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NCNA

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North Carolina Nurses Association

Strategic Insurance Policy

Membership Acquisition Economics

Unit Economics: LTV vs. CAC

ROI: Your Insurance Policy

Lifetime Value (LTV) and Cost of Acquisition (CAC) are the definitive metrics of membership sustainability. A healthy LTV:CAC ratio for associations typically targets 3.0x or higher.

Member LTV

$1,100

5-Year Gross Value

Blended CAC

$0

Cost per Join

Efficiency Ratio

0.0x

LTV : CAC

Growth Engine: 2021-2029

The Turnaround: From 7% Decline to Sustainable Growth

Halmyre Strategy Impact

Year 1: Turnaround

0

Net Position Change

Year 2: Recover

0

Net Position Change

Year 3: Accelerate

0

Net Position Change

Total New Acquisitions (3yr) 0
Cumulative 5-Yr LTV Potential $0
Insurance Leverage Ratio 0.0x

"The precision of Phase 1 pays for the execution of Year 3."

By moving conversion from guesswork to precision, NCNA improves the yield on its visibility by approximately 0%.

2026 Deep Dive: Managing the Pivot

Phase 1: The Turnaround Reality

Why are we still in a decline in Year 1?

Growth is a lagging indicator. NCNA is currently feeling the weight of a 7% downward trend that began in 2021. In Year 1, our primary goal is "Turnaround" — offsetting the "Leaky Bucket" effect with a high-precision acquisition engine.

The Partial-Year Effect:

We assume acquisition efforts in 2026 reflect a partial year. The engine won't be fully in-market until mid-year.

Leadership Expectations:

Stopping the decline is a prerequisite for growth. Year 1 is about Verifying the Value Equation.

Revenue starts to stabilize as high-conversion new members begin to offset older, unengaged churn.

"Sustainable growth is the result of strategic insurance protecting the marketing budget from the very first dollar spent."

Strategic Planning & Assumptions Guide

1. Market Visibility & Benchmarks

We use a benchmark of $0.025 per impression for the NC nursing demographic. We assume 75% of your annual marketing budget is deployed into media acquisition, while 25% is reserved for creative services.

2. LTV & Retention

We assume a 5-year minimum stay. Member Journey Mapping ensures the onboarding journey is optimized to exceed the "Value Equation."

3. The Precision Multiplier

Strategy moves conversion from baseline guesswork to precision. Without strategy, a significant portion of budget goes to the wrong message.

Leadership Planning Insight:

View Halmyre's strategy as risk mitigation and a boosting multiplier — ensuring that when NCNA buys its 2.3M annual impressions, they convert at the highest possible efficiency.