PELORA Research · Reference

Health and wellness marketing statistics, 2026

69 figures for clinic owners, brand founders and reporters, each read from its primary source on 1 or 2 October 2026, quoted word for word, dated, and followed by what it does not show. No figure on this page comes from a statistics roundup. If a primary page would not open, the figure is not here.

By PELORA Research Published 2 October 2026 Sources read 1 and 2 October 2026 69 figures · 66 sources · 20 government Download the CSV All research

The 30-second answer

Five numbers a clinic owner or a reporter needs first

f01

$5.3 trillion

USD, 2024

US national health expenditure in 2024, 18.0 percent of GDP and $15,474 per person.

Centers for Medicare and Medicaid Services 2024 data; page last modified 24 June 2026 [1]

What the source says
NHE grew 7.2% to $5.3 trillion in 2024, or $15,474 per person, and accounted for 18.0% of Gross Domestic Product (GDP).

Scope: National Health Expenditure Accounts, all payers, calendar 2024.

f26

$66.02

USD cost per lead, search (an average that LocaliQ says is technically a median)

Average cost per lead for healthcare search ads across 3,542 US campaigns; LocaliQ says its averages are technically medians.

LocaliQ 13 January 2026 [2]

What the source says
The average cost per lead for healthcare search ads is currently $66.02.
“Averages” are technically median figures to account for outliers.
This report is based on a sample of 3,542 US-based search advertising campaigns running between October 1, 2024, and September 30, 2025.

Scope: LocaliQ, 3,542 US search campaigns, 1 October 2024 to 30 September 2025; each subcategory has at least 43 campaigns; the report calls its figures averages and says they are technically medians.

f47

68.01%

of US Google searches with no click, January to April 2026

Google searches that ended without a click in January to April 2026 in a Similarweb browser panel; only 0.34 percent of searches went to AI Mode. SparkToro's 2024 figure of 60.45 percent came from a different panel (Datos), a comparison it calls apples and oranges, so the two are separate measurements, not a trend.

SparkToro (Rand Fishkin) 8 June 2026 [3]

What the source says
In the first four months of 2026, a whopping 68.01% of Google searches ended without a click.
In 2024, US zero click searches on Google stood at 60.45%.
Those from 2024 were provided by Datos, now a Semrush company. And 2026’s are from Similarweb [...] Thus, the graph below compares a bit of apples and oranges
Only 0.34% of searches made their way to AI Mode

Scope: Similarweb US desktop and mobile web panel, January to April 2026, excluding the Google mobile app; the 2024 figure is from a Datos panel.

f44

34%

of US adults, June 2026

Americans who ever use AI chatbots for at least one of eight health and medical reasons; a quarter use them to diagnose symptoms.

Pew Research Center 25 August 2026 [4]

What the source says
In all, 34% of Americans ever use AI chatbots for at least one of the eight health and medical reasons we asked about.
A quarter of Americans say they use AI chatbots to diagnose symptoms.

Scope: Pew American Trends Panel, 3,488 US adults, 22 to 28 June 2026.

f30

18 or older

minimum audience age, Meta

Meta requires ads for dietary, health, weight loss and cosmetic products, procedures and services to target adults only.

Meta Transparency Center change log shows 22 July 2026 and 26 December 2024 (US Pacific) [5]

What the source says
Ads promoting or marketing dietary, health, or weight loss or weight gain products and services must be targeted to people at least 18 years or older.
Ads promoting or marketing cosmetic products, procedures or surgeries, must be targeted to people at least 18 years or older.

Scope: Meta Advertising Standards, Health and Wellness, as read 1 October 2026 Pacific.

Each number links to its numbered source at the foot of the page. The groups below hold the other 64 figures, with a chart where the figures bear comparison and a note on what each group cannot tell you.

Group 1 · 13 figures

The health and wellness market and demand

What the government counts: spending, visits, conditions and the workforce. Every figure here is a measurement by a federal statistical agency, with one trade estimate marked as such.

f01

$5.3 trillion

USD, 2024

US national health expenditure in 2024, 18.0 percent of GDP and $15,474 per person.

Centers for Medicare and Medicaid Services 2024 data; page last modified 24 June 2026 [1]

What the source says
NHE grew 7.2% to $5.3 trillion in 2024, or $15,474 per person, and accounted for 18.0% of Gross Domestic Product (GDP).

Scope: National Health Expenditure Accounts, all payers, calendar 2024.

f02

$1,147.5 billion

USD, quarter, seasonally adjusted

Health care and social assistance revenue in the second quarter of 2026, up 7.4 percent on a year earlier.

US Census Bureau 9 September 2026 [6]

What the source says
U.S. health care and social assistance revenue for the second quarter of 2026, adjusted for seasonal variation but not for price changes, was $1,147.5 billion, [...] up 7.4 percent (± 0.6 percent) from the second quarter of 2025.

Scope: Census Quarterly Services Survey, NAICS 62, taxable and tax-exempt firms, seasonally adjusted, not adjusted for prices.

f03

$6,197

USD per consumer unit, 2024

Average annual household spending on healthcare in 2024, of which $4,055 was health insurance.

US Bureau of Labor Statistics 19 December 2025 [7]

What the source says
Average annual expenditures for all consumer units in 2024 were $78,535
Healthcare 5,856(b) 6,159 6,197 5.2* 0.6 [...] Health insurance 3,848(b) 4,049 4,055

Scope: Consumer Expenditure Surveys, all consumer units; the row reads 2022, 2023, 2024 and the percent changes.

f04

84.7%

percent of adults, 2025

Adults who had a visit with a doctor or other health care professional in the past year.

CDC National Center for Health Statistics last reviewed 1 September 2026; 2025 NHIS data [8]

What the source says
Percent of adults who had a visit with a doctor or other health care professional in the past year: 84.7% (2025)

Scope: National Health Interview Survey 2025, US adults.

f05

40.3%

percent of adults 20 and over

Adult obesity prevalence, August 2021 to August 2023; severe obesity 9.4 percent.

CDC NCHS Data Brief 508 September 2024 [9]

What the source says
the prevalence of obesity in adults was 40.3%, with no significant differences between men and women.
The prevalence of severe obesity in adults was 9.4% and was higher in women than men for each age group.

Scope: National Health and Nutrition Examination Survey, measured height and weight, adults 20 and over.

f06

37.0%

percent of adults, 2021

Adults who used telemedicine in the past 12 months in 2021; 42.0 percent of women, 31.7 percent of men.

CDC NCHS Data Brief 445 October 2022 [10]

What the source says
In 2021, 37.0% of adults used telemedicine in the past 12 months.
Telemedicine use increased with age, and was higher among women (42.0%) compared with men (31.7%).

Scope: National Health Interview Survey 2021, US adults.

f07

48.4 million

people aged 12 or older, 2024

People with a past-year substance use disorder in 2024, 16.8 percent of the population.

SAMHSA July 2025 [11]

What the source says
In 2024, 48.4 million people aged 12 or older (or [...] 16.8 percent of the population) had an SUD in the [...] past year

Scope: National Survey on Drug Use and Health 2024, civilian non-institutionalised population aged 12 or older.

f08

12.5%

percent of adults 18 and older, 2025

Adults with regular feelings of worry, nervousness or anxiety; 4.5 percent with regular feelings of depression.

CDC NCHS FastStats last reviewed 28 August 2026; 2025 NHIS early release [12]

What the source says
Percent of adults age 18 and older with regular feelings of worry, nervousness, or anxiety: 12.5%
Percent of adults age 18 and older with regular feelings of depression: 4.5%

Scope: National Health Interview Survey 2025 early release, US adults.

f09

66.7%

percent of adults 18 and older, 2025

Adults with a dental exam or cleaning in the past year.

CDC NCHS FastStats last reviewed 12 June 2026; 2025 NHIS early release [13]

What the source says
Percent of adults age 18 and older with a dental exam or cleaning in the past year: 66.7%

Scope: National Health Interview Survey 2025 early release, US adults.

f10

$6.8 trillion

USD, global, 2024

The Global Wellness Institute's figure for the global wellness economy in 2024, up 7.9 percent on 2023. The institute's own measurement across eleven sectors, not a government count.

Global Wellness Institute 2024 data; page undated [14]

What the source says
The global wellness economy grew by 7.9% from 2023-2024 and reached a new peak of $6.8 trillion in 2024. It has doubled in size since 2013.
We first defined and measured the wellness economy and its component sectors in 2014, these figures are now updated and released every year in the Global Wellness Economy Monitor.

Scope: GWI, eleven wellness sectors, worldwide, 2024, from its Global Wellness Economy Monitor 2025.

f11

1.9 million

job openings a year, 2025 to 2035 projection

Projected annual openings in healthcare occupations; the median wage for practitioners and technical occupations was $86,530 in May 2025.

US Bureau of Labor Statistics May 2025 wages; 2025 to 2035 projections [15]

What the source says
About 1.9 million openings are projected each year, on average, in these occupations due to employment growth and the need to replace workers who leave the occupations permanently.
The median annual wage for healthcare practitioners and technical occupations (such as dental hygienists, physicians and surgeons, and registered nurses) was $86,530 in May 2025

Scope: BLS employment projections 2025 to 2035 and Occupational Employment and Wage Statistics, May 2025.

f12

$97,550

USD median annual wage, May 2025

Registered nurses' median wage; employment projected to grow 6 percent from 2025 to 2035.

US Bureau of Labor Statistics May 2025 wages; 2025 to 2035 projections [16]

What the source says
The median annual wage for registered nurses was $97,550 in May 2025.
Employment of registered nurses is projected to grow 6 percent from 2025 to 2035, faster than the average for all occupations.

Scope: BLS OES May 2025 and employment projections 2025 to 2035.

f13

$176,110

USD median annual wage, May 2025

Dentists' median wage; employment projected to grow 6 percent from 2025 to 2035.

US Bureau of Labor Statistics May 2025 wages; 2025 to 2035 projections [17]

What the source says
The median annual wage for dentists was $176,110 in May 2025.
Overall employment of dentists is projected to grow 6 percent from 2025 to 2035, faster than the average for all occupations.

Scope: BLS OES May 2025 and employment projections 2025 to 2035.

What these numbers do not show

  • The $5.3 trillion is what the whole country spends on health care, including hospitals, insurers and government programs. It is not a market a clinic can address and it says nothing about cash-pay demand.
  • The Global Wellness Institute figure is the institute's own measurement across eleven sectors from spas to real estate, released in its Global Wellness Economy Monitor. It is the only figure in this group that is not a government statistic.
  • Prevalence is not demand. 40.3 percent obesity does not tell you how many people will pay for weight loss care, or in which city.
  • FastStats pages change under you. The CDC last reviewed each page on the date shown; re-read the page before quoting it to a client.

Group 2 · 12 figures

Clinic and practice economics

What a visit is worth, what a practice bills, how long a patient stays. Mostly trade body surveys, public company filings and peer-reviewed studies; the vendor datasets are labelled.

f14

$846

USD per person per year, 2021

Average annual dental spending for adults 18 to 64 with any dental visit, across 2.1 visits a year.

AHRQ March 2024 [18]

What the source says
| 18-64 | $831 | $797 | $846
| 18-64 | 2.1 | 1.9 | 2.1

Scope: Medical Expenditure Panel Survey, 2019 to 2021, constant 2021 dollars; adults 18 to 64 with at least one visit.

f15

$965,660

USD average gross billings per owner dentist, 2025

Average gross billings per owner general practitioner dentist in private practice in 2025; the median was $893,510 across 423 responses.

ADA Health Policy Institute 2025 results [19]

What the source says
Table 5: Gross Billings Per Dentist for Owner Dentists in Private Practice, 2025
A6=General Practitioners A7=All owners B7=965660 C7=583410 D7=893510 E7=1198710 F7=32870 G7=423

Scope: ADA HPI Survey of Dental Practice 2025, Table 5; the columns are average, first quartile, median, third quartile, standard error and number of responses.

f16

$215,320

USD average income, 2025

Average income of general practitioner dentists in 2025; the ADA says inflation-adjusted earnings have been falling as expenses outgrow reimbursement.

ADA Health Policy Institute 2025 results; page undated [20]

What the source says
The average income for GP dentists was $215,320 in 2025. Dentist inflation-adjusted earnings have been decreasing due to an ongoing "fiscal squeeze" brought on by dental practice expenses growing faster than reimbursement.

Scope: ADA HPI Survey of Dental Practice, 2025 results.

f17

70%

average patient retention rate, dental practices with 1 to 7 locations

Average dental patient retention in Henry Schein One's benchmark for practices with 1 to 7 locations; the top 10 percent reach 94 percent and the average no-show rate is 4 percent. The page gives no definition or period.

Henry Schein One 22 April 2026 [21]

What the source says
Takeaways from the top 10% 1-7 location practices
the benchmark average for practices with 1-7 locations is 80%
See how your practice compares to thousands of dental offices nationwide
Average patient retention is 70%. Top 10% practices have retention rates of 94%, showing much stronger continuity and reappointment execution.
| No-show rate | 4% | <1%

Scope: Henry Schein One's own data ("Our data shows") from thousands of dental offices nationwide, in its 2026 Catalyst Index takeaways for practices with 1 to 7 locations; the no-show row reads average then top 10 percent.

f18

10,488

medical spas in the US, 2023

Medical spa locations grew from 8,899 in 2022 to 10,488 in 2023; average revenue per location $1,398,833; patients spend $527 a visit.

American Med Spa Association 6 November 2024 [22]

What the source says
The total number of medical spas increased from 8,899 to 10,488
The average annual medical spa revenue increased from $1,307,587 to $1,398,833
Patients spend an average of $527 during a medical spa visit

Scope: AmSpa 2024 State of the Industry survey of medical spas; sample size not stated in the recap.

f19

$90 an hour

USD national median, 2025

Skilled nursing in the home, hourly; a non-medical caregiver is $35 an hour.

CareScout (Genworth) 2025 survey; page undated [23]

What the source says
Skilled Nursing In The Home Hourly | $90
Non-Medical Caregiver Hourly | $35 | $34 | 3%

Scope: CareScout Cost of Care Survey 2025, about 16,000 provider surveys, national medians.

f20

28.9%

gross margin, quarter ended 4 July 2026

Aveanna's Private Duty Services segment gross margin, down from 32.5 percent a year earlier, at a revenue rate of $44.62 an hour. One public home nursing company's segment, not a cash-pay practice.

Aveanna Healthcare 13 August 2026 [24]

What the source says
PDS [...] Gross margin percentage | | 28.9 | % | | 32.5 | % [...] Hours | | 12,413 | | | 11,053 [...] Revenue rate | $ | 44.62 | | $ | 43.97

Scope: Aveanna Healthcare Q2 2026 results, Private Duty Services segment.

f21

$707

USD mean price per PRP injection, 2019

Mean quoted price of a PRP knee injection; a stem cell injection averaged $2,728. Of 1,345 practices called, 725 disclosed a PRP price, and the pricing table gives n = 818 for PRP.

Momaya et al., Sports Health published online 30 October 2019 [25]

What the source says
The mean ± SD cost of a PRP injection was $707 ± $388 (range, $175-$4973), and the mean cost of an SC injection was $2728 ± $1584 (range, $300-$12,000).
There were 725 (88.6%) offices that disclosed prices of PRP injections and 224 (77.8%) offices that disclosed prices of SC injections.
| Platelet-Rich Plasma, n = 818

Scope: Scripted telephone calls to 1,345 US orthopaedic sports medicine practices; 725 offices disclosed PRP prices; Table 1 gives n = 818 for PRP and the paper is titled The Cost Variability of Orthobiologics.

f22

10.7 months

median persistence on semaglutide or tirzepatide

Median time patients stayed on semaglutide or tirzepatide in an academic obesity clinic's "no cost to patient" bundle program, measured by continuous prescription fills.

Samuels et al., Diabetes, Obesity and Metabolism 5 August 2025 [26]

What the source says
Among 2306 patients (median age 46.0 years, Interquartile Ratio [IQR] 38.0-55.0; 85% female; 68% White, 28% Black, 4% Hispanic), with median persistence 10.7 months (IQR 5.4-16.3).
enrolled in a 'no cost to patient' Medical Weight Loss Bundle program who received ≥1 prescription fill of semaglutide or tirzepatide.
persistence with GLP1RA therapy (continuous prescription fills without a gap ≥84 days)

Scope: 2,306 patients in a single-centre retrospective cohort, January 2022 to December 2024; persistence is continuous prescription fills without a gap of 84 days or more.

f23

$349 a month

USD self-pay list price

Novo Nordisk's self-pay price for Wegovy at the standard doses through its own pharmacy, after an introductory offer.

Novo Nordisk undated page [27]

What the source says
Offer for 2 monthly fills through December 31, 2026, then $349 per month for Wegovy® 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, or 2.4 mg and $399 per month for Wegovy® HD 7.2 mg.

Scope: NovoCare pharmacy price page, read 2 October 2026.

f24

$749,904

USD average gross sales per location, 2025

Average gross sales of Hydrate IV Bar franchise and affiliate locations in 2025, with $496,504 gross profit, as the franchisor reports from Item 19 of its disclosure document.

Hydrate IV Bar 2025 results; page undated [28]

What the source says
Average $749,904 Gross Sales $496,504 Gross Profit [...] *Based on the 2025 average sales numbers of franchise and affiliate owned locations from Item 19 of the 2026 FDD

Scope: Franchise and affiliate owned locations in the franchisor's 2026 FDD, 2025 results; location count not stated on the page.

f25

2,511,000

subscribers, 31 December 2025

Hims and Hers subscribers at the end of 2025, up 13 percent, on $2,347.6 million of revenue. The scale a national telehealth brand reaches.

Hims and Hers Health fiscal 2025 [29]

What the source says
Subscribers grew 13% to approximately 2,511,000 as of December 31, 2025 as compared to approximately 2,229,000 Subscribers as of December 31, 2024.
| Total revenue | | $ | 2,347,637

Scope: Hims and Hers Health 10-K, fiscal 2025; subscribers in thousands in the filing's table.

What these numbers do not show

  • Dental and nursing have real survey data. Med spa, IV therapy and regenerative clinics do not: the figures for those categories come from one trade recap, one franchise disclosure and one phone survey of orthopaedic practices, and the subscriber figure is one telehealth company's own filing. None is a census of the category.
  • A franchise Item 19 reports the average of the locations the franchisor chose to disclose. It is not a typical independent clinic.
  • GLP-1 persistence was measured by prescription fills among patients in an academic clinic's "no cost to patient" bundle program. The paper does not measure a cash-pay clinic.
  • ADA billings are gross billings, not collections, and the survey had a 1.9 percent response rate.

Group 3 · 11 figures

Paid advertising: costs and rules

What a lead costs on search and social, what the platforms will and will not run, and what the regulators enforce. Cost figures are vendor datasets with their samples stated; rules are quoted from the platform or the regulator.

f26

$66.02

USD cost per lead, search (an average that LocaliQ says is technically a median)

Average cost per lead for healthcare search ads across 3,542 US campaigns; LocaliQ says its averages are technically medians.

LocaliQ 13 January 2026 [2]

What the source says
The average cost per lead for healthcare search ads is currently $66.02.
“Averages” are technically median figures to account for outliers.
This report is based on a sample of 3,542 US-based search advertising campaigns running between October 1, 2024, and September 30, 2025.

Scope: LocaliQ, 3,542 US search campaigns, 1 October 2024 to 30 September 2025; each subcategory has at least 43 campaigns; the report calls its figures averages and says they are technically medians.

f27

$120.30

USD cost per lead, search (an average that LocaliQ says is technically a median)

Addiction recovery is the second costliest healthcare search lead in the same dataset, after mental health at $141.17; general dentistry is $84.77 and general practice $62.80.

LocaliQ 13 January 2026 [2]

What the source says
Conversely, Mental Health had the highest average cost per lead this year at $141.17, followed by Addiction Recovery at $120.30, and Plastic & Cosmetic Surgery at $102.51.
General Dentistry | $84.77 | General Practice & Family Medicine | $62.80

Scope: LocaliQ healthcare search benchmarks, subcategories with at least 43 campaigns each; the report calls its figures averages and says they are technically medians.

f28

$61.56

USD cost per lead, Facebook lead campaigns

Dental services had the highest Facebook lead cost in LocaliQ's 2026 benchmarks; beauty and personal care was $50.91.

LocaliQ and WordStream 23 September 2026 [30]

What the source says
The industries with the highest cost per lead for Facebook ads lead campaigns were Dental Services at $61.56, Beauty & Personal Care at $50.91, and Home & Home Improvement at $42.95.

Scope: LocaliQ and WordStream Facebook lead campaign benchmarks, 20 industries, sample size not stated.

f29

$66.69

USD average cost per lead, search, all industries, 2026

LocaliQ's all-industry search benchmark for 2026 put the average cost per lead at $66.69. A separate report and period from the healthcare figure, so the two sit side by side rather than on one scale.

LocaliQ and WordStream 1 June 2026 [31]

What the source says
The average CPL for search advertising in 2026 is $66.69.

Scope: LocaliQ and WordStream, Google Ads and Microsoft Ads campaigns, 2026.

f30

18 or older

minimum audience age, Meta

Meta requires ads for dietary, health, weight loss and cosmetic products, procedures and services to target adults only.

Meta Transparency Center change log shows 22 July 2026 and 26 December 2024 (US Pacific) [5]

What the source says
Ads promoting or marketing dietary, health, or weight loss or weight gain products and services must be targeted to people at least 18 years or older.
Ads promoting or marketing cosmetic products, procedures or surgeries, must be targeted to people at least 18 years or older.

Scope: Meta Advertising Standards, Health and Wellness, as read 1 October 2026 Pacific.

f31

Certification

Google Ads requirement to keyword-target prescription drug terms

Google lets an uncertified advertiser use prescription drug terms in ads and landing pages, but not bid on them as keywords.

Google Ads policy undated page [32]

What the source says
While you don’t need to be certified in order to use prescription drug terms in ads and landing pages, you must be certified in order to keyword-target these terms.

Scope: Google Ads Restricted drug terms policy, as read 1 October 2026 Pacific.

f32

Since October 2019

Google Ads policy

Google has named stem cell therapy and PRP among the cell and gene therapies it does not allow since October 2019; the page still names them in 2026, with exceptions for FDA license holders and educational ads.

Google Ads policy, Google Ads policy change log undated page [33] [34]

What the source says
Except as provided below in relation to the promotion of cell or gene therapies in the United States, the following is not allowed: [...] Stem cell therapy [...] Platelet rich plasma, also referred to as PRP therapies
In October 2019, the Google Ads Healthcare and medicines policy will be updated to prohibit advertising for speculative and experimental medical treatments.

Scope: Google Ads Speculative and experimental medical treatment policy and its October 2019 change-log entry.

f33

21 October 2024

effective date

The FTC rule on consumer reviews and testimonials took effect; it bans buying reviews that express a particular sentiment and faking reviewers.

Federal Register, 16 CFR Part 465 published 22 August 2024; effective 21 October 2024 [35] [36]

What the source says
"effective_on":"2024-10-21"
a violation of this part for a business to write, create, or sell a consumer review, consumer testimonial, or celebrity testimonial that materially misrepresents, expressly or by implication: (1) That the reviewer or testimonialist exists
a violation of this part for a business to provide compensation or other incentives in exchange for, or conditioned expressly or by implication on, the writing or creation of consumer reviews expressing a particular sentiment

Scope: 16 CFR Part 465, as published in the Federal Register and codified in the eCFR.

f35

No measurable benefit

brand keyword ads, eBay field experiment

In large field experiments at eBay, brand-keyword search ads showed no measurable short-term benefit, and returns from paid search were a fraction of conventional estimates.

Blake, Nosko and Tadelis, NBER May 2014 [37]

What the source says
Because search clicks and purchase behavior are correlated, we show that returns from paid search are a fraction of conventional non-experimental estimates. As an extreme case, we show that brand-keyword ads have no measurable short-term benefits.

Scope: NBER Working Paper 20171, controlled experiments at eBay, published May 2014.

f36

+12%

average price per ad, year over year, Q2 2026

Meta's average price per ad rose 12 percent and ad impressions rose 14 percent in the second quarter of 2026, on $60.80 billion of revenue.

Meta Platforms quarter ended 30 June 2026 [38]

What the source says
Ad impressions delivered across our Family of Apps in the second quarter of 2026 increased by 14% year-over-year.
Average price per ad in the second quarter of 2026 increased by 12% year-over-year.
Total revenue for the second quarter of 2026 was $60.80 billion, an increase of 28% compared to the second quarter of 2025, due to an increase in advertising revenue.

Scope: Meta Platforms 10-Q, three months ended 30 June 2026, Family of Apps.

f37

$63.3 billion

USD, Google Search and other revenue, Q2 2026

Google Search and other advertising revenue in the second quarter of 2026, against $54.2 billion a year earlier, about 17 percent more by our division of the two figures.

Alphabet quarter ended 30 June 2026 [39]

What the source says
| Google Search & other | $ | 54,190 | | | $ | 63,271 |

Scope: Alphabet 10-Q, three months ended 30 June 2026 and 2025, in millions.

Figure 1

Cost per lead by category, US dollars

Beauty and personal care, Facebook$50.91Dental services, Facebook$61.56Healthcare, search$66.02All industries, search$66.69General dentistry, search$84.77Addiction recovery, search$120.30
LocaliQ benchmarks from three separate reports and periods: healthcare search (3,542 US campaigns, October 2024 to September 2025), the all-industry search benchmark for 2026, and Facebook lead campaigns 2026. LocaliQ labels the healthcare figures averages and says they are technically medians; the Facebook report states no sample size. Sources [2], [31], [30].

What these numbers do not show

  • A benchmark CPL is one vendor's figure across its own customers' campaigns: LocaliQ says its healthcare "averages" are technically medians across 3,542 campaigns, its Facebook report states no sample size, and its healthcare and all-industry figures come from different reports and periods. Your category, your city and your landing page move it more than any benchmark does. The full cost-per-lead and cost-per-customer ranges by business type are on the benchmarks page and feed the calculator.
  • Policy text does not tell you how a reviewer will read your ad. Only a review outcome in a live account does. Google's page says stem cell therapy and PRP are not allowed; our own Study 01 shows enforcement lands on individual keywords in ways the policy text does not describe.
  • Google's own economic impact methodology arrives at $8 of profit per $1 of ad spend by assuming $2 of profit per $1 from ads (a 2009 paper), five organic clicks for every ad click (a second 2009 paper) and organic clicks worth 70 percent of an ad click. It is an assumption that counts profit from organic search as well as ads, not a measurement of any clinic. We cite it only so you recognise it when you see it. [40]
  • Platform pages change without notice. Meta's change log shows two dates in 2024 and 2026. Re-read the page before telling a client what it says.

Group 5 · 11 figures

Consumer brands, supplements and beverages

What supplement and beverage companies actually earn and spend, from their own SEC filings, plus the government and trade-body usage figures and three vendor datasets with their samples stated.

f48

57.6%

of adults 20 and over, 2017 to 2018

Adults who used any dietary supplement in the past 30 days; 63.8 percent of women and 50.8 percent of men. The government measurement.

CDC NCHS Data Brief 399 February 2021 [45]

What the source says
Among U.S. adults aged 20 and over, 57.6% used any dietary supplement in the past 30 days, and use was higher among women (63.8%) than men (50.8%).

Scope: National Health and Nutrition Examination Survey 2017 to 2018, adults 20 and over.

f49

Three-quarters

of Americans take dietary supplements, 2023

The supplement industry's own consumer survey, run by Ipsos, finds three-quarters of US adults take supplements. The trade-body measurement.

Council for Responsible Nutrition 2023 survey [46]

What the source says
Three-quarters of Americans Take Dietary Supplements; Most Users Agree They are Essential to Maintaining Health, CRN Consumer Survey Finds
In 2023, the survey was conducted online [...] among a nationally representative sample of 3,192 U.S. adults age 18+

Scope: CRN Consumer Survey 2023, 3,192 US adults 18 and over, 9 to 14 August 2023, online.

f50

No pre-market approval

FDA, dietary supplements

FDA does not have the authority to approve dietary supplements before they are marketed; the firm is responsible for ensuring they are not adulterated or misbranded.

US Food and Drug Administration content current as of 27 August 2026 [47]

What the source says
Under DSHEA, FDA does not have the authority to approve dietary supplements before they are marketed.
Under the FD&C Act, a firm is responsible for ensuring that the dietary supplements it manufactures or distributes are not adulterated, misbranded, or otherwise in violation of federal law.

Scope: FDA Questions and Answers on Dietary Supplements, content current as of 27 August 2026.

f51

86.6%

of first-time supplement subscribers placing a second order

Supplements had the leakiest first reorder of the five wellness verticals Recharge measured: 86.6 percent of first-time buyers came back for a second order; 9.8 percent reached a sixth reorder and 1.4 percent a twelfth.

Recharge published July 2026, updated August 2026 [48]

What the source says
These figures come from Recharge platform data covering roughly 1,800 supplement brands over the trailing 12 months. The retention curves follow acquisition cohorts from July 2025 to June 2026 by reorder sequence
Supplements have the leakiest first reorder of any consumable category we measured. Only 86.6% of first-time buyers come back for a second order.
| Supplements & Vitamins | 86.6% | 9.8% | 1.4%

Scope: Recharge platform data, roughly 1,800 supplement brands, acquisition cohorts July 2025 to June 2026 followed by reorder sequence; five wellness and replenishment consumable verticals compared.

f52

50.4%

gross margin, Celsius, 2025

Celsius Holdings' gross margin in 2025, with $318.9 million of advertising on $2,515.3 million of revenue, about 12.7 percent of revenue on advertising by our division of the two figures.

Celsius Holdings fiscal 2025 [49]

What the source says
Gross profit margin increased to 50.4% for the year ended December 31, 2025 from 50.2% for the year ended December 31, 2024.
The Company incurred advertising expenses of approximately $318.9 million, $221.6 million and $160.0 million during the years ended December 31, 2025, 2024 and 2023, respectively.
For the year ended December 31, 2025, revenue was approximately $2,515.3 million, an increase of $1,159.6 million or 85.5%, from $1,355.6 million for the year ended December 31, 2024.

Scope: Celsius Holdings 10-K, fiscal 2025.

f53

36%

of consumer products net sales spent on sales and marketing, 2025

Niagen Bioscience (Tru Niagen) spent $34.9 million on sales and marketing in its consumer products segment, 36 percent of that segment's net sales; 27 percent company-wide on $129.4 million.

Niagen Bioscience (Tru Niagen) fiscal 2025 [50]

What the source says
For our consumer products segment, sales and marketing expenses increased by $6.2 million to $34.9 million in 2025 [...] As a percentage of net sales, these expenses decreased to 36% of net sales in 2025 from 37% in 2024.
As a percentage of net sales, total sales and marketing expenses improved to 27% in 2025 from 30% in 2024
For the years ended December 31, 2025 and 2024, our net sales were approximately $129.4 million and $99.6 million, respectively.

Scope: Niagen Bioscience 10-K, fiscal 2025.

f54

$2.7 million

USD of revenue given up to slotting fees and promotion allowances, 2025

Jones Soda's revenue was reduced by about $2.7 million for slotting fees and promotion allowances in 2025 ($4.3 million in 2024), against advertising costs of $0.7 million. What retail distribution costs a small beverage brand.

Jones Soda fiscal 2025 [51]

What the source says
our revenue was reduced by approximately $2.7 million and $4.3 million, respectively, for slotting fees and promotion allowances.
advertising costs of $0.7 million and $1.2 million, respectively.

Scope: Jones Soda 10-K/A, fiscal 2025.

f55

71%

gross margin, e.l.f. Beauty, fiscal 2026

e.l.f. Beauty's gross margin for the year ended 31 March 2026, on net sales up 25 percent to $1,636.5 million.

e.l.f. Beauty 20 May 2026 [52]

What the source says
Gross margin decreased approximately 50 basis points to 71%, primarily driven by higher tariff costs, partially offset by benefits from pricing.
Net sales increased 25% to $1,636.5 million, primarily driven by growth in both our retailer and e-commerce channels, in the US and internationally.

Scope: e.l.f. Beauty fiscal 2026 results press release.

f56

2.74%

conversion rate, beauty and personal care, Shopify brands

Median conversion rate for beauty and personal care Shopify brands, with a $44.29 cost per acquired customer and a $66 average order value. A vendor dataset.

Polar Analytics 25 August 2026 [53]

What the source says
Beauty & Personal Care | 2.74% | 2.21x | $44.29 | $66 | 18.18% | 18.6%
All metrics shown are medians (not averages) to avoid skew from outliers.

Scope: Polar Analytics, 4,000+ Shopify brands, medians; the row reads CVR, ROAS, CAC, AOV, add-to-cart rate, cart-to-purchase.

f57

56%

median gross margin, 8-figure ecommerce brands

Median gross margin after landed cost, payment fees, shipping and fulfilment was 56 percent for 8-figure brands and 52 percent for 7-figure brands. A vendor dataset.

Finaloop 1 March 2026 [54]

What the source says
Last year, median gross margin was significantly higher for 8-figure brands (56%) versus 7-figure brands (52%).
This data is based on hundreds of 7 and 8-figure brands with Finaloop financials.

Scope: Finaloop, hundreds of 7 and 8-figure brands, $3.16 billion of annual sales, 2023 to 2025.

f58

15%

Amazon referral fee, beauty, health and personal care

Amazon's referral fee on beauty, health and personal care items priced over $10, taken off every sale before advertising and fulfilment.

Amazon undated page [55]

What the source says
Beauty, Health, and Personal Care · 8% for products with a total sales price of $10.00 or less, and · 15% for items with a total sales price greater than $10.00

Scope: Amazon seller pricing page, read 2 October 2026.

Figure 3

Gross margin, public and benchmark brands, percent

e.l.f. Beauty, fiscal 202671%8-figure brands, median (Finaloop)56%7-figure brands, median (Finaloop)52%Celsius Holdings, 202550.4%
Company figures from the e.l.f. Beauty results release and the Celsius 10-K; medians from Finaloop's dataset of hundreds of 7 and 8-figure brands. Finaloop's margin is after landed cost, payment fees, shipping and fulfilment; the public companies report their own definitions. Sources [52], [54], [49].

What these numbers do not show

  • A public company's margin is not a startup's margin. Celsius and e.l.f. buy media and manufacturing at a scale no launch brand reaches.
  • The CRN survey is run by the supplement industry's trade association, through Ipsos. The CDC figure is older but comes from a national examination survey with no sponsor.
  • Polar's Shopify benchmarks are medians across one vendor's customers, and Recharge's retention curve follows one platform's subscription cohorts. They describe the brands that chose that software, not the category.
  • The FDA line is a rule, not a figure: FDA does not have the authority to approve dietary supplements before they are marketed, and the firm is responsible for its products not being adulterated or misbranded.

Group 6 · 9 figures

Home, construction and wealth

The other categories PELORA serves, where a government or trade-body figure exists: house prices, builder and remodeler margins, household income and net worth, and how advisers acquire clients.

f59

$393,700

USD median sales price, new houses, August 2026

Median price of new houses sold in August 2026. The Census Bureau puts the change from August 2025 at 5.8 percent lower with a ±8.2 percent interval, an interval that includes zero.

US Census Bureau and HUD 24 September 2026 [56]

What the source says
The median sales price of new houses sold in August 2026 was $393,700. This is 0.4 percent (±7.4 percent)* above the July 2026 price of $392,200, and is 5.8 percent (±8.2 percent)* below the August 2025 price of $417,900.

Scope: Census Bureau and HUD New Residential Sales, August 2026; sales at a seasonally adjusted annual rate of 684,000.

f60

64.4%

of the average new home price is construction cost, 2024

Construction costs were a record 64.4 percent of the average home price in 2024; the builder's profit was 11.0 percent and marketing 0.8 percent.

NAHB Eye on Housing January 2025 [57]

What the source says
Construction costs account for 64.4% of the average price of a home, according to NAHB’s most recent Cost of Construction Survey.
The average builder profit margin was 11.0% in 2024, up less than a percentage point from 10.1% in 2022.
sales commission (2.8%), financing costs (1.5%), and marketing costs (0.8%)

Scope: NAHB Cost of Construction Survey 2024, national averages; NAHB says the sample is not large enough for a regional breakdown.

f61

20.7%

average gross profit margin, home builders, fiscal 2023

Builders' average gross margin in NAHB's Cost of Doing Business Study, with 79.3 percent of revenue going to land and construction.

NAHB Eye on Housing 11 March 2025 [58]

What the source says
Of that, about $9.0 million (79.3%) was spent on cost of sales (i.e., land, direct and indirect construction costs), which translates into an average gross profit margin of 20.7%.

Scope: NAHB Builders' Cost of Doing Business Study, fiscal 2023.

f62

29.9%

average gross profit margin, remodelers, fiscal 2024

Remodelers' average gross margin, with 70.1 percent of revenue going to labour, materials and subcontractors.

NAHB Eye on Housing 8 April 2026 [59]

What the source says
Of that, about $1.9 million (70.1%) was spent on cost of sales (i.e., labor, materials, contractors), which translates into an average gross profit margin of 29.9%.

Scope: NAHB Remodelers' Cost of Doing Business Study, fiscal 2024.

f63

$611 billion

USD, US remodeling market peak, 2022

Owner spending on improvements and repairs peaked at $611 billion in 2022 and was expected to stay near that level through 2025.

Joint Center for Housing Studies of Harvard University 2025 [60]

What the source says
Since peaking at $611 billion in [...] 2022, the remodeling market has contracted slightly
Yet spending is ultimately expected to [...] remain near its peak through 2025

Scope: Harvard Joint Center for Housing Studies, Improving America's Housing 2025.

f64

$192,900

USD real median family net worth, 2022

Median US family net worth in 2022, up 37 percent in real terms from 2019, the largest three-year rise the survey has recorded.

Federal Reserve Board October 2023 [61]

What the source says
median net worth surged 37 percent to [...] $192,900, and real mean net worth increased [...] 23 percent to $1,063,700

Scope: Federal Reserve Survey of Consumer Finances, 2022, all families.

f65

$83,730

USD median household income, 2024

Median US household income in 2024, not statistically different from 2023.

US Census Bureau 9 September 2025 [62]

What the source says
Median household income was $83,730 in 2024, not statistically different from the 2023 estimate of $82,690

Scope: Current Population Survey Annual Social and Economic Supplement, 2024 income.

f66

$2,551

USD typical client acquisition cost, financial planners, 2026

The typical client acquisition cost reported by financial planners fell to $2,551 in 2026 from $3,800 in 2024; the cost through paid advertising was $8,406 per new client, about half the $16,925 average across all tactics.

Kitces Research 2026 [63]

What the source says
The typical Client Acquisition Cost (CAC) was $2,551 in 2026, down from $3,800 in 2024
Client acquisition costs (CACs) via advertising ($8,406 per new client) are roughly half the average across all marketing tactics ($16,925).

Scope: Kitces Research marketing survey, 506 qualified practices, 6 March to 13 April 2026, on 2025 marketing.

f67

6 to 10 months

engagement to close, Main Street business sales, Q2 2026

Time from engagement to close for Main Street business sales; lower middle market deals averaged 11 to 12 months.

IBBA and M&A Source 25 August 2026 [64]

What the source says
Main Street transactions averaged six to 10 months from engagement to close, while lower middle market deals averaged 11 to 12 months.
completed by 255 Business Brokers and M&A Advisors. Respondents completed 181 transactions this quarter.

Scope: IBBA and M&A Source Market Pulse, 255 brokers and advisors, surveyed 1 to 15 July 2026.

Figure 4

Where a new home's price goes, 2024, percent of average sales price

Construction costs64.4%Builder profit11.0%Sales commission2.8%Financing costs1.5%Marketing costs0.8%
NAHB Cost of Construction Survey 2024, national averages; the remainder is the finished lot and overhead. Source [57].

What these numbers do not show

  • The Census median is for new houses sold nationally in one month; the release gives intervals on its percent changes (±7.4 and ±8.2 percent), not on the median level itself. It is not a local price.
  • NAHB margins are survey averages; the cost-of-construction sample is not large enough for a regional breakdown, as NAHB says on the page.
  • Kitces measures financial planners who answered a marketing survey; its advertising CAC is for the practices that gained at least one client that way.
  • Net worth is a 2022 figure. The next Survey of Consumer Finances covers 2025 and had not been published when this page was built.

Group 7 · 4 figures

PELORA's own studies

Two measurements from our own client work, published with method, raw verdicts and limits. Each is one account or two; neither is a national statistic.

f68

2 of 16

keyword rows flagged, one ad group

In one ad group, on one landing page, with one set of ad copy, Google flagged 2 of 16 keyword rows under its Personalized advertising policy and passed 14.

PELORA Research published 23 September 2026, updated 30 September 2026 [65]

What the source says
2 of 16 keyword rows flagged. 14 passed. Same page, same copy, same ad group, same submission.

Scope: PELORA Research Study 01: two unrelated clinic Google Ads accounts, verdicts transcribed from the Google Ads interface, September 2026.

f69

2 accounts, 0 segments

accounts refused; audience segments configured

Two unrelated clinic accounts in different states returned the same refusal word for word, with no audience segments configured on either.

PELORA Research published 23 September 2026, updated 30 September 2026 [65]

What the source says
2 accounts unrelated, in different states, same refusal word for word
0 audience segments configured on either account

Scope: PELORA Research Study 01, September 2026.

f70

Position 6.8

average Google position, 1.7 percent CTR, 3,121 impressions

A home nursing practice ranked 6.8 on "concierge nursing" with 3,121 impressions and a 1.7 percent click-through rate, because the people searching it wanted a job.

PELORA Research published 23 September 2026 [66]

What the source says
| concierge nursing | 3,121 | 1.7% | 6.8

Scope: PELORA Research Study 02: one in-home nursing practice's Search Console data in a large US metro, September 2026.

f71

31.8 to 60.3

average Google positions on the three buyer phrases

The same practice sat at positions 31.8, 42.7 and 60.3 on the three phrases buyers use, and at 12.4 on the category phrase that does not hire.

PELORA Research published 23 September 2026 [66]

What the source says
Position 12.4 on the phrase that does not hire. Positions 31.8, 42.7 and 60.3 on the three that do. That is the whole finding in four rows.

Scope: PELORA Research Study 02, traced results pages for one metro, September 2026.

What these numbers do not show

  • Two accounts and one Search Console export. These are reproducible observations, not surveys, and they say nothing about how often the pattern occurs elsewhere.
  • Client names, cities and account IDs are withheld in the studies and here. No client figure appears on this page beyond what the published studies already carry.

Method

How the figures were chosen and read

  1. Primary sources only. Government statistical agencies and regulators (CMS, CDC, BLS, Census, SAMHSA, FDA, FTC, the Federal Reserve), platform policy pages and company filings with the SEC, trade bodies, peer-reviewed abstracts, and probability-panel surveys from Pew Research Center and Gallup. Vendor datasets appear where no public measurement exists and are labelled, with their sample stated. No statistics roundup, blog list or secondary summary is cited anywhere on this page.
  2. Read, not recalled. Every page was fetched on 1 or 2 October 2026 and its text saved. Each read time is given in UTC in the sources list with the HTTP status: to the second for the 42 pages read by this build or by the HQ policy tracker, and to the minute for the 24 captures reused from the HQ calculator research, whose log recorded minutes. A page that returned an error, a login wall or a bot check was recorded and left; nothing was retried by another route. The pages that would not open are listed in the companion file.
  3. Quoted word for word. Each figure carries a quotation of 40 words or fewer cut from the saved page text by a script, which stops the build if a quotation cannot be found in the capture. Omitted words are marked [...]. We write percent in our own sentences and keep the source's own symbols inside quotations.
  4. Dated as the source dates it. The date shown is the date the page or dataset states: a survey field period, a fiscal year, a release date or a last-reviewed date. Where a page states no date, it says "undated" and the data year is given instead.
  5. What it does not show. Every group ends with the limits of its own figures. A number without its denominator is a lead, not a finding.
  6. Our own data. Two figures groups come from PELORA's published studies, each from one or two client accounts. No client is named and no unpublished client figure appears here.

The full record, with each quotation, URL, saved capture and read time, is in the CSV. The companion study pages are Study 01 and Study 02; the per-category cost ranges live on the ad benchmarks page and in the calculator; the platform rules in full are on the health advertising compliance pages.

Questions

Five questions this page answers

What does a lead cost for a clinic in 2026?

The average cost per lead for healthcare search ads was $66.02 across 3,542 US campaigns in LocaliQ's benchmark running October 2024 to September 2025; mental health ran $141.17, addiction recovery $120.30 and general dentistry $84.77. LocaliQ's separate all-industry search benchmark for 2026, a different report and period, put the average at $66.69. On Facebook lead campaigns, dental services cost $61.56 a lead. Your category, city and landing page move these figures more than the industry average does.

How many people use AI chatbots for health questions?

Pew Research Center found that 34 percent of US adults ever use AI chatbots for at least one of eight health reasons, and a quarter use them to diagnose symptoms, in a June 2026 survey of 3,488 adults. Gallup and West Health found 25 percent had used an AI tool for health information or advice in late 2025, and only 4 percent of recent users strongly trusted its accuracy.

Do AI summaries in Google reduce clicks to websites?

Pew measured it. Tracking 68,879 Google searches by 900 US adults in March 2025, Pew found users clicked a traditional result on 8 percent of visits when an AI summary appeared and 15 percent when it did not, and that longer, question-style searches produced summaries more often. SparkToro, using a Similarweb browser panel, reports 68.01 percent of US Google searches ended without a click in January to April 2026; its 2024 figure of 60.45 percent came from a different panel, so the two are separate measurements rather than a trend.

What are the main advertising rules for health and wellness businesses?

Meta requires ads for dietary, health, weight loss and cosmetic products or procedures to target people 18 or older. Google lets advertisers use prescription drug terms in ads without certification but requires certification to keyword-target them, and has named stem cell therapy and PRP among treatments it does not allow since October 2019. The FTC's consumer review rule took effect on 21 October 2024.

How big is the health and wellness market?

US national health expenditure was $5.3 trillion in 2024, 18.0 percent of GDP, according to CMS, and health care and social assistance revenue ran at $1,147.5 billion in the second quarter of 2026 according to the Census Bureau. The Global Wellness Institute puts the global wellness economy at $6.8 trillion in 2024; that is a research institute's own figure, not a government count.

How to cite this page

Citation: PELORA Research (2026). Health and wellness marketing statistics, 2026. PELORA Marketing, published 2 October 2026. https://peloramarketing.com/research/health-wellness-marketing-statistics

Citing one figure: cite the primary source named on the tile and its date, and this page as where you found it. Every source link below goes to the publisher's own page.

Corrections: if a figure here does not match its source, or the source has changed, write to hello@peloramarketing.com with the figure number. Corrections are made on the page and logged below, including when they go against us.

Update log

  • 2 October 2026. First published: 69 figures from 66 sources, all read on 1 or 2 October 2026.

Sources

66 sources, in the order they appear

Every link goes to the publisher's own page. The read time is when our script saved the page text; the quotations on this page were cut from those saved copies. Platform and regulator pages change without notice: re-read the page before you act on it.

  1. 1 Centers for Medicare and Medicaid Services, National Health Expenditure Fact Sheet, 2024 data. Date the source states: 2024 data; page last modified 24 June 2026. Read 2026-10-02T05:38:03Z, HTTP 200, saved as cms_nhe.txt.
  2. 2 LocaliQ, Healthcare search advertising benchmarks (3,542 US campaigns, 1 October 2024 to 30 September 2025; LocaliQ says its averages are technically medians). Date the source states: 13 January 2026. Read 2026-10-02T02:41Z, HTTP 200, saved as localiq_hc.txt.
  3. 3 SparkToro (Rand Fishkin), In 2026, Less than One Third of Google Searches Still Send a Click (Similarweb US desktop and mobile web panel, January to April 2026). Date the source states: 8 June 2026. Read 2026-10-02T15:10:32Z, HTTP 200, saved as sparktoro_2026_zeroclick.txt.
  4. 4 Pew Research Center, From diagnoses to treatments: why Americans use AI chatbots for health (3,488 US adults, 22 to 28 June 2026). Date the source states: 25 August 2026. Read 2026-10-02T05:39:58Z, HTTP 200, saved as pew_health_chatbots.txt.
  5. 5 Meta Transparency Center, Advertising Standards, Health and Wellness. Date the source states: change log shows 22 July 2026 and 26 December 2024 (US Pacific). Read 2026-10-02T02:43:53Z, HTTP 200, saved as meta_hw.txt. Route: headless Chromium, default settings, read by the HQ policy tracker build on 1 October 2026 Pacific.
  6. 6 US Census Bureau, Quarterly Services Survey, second quarter 2026, release CB26-146. Date the source states: 9 September 2026. Read 2026-10-02T05:38:06Z, HTTP 200, saved as census_qss.txt.
  7. 7 US Bureau of Labor Statistics, Consumer Expenditures 2024, news release USDL-25-1586. Date the source states: 19 December 2025. Read 2026-10-02T15:05:10Z, HTTP 200, saved as bls_cex.txt.
  8. 8 CDC National Center for Health Statistics, FastStats, Physician office visits. Date the source states: last reviewed 1 September 2026; 2025 NHIS data. Read 2026-10-02T15:05:06Z, HTTP 200, saved as cdc_fs_physician.txt.
  9. 9 CDC NCHS Data Brief 508, Obesity and Severe Obesity Prevalence in Adults, August 2021 to August 2023. Date the source states: September 2024. Read 2026-10-02T15:05:06Z, HTTP 200, saved as cdc_db508.txt.
  10. 10 CDC NCHS Data Brief 445, Telemedicine use among adults, United States, 2021. Date the source states: October 2022. Read 2026-10-02T05:38:05Z, HTTP 200, saved as cdc_db445.txt.
  11. 11 SAMHSA, Key Substance Use and Mental Health Indicators in the United States: Results from the 2024 National Survey on Drug Use and Health. Date the source states: July 2025. Read 2026-10-02T05:39:58Z, HTTP 200, saved as samhsa_nsduh24_pdf.txt.
  12. 12 CDC NCHS FastStats, Mental health. Date the source states: last reviewed 28 August 2026; 2025 NHIS early release. Read 2026-10-02T05:38:04Z, HTTP 200, saved as cdc_mental.txt.
  13. 13 CDC NCHS FastStats, Oral and dental health. Date the source states: last reviewed 12 June 2026; 2025 NHIS early release. Read 2026-10-02T15:05:07Z, HTTP 200, saved as cdc_fs_dental.txt.
  14. 14 Global Wellness Institute, Wellness Economy Statistics and Facts (2025 Global Wellness Economy Monitor, 2024 data). Date the source states: 2024 data; page undated. Read 2026-10-02T15:05:23Z, HTTP 200, saved as gwi_stats.txt.
  15. 15 US Bureau of Labor Statistics, Occupational Outlook Handbook, Healthcare occupations. Date the source states: May 2025 wages; 2025 to 2035 projections. Read 2026-10-02T15:05:10Z, HTTP 200, saved as bls_ooh_healthcare.txt.
  16. 16 US Bureau of Labor Statistics, Occupational Outlook Handbook, Registered nurses. Date the source states: May 2025 wages; 2025 to 2035 projections. Read 2026-10-02T05:39:01Z, HTTP 200, saved as bls_ooh_rn.txt.
  17. 17 US Bureau of Labor Statistics, Occupational Outlook Handbook, Dentists. Date the source states: May 2025 wages; 2025 to 2035 projections. Read 2026-10-02T05:39:01Z, HTTP 200, saved as bls_ooh_dentists.txt.
  18. 18 AHRQ, Medical Expenditure Panel Survey Statistical Brief 555, Dental utilization and expenditures, 2019 to 2021. Date the source states: March 2024. Read 2026-10-02T02:47Z, HTTP 200, saved as meps555.txt.
  19. 19 ADA Health Policy Institute, Survey of Dental Practice, selected 2025 results (Excel tables; 1,113 responses, 1.9 percent response rate, weighted). Date the source states: 2025 results. Read 2026-10-02T02:47Z, HTTP 200, saved as ada_sdp25.txt.
  20. 20 ADA Health Policy Institute, Trends in dentists' income, revenue and hours worked. Date the source states: 2025 results; page undated. Read 2026-10-02T02:46Z, HTTP 200, saved as ada_income.txt.
  21. 21 Henry Schein One, 2026 Catalyst Index: Dental Practice Benchmarking Report (its own data, "Our data shows", from thousands of dental offices nationwide; takeaways for practices with 1 to 7 locations; definition and period not stated). Date the source states: 22 April 2026. Read 2026-10-02T02:46Z, HTTP 200, saved as hso_catalyst.txt.
  22. 22 American Med Spa Association, 2024 Medical Spa State of the Industry Executive Report recap (2023 data). Date the source states: 6 November 2024. Read 2026-10-02T03:03Z, HTTP 200, saved as amspa24.txt.
  23. 23 CareScout (Genworth), Cost of Care Survey, 2025 national medians (about 16,000 provider surveys, July to November 2025). Date the source states: 2025 survey; page undated. Read 2026-10-02T02:59Z, HTTP 200, saved as carescout.txt.
  24. 24 Aveanna Healthcare, second quarter 2026 results, Private Duty Services segment (company press release). Date the source states: 13 August 2026. Read 2026-10-02T03:00Z, HTTP 200, saved as aveanna.txt.
  25. 25 Momaya et al., The Cost Variability of Orthobiologics, Sports Health 12(1), scripted calls to 1,345 US orthopaedic sports medicine practices. Date the source states: published online 30 October 2019. Read 2026-10-02T02:42:08Z, HTTP 200, saved as sportshealth.txt.
  26. 26 Samuels et al., Real-world titration, persistence & weight loss of semaglutide and tirzepatide in an academic obesity clinic, Diabetes, Obesity and Metabolism, PubMed 40762026. Date the source states: 5 August 2025. Read 2026-10-02T02:56Z, HTTP 200, saved as vumc_glp1.txt.
  27. 27 Novo Nordisk, NovoCare pharmacy self-pay prices for Wegovy. Date the source states: undated page. Read 2026-10-02T02:52Z, HTTP 200, saved as novocare_wegovy.txt.
  28. 28 Hydrate IV Bar, franchise page citing Item 19 of its 2026 Franchise Disclosure Document, 2025 results. Date the source states: 2025 results; page undated. Read 2026-10-02T02:46Z, HTTP 200, saved as hydrate_item19.txt.
  29. 29 Hims and Hers Health, Form 10-K for the year ended 31 December 2025, filed with the SEC. Date the source states: fiscal 2025. Read 2026-10-02T05:38:57Z, HTTP 200, saved as sec_hims_10k25.txt.
  30. 30 LocaliQ and WordStream, Facebook advertising benchmarks 2026, lead campaigns (sample size not stated). Date the source states: 23 September 2026. Read 2026-10-02T02:46Z, HTTP 200, saved as localiq_fb.txt.
  31. 31 LocaliQ and WordStream, Search advertising benchmarks 2026 (Google Ads and Microsoft Ads campaigns). Date the source states: 1 June 2026. Read 2026-10-02T02:43Z, HTTP 200, saved as localiq_search.txt.
  32. 32 Google Ads policy, Restricted drug terms. Date the source states: undated page. Read 2026-10-02T02:34:06Z, HTTP 200, saved as g_rxterms.txt. Route: headless Chromium, read by the HQ policy tracker build on 1 October 2026 Pacific.
  33. 33 Google Ads policy, Speculative and experimental medical treatment, cell therapies, and gene therapies. Date the source states: undated page. Read 2026-10-02T02:32:56Z, HTTP 200, saved as g_cellgene.txt. Route: headless Chromium, read by the HQ policy tracker build on 1 October 2026 Pacific.
  34. 34 Google Ads policy change log, Update to Healthcare and medicines policy (October 2019). Date the source states: October 2019 (posted September 2019). Read 2026-10-02T02:51:45Z, HTTP 200, saved as g_cellgene_2019.txt. Route: headless Chromium, read by the HQ policy tracker build on 1 October 2026 Pacific.
  35. 35 Federal Register, Trade Regulation Rule on the Use of Consumer Reviews and Testimonials, document 2024-18519. Date the source states: published 22 August 2024; effective 21 October 2024. Read 2026-10-02T02:35:10Z, HTTP 200, saved as fr_2024_18519.txt. Route: Federal Register API, the documented route for programmatic reads.
  36. 36 16 CFR Part 465, Rule on the Use of Consumer Reviews and Testimonials, eCFR text current to 30 September 2026. Date the source states: eCFR version of 30 September 2026. Read 2026-10-02T02:35:26Z, HTTP 200, saved as ecfr465.txt. Route: eCFR versioner API, the documented route for programmatic reads; the HTML page sits behind a CAPTCHA and was not opened.
  37. 37 Blake, Nosko and Tadelis, Consumer Heterogeneity and Paid Search Effectiveness: A Large Scale Field Experiment, NBER Working Paper 20171. Date the source states: May 2014. Read 2026-10-02T05:38:07Z, HTTP 200, saved as nber_bnt.txt.
  38. 38 Meta Platforms, Form 10-Q for the quarter ended 30 June 2026, filed with the SEC. Date the source states: quarter ended 30 June 2026. Read 2026-10-02T05:38:59Z, HTTP 200, saved as sec_meta_10q_q226.txt.
  39. 39 Alphabet, Form 10-Q for the quarter ended 30 June 2026, filed with the SEC. Date the source states: quarter ended 30 June 2026. Read 2026-10-02T05:38:59Z, HTTP 200, saved as sec_goog_10q_q226.txt.
  40. 40 Google Economic Impact, Methodology. Date the source states: undated page; cites a 2009 paper. Read 2026-10-02T05:38:07Z, HTTP 200, saved as google_econ.txt.
  41. 41 Pew Research Center, Americans and AI 2026: chatbots, smart devices and views on impact (5,119 US adults, 17 to 23 February 2026). Date the source states: 17 June 2026. Read 2026-10-02T05:39:58Z, HTTP 200, saved as pew_ai2026.txt.
  42. 42 Pew Research Center, Google users are less likely to click on links when an AI summary appears in the results (900 US adults, 68,879 Google searches, March 2025). Date the source states: 22 July 2025. Read 2026-10-02T05:38:06Z, HTTP 200, saved as pew_aio.txt.
  43. 43 Pew Research Center, Americans want transparency when AI is used in their healthcare (3,488 US adults, 22 to 28 June 2026). Date the source states: 25 August 2026. Read 2026-10-02T05:39:58Z, HTTP 200, saved as pew_health_transparency.txt.
  44. 44 Gallup and West Health, Americans Turning to AI to Supplement Healthcare Visits (more than 5,500 US adults, 27 October to 22 December 2025, Gallup Panel). Date the source states: 14 April 2026. Read 2026-10-02T15:07:37Z, HTTP 200, saved as gallup_707789.txt.
  45. 45 CDC NCHS Data Brief 399, Dietary supplement use among adults, United States, 2017 to 2018. Date the source states: February 2021. Read 2026-10-02T05:38:04Z, HTTP 200, saved as cdc_db399.txt.
  46. 46 Council for Responsible Nutrition, 2023 CRN Consumer Survey on Dietary Supplements (Ipsos, 3,192 US adults, 9 to 14 August 2023). Date the source states: 2023 survey. Read 2026-10-02T15:05:24Z, HTTP 200, saved as crn_survey.txt.
  47. 47 US Food and Drug Administration, Questions and Answers on Dietary Supplements. Date the source states: content current as of 27 August 2026. Read 2026-10-02T15:05:14Z, HTTP 200, saved as fda_ds_qa.txt.
  48. 48 Recharge, Supplement subscription retention (Recharge platform data, roughly 1,800 supplement brands, acquisition cohorts July 2025 to June 2026). Date the source states: published July 2026, updated August 2026. Read 2026-10-02T15:10:32Z, HTTP 200, saved as recharge_supp.txt.
  49. 49 Celsius Holdings, Form 10-K for the year ended 31 December 2025, filed with the SEC. Date the source states: fiscal 2025. Read 2026-10-02T05:38:57Z, HTTP 200, saved as sec_celh_10k25.txt.
  50. 50 Niagen Bioscience (Tru Niagen), Form 10-K for the year ended 31 December 2025, filed with the SEC. Date the source states: fiscal 2025. Read 2026-10-02T15:05:17Z, HTTP 200, saved as sec_niagen.txt.
  51. 51 Jones Soda, Form 10-K/A for the year ended 31 December 2025, filed with the SEC. Date the source states: fiscal 2025. Read 2026-10-02T15:05:21Z, HTTP 200, saved as sec_jones.txt.
  52. 52 e.l.f. Beauty, fourth quarter and fiscal 2026 results, twelve months ended 31 March 2026 (company press release). Date the source states: 20 May 2026. Read 2026-10-02T02:50Z, HTTP 200, saved as elf_fy26.txt.
  53. 53 Polar Analytics, Ecommerce benchmarks by industry (4,000+ Shopify brands, medians). Date the source states: 25 August 2026. Read 2026-10-02T02:45Z, HTTP 200, saved as polar.txt.
  54. 54 Finaloop, Ecommerce profit benchmarks (hundreds of 7 and 8-figure brands, $3.16 billion of annual sales, 2023 to 2025). Date the source states: 1 March 2026. Read 2026-10-02T02:57Z, HTTP 200, saved as finaloop.txt.
  55. 55 Amazon, Sell on Amazon pricing: selling plans and referral fees. Date the source states: undated page. Read 2026-10-02T02:45Z, HTTP 200, saved as amz_pricing.txt.
  56. 56 US Census Bureau and HUD, Monthly New Residential Sales, August 2026. Date the source states: 24 September 2026. Read 2026-10-02T02:48Z, HTTP 200, saved as census_nrs.txt.
  57. 57 NAHB Eye on Housing, Cost of Constructing a Home in 2024. Date the source states: January 2025. Read 2026-10-02T02:48Z, HTTP 200, saved as nahb_cost2024.txt.
  58. 58 NAHB Eye on Housing, Builders' Cost of Doing Business Study, fiscal 2023. Date the source states: 11 March 2025. Read 2026-10-02T02:47Z, HTTP 200, saved as nahb_builder.txt.
  59. 59 NAHB Eye on Housing, Remodelers' Cost of Doing Business Study, fiscal 2024. Date the source states: 8 April 2026. Read 2026-10-02T02:47Z, HTTP 200, saved as nahb_remod.txt.
  60. 60 Joint Center for Housing Studies of Harvard University, Improving America's Housing 2025. Date the source states: 2025. Read 2026-10-02T02:47Z, HTTP 200, saved as jchs2025.txt.
  61. 61 Federal Reserve Board, Changes in U.S. Family Finances from 2019 to 2022, Survey of Consumer Finances. Date the source states: October 2023. Read 2026-10-02T05:38:07Z, HTTP 200, saved as fed_scf23.txt.
  62. 62 US Census Bureau, Income in the United States: 2024, report P60-286. Date the source states: 9 September 2025. Read 2026-10-02T15:05:11Z, HTTP 200, saved as census_p60_286.txt.
  63. 63 Kitces Research, The Kitces Report Vol. 2 2026, How Financial Planners Actually Market Their Services (506 qualified practices, surveyed 6 March to 13 April 2026). Date the source states: 2026. Read 2026-10-02T02:49Z, HTTP 200, saved as kitces26.txt.
  64. 64 IBBA and M&A Source, Market Pulse Survey Q2 2026, press release via PR Newswire (255 business brokers and M&A advisors). Date the source states: 25 August 2026. Read 2026-10-02T03:01Z, HTTP 200, saved as prn_ibba_q226.txt.
  65. 65 PELORA Research, Study 01, Google refuses health keywords one at a time, not by page (PELORA Research's published page, read from disk). Date the source states: published 23 September 2026, updated 30 September 2026. Read 2026-10-02T15:55:57Z, local file, saved as pelora_study01.txt. Route: deployed site source read from disk.
  66. 66 PELORA Research, Study 02, An industry's own name for itself can be a recruiting query (PELORA Research's published page, read from disk). Date the source states: published 23 September 2026. Read 2026-10-02T15:55:57Z, local file, saved as pelora_study02.txt. Route: deployed site source read from disk.

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