Campaign increased top-of-funnel volume, but ID requires a different long-haul specialty strategy.
Overall Applications
6,289 → 8,018 (+27.5%)
Career Page Apps
2,335 → 2,995 (+28.3%)
Provider Applications
128 → 233 (+82%)
U.S. ID Physicians
~14,000 individual NPI providers nationally
Campaign Delivered Volume — But ID Is a Separate Strategic Problem
Total Applications +27.5%
Rose from 6,289 to 8,018 — a lift of +1,729 applications across the full 49-day comparison window.
Career Page +28.3%
Consolidated Career Page applications rose from 2,335 to 2,995, confirming more candidates entered Legacy's own hiring ecosystem.
Seasonality Strengthens the Case
May–June naturally attracts more active candidates due to graduations and fellowship transitions. July–August outperforming May–June cannot be explained by normal seasonality — making the lift more persuasive.
Provider Apps +82%, Hires Flat
Provider applications rose from 128 to 233, but hires moved from 9 to 8. Volume has not yet translated into provider hiring — sharper specialty-specific messaging is needed.
ID Is a Reach and Positioning Problem
ID applications fell from 6 to 1 with zero interviews, offers, or hires in both periods. Recommendation: smaller monthly spend over a longer runway, with physician-facing objection-handling content.
Two Equal 49-Day Windows — With a Seasonality Headwind
Both periods are 49 inclusive days, enabling a clean apples-to-apples comparison of campaign impact.
📅 Before Campaign
May 13 – June 30, 2026
49 inclusive days
Naturally stronger candidate period: graduations, fellowship completions, and school-year transitions drive higher job-search activity in May–June.
📅 After Campaign Launch
July 1 – August 18, 2026
49 inclusive days
Typically a softer candidate period. Job-search activity naturally dips in July–August, making it a harder window to outperform the prior period.
Overall Applications Increased Meaningfully
Net New Applications
Period-Over-Period Growth
Daily Pace Before
applications/day
Daily Pace After
applications/day
Before: 3,850/month
30-day prorated pace (pre-campaign)
After: 4,909/month
30-day prorated pace (post-campaign)
Seasonality Headwind
July–August is typically softer — lifting above May–June despite this headwind is a strong signal of campaign effectiveness.
Career Page Volume Confirms the Campaign Effect
Consolidated Career Page = Legacy Community Health Career Page + Our Career Page + Our Career Page Widget.
Campaign Awareness
Owned-channel outreach
Career Page Applications
2,335 → 2,995 (+28.3%)
Hires
67 → 81 hires
Career Page Growth
+28.3% exact lift
Net Career Page Applications
Daily Pace (apps/day)
30-Day Prorated Pace/Month
Hires: 67 → 81
Career Page hires increased in absolute terms.
Hire Rate: 2.87% → 2.70%
Rate slightly compressed by volume growth — more candidates entered the funnel than hires could absorb in the same window.
The campaign drove more candidates into Legacy's own hiring ecosystem. The slight hire-rate dip is expected when top-of-funnel volume expands; the important signal is that owned-channel application volume moved materially.
Provider Applications Rose, but Hiring Has Not Caught Up Yet
Before: May 13 – June 30
128 Provider Applications
Top of funnel
9 Provider Hires
Hire rate: 7.0%
After: July 1 – August 18
233 Provider Applications
Top of funnel — +82.0%
8 Provider Hires
Hire rate: 3.4% — hiring did not scale with applications
Infectious Disease Is the Clear Volume Bottleneck
Provider roles defined as: physicians, nurse practitioners, physician assistants, APPs, psychiatrists, dentists, licensed psychologists. Infectious Disease = provider titles containing "infectious," excluding director roles.
Before: May 13 – June 30
6 ID Applications (All Sources)
3 ID Career Page Applications
0 Interviews / Offers / Hires
After: July 1 – August 18
1 ID Application (All Sources)
1 ID Career Page Application
0 Interviews / Offers / Hires
"Not enough volume to judge conversion. First, we need to build the pipeline."
Specialty Audience Size Changes the Advertising Math
U.S. individual NPI provider universe (primary or secondary taxonomy). Larger specialties support heavier monthly spend and faster testing cycles. Smaller specialties require lower monthly spend spread over a longer runway.
Internal Medicine: 243,967
~17.4x larger than ID universe. Supports broader monthly ad spend, faster testing, and larger campaign bursts.
OB/GYN: 60,330
~4.3x larger than ID universe. Moderate monthly spend, role-specific creative, balanced conversion and brand-building.
Infectious Disease: 14,031
Baseline (1x). Very limited addressable audience. Needs lower monthly spend, longer runway, retargeting, and sourcing.
Texas ID Physician Pool Is Especially Small
Texas Adult ID Physicians
Individual NPI providers by primary practice location in Texas
U.S. ID NPI Universe
Individual NPI providers nationally (primary or secondary taxonomy)
ABIM Valid ID Certificates
Board-certified ID physicians nationally (context reference)
Why Outpatient ID Needs a Different Message
ID physicians are often drawn to hospital-based work for inpatient consult complexity, case variety, stewardship, infection control, and hospital visibility. The real objection: "Will I still see enough variety and clinical complexity?" Legacy must directly address this.
🏥 Hospital ID — The Pull
- Wide case variety and inpatient consult complexity
- Antimicrobial stewardship leadership
- Infection control and hospital visibility
- Exposure to high-acuity, rapidly evolving cases
- Built-in interdisciplinary collaboration
🌱 Legacy Outpatient ID — The Promise
- Continuity of care: HIV and chronic infectious disease management
- Community health mission and access impact
- Prevention, education, and health equity at scale
- Longitudinal patient relationships — a different kind of depth
- Stable outpatient practice with meaningful clinical complexity
Future Video Content Should Answer the Real Objections
Each recommended video addresses a specific physician objection or concern — moving candidates from skepticism to informed consideration before they apply.
What Outpatient ID Looks Like at Legacy
Objection answered: "I don't know what an outpatient ID practice actually looks like day-to-day."
Why ID Physicians Can Still Practice Meaningful Medicine Outside the Hospital
Objection answered: "Will I lose clinical complexity and intellectual stimulation?"
The Patients Who Need You Here
Objection answered: "Will my work matter as much as it does in a hospital setting?"
From Hospital Consults to Longitudinal Impact
Objection answered: "Can outpatient ID offer the same level of career satisfaction and growth?"
Meet the Team / Meet the Mission
Objection answered: "Who are the people I'd be working with, and do I believe in what they're doing?"
Right-Size Monthly Spend to the Specialty Audience
Match spend intensity and campaign duration to the size of the addressable specialty audience. The smaller the pool, the longer the runway and the more emphasis on sourcing, retargeting, and relationship-building.
Large Specialties (Internal Medicine)
Larger monthly audience. More available candidates. Higher monthly spend. Faster testing cycles. Broader campaign bursts. Measure: applications, interviews, hires.
Mid-Size Specialties (OB/GYN)
Moderate monthly spend. Role-specific creative. Location and benefit messaging. Balance conversion and brand-building. Measure: qualified applicants, hire rate.
Small Specialties (Infectious Disease)
Lower monthly spend over a longer period. More retargeting, sourcing, and repeated exposure. Measure: video views, landing-page engagement, repeat visitors, recruiter conversations, warm leads sourced.
Campaign Worked for Volume. ID Needs a Longer Arc.
✅ Campaign Worked for Volume
- +1,729 total applications (+27.5%)
- +660 Career Page applications (+28.3%)
- ~+28% lift achieved against a July–August seasonality headwind
- More candidates entered Legacy's owned hiring ecosystem
- Campaign successfully expanded top-of-funnel reach
Continue campaign investment for broad roles and larger specialties.
🔄 ID Needs a Longer Arc
- Small specialty pool (~14.0k nationally, ~832 in Texas)
- Real outpatient-vs-hospital objection to address directly
- Smaller monthly spend over a longer runway
- Targeted advertising + sourcing + physician-facing video
- Objection-handling content before expecting applications
- Measure engagement first, applications second
ID is a different problem — size the strategy to the specialty.
Source Notes and Assumptions
Campaign Files
Legacy Source Quality by Job exports for May 13–June 30 and July 1–August 18. Each period is 49 inclusive days.
Period Definitions
Consolidated Career Page = Legacy Community Health Career Page + Our Career Page + Our Career Page Widget. Provider roles = physicians, NPs, PAs, APPs, psychiatrists, dentists, licensed psychologists. ID roles = provider titles containing "infectious," excluding director roles.
Market-Size Sources
NPI Profile / NPPES provider taxonomy counts: Internal Medicine 207R00000X, OB/GYN 207V00000X, Infectious Disease 207RI0200X. CMS NPPES/NPI Registry API for Texas ID count. ABIM ID diplomate data for board-certification context.
Caveats
NPI counts are addressable-provider universe estimates, not exact counts of active, board-certified, or job-seeking physicians. Taxonomy codes are self-selected and can include primary or secondary taxonomy assignments. Seasonality note is a recruiting-cycle interpretation, not a completed year-over-year seasonal analysis.
Campaign Readout: Volume Lift, Provider Reality, and the Infectious Disease Long Game