out by location so underperforming sites do not hide inside a blended average. A single-location practice can often work with a smaller, more generalist healthcare marketing team, since the operational complexity of managing dozens of Google Business Profiles and location pages simply is not there yet.

Is an in-house marketing team or an agency the right call for a growing practice?

In-house makes sense when the practice runs one stable paid channel with low creative-volume needs and already has staff who understand healthcare ad compliance. An agency earns its cost once the practice needs multi-platform paid media, creator content at volume, or a new channel it has no internal experience running, since building that capability from scratch typically takes well over a year longer than hiring a team that already has it.

How long does it take to see results from a healthcare marketing agency?

Paid media campaigns typically show directional lead-volume data within 30 to 60 days, enough to judge whether targeting and creative are working. SEO and organic content take longer, usually 4 to 6 months for meaningful ranking movement in a competitive healthcare market. UGC and creator content sits in between: creative production and testing can surface a winning angle within the first 60 to 90 days once a compliant creator pipeline is running.

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