What We Do
Penstock
Penstock came to us at a turning point. Competing in a crowded payment integrity space dominated by legacy players, they needed more than a new look—they needed a brand that could match their mission: restoring integrity and accountability to healthcare payments. We became their full-service marketing partner, helping transform Penstock from a promising disruptor into one of the fastest-growing companies in healthcare.
Building a brand that moves markets.
We understood the stakes because we understand healthcare. Our team positioned Penstock as the partner health plans need—one that delivers precision, transparency, and measurable results. Together, we built a marketing foundation designed for growth and credibility—from messaging and design to activation and analytics.
Revenue growth in just three years
Ranked #353 on the 2025 Inc. 5000 list and #1 fastest-growing private company in the Northeast
Tripled sales pipeline
ROI from a single campaign activation
The challenge.
When Penstock first entered the market, they were up against industry giants with deep pockets and decades of name recognition. The payment integrity space was crowded, competitive, and dominated by vendors selling the same promise: to help payers find savings.
Despite delivering real results, Penstock’s story wasn’t breaking through. Their capabilities were strong—but their brand didn’t reflect the innovation, precision, and accountability that set them apart.They needed a way to define their difference, earn credibility with health plans, and prove that a smaller, specialized partner could deliver more value than the biggest players in the field.
Campaign spotlight: HPRI tradeshow activation.
Even the strongest brand needs the right moments to shine. For the Health Plan Revenue Integrity (HPRI) conference, Penstock needed to stand out in a sea of look-alike vendors.
Sixfold concepted and launched the “Penstock Bucks” campaign—a gamified experience that turned attendee engagement into pipeline. Participants searched for hidden “bucks” throughout the event and cashed them in at the booth, sparking conversations and positioning Penstock as both approachable and innovative.
We extended the theme across every touchpoint—emails, a custom landing page, and immersive visuals—to reinforce one clear message: Penstock helps uncover the missed dollars other firms leave behind..
The impact:
- 16,000% ROI in pipeline
- A fully booked sales calendar
- Record event engagement and lasting brand recall
Work that moves what matters.
We partner with healthcare brands that refuse to stand still—helping them find their edge, amplify their voice, and turn complexity into momentum. Explore the ideas, campaigns and rebrands redefining how this industry connects and grows.
