The full story behind the numbers — what was broken, what we changed, and what it produced.
Healthcare · Google Ads
Rebuilding a search account from the ground up
3.8×
Return on Ad Spend
−54%
Wasted Spend
2Q
Time to Result
The Challenge
A regional healthcare group was running a single, sprawling search campaign with thousands of unsegmented keywords. Budget was being eaten by broad, low-intent traffic and there was no clear line between spend and patient bookings.
The Approach
We tore the account down and rebuilt it around intent tiers — separating high-intent booking searches from research-phase queries, each with its own budget, bidding, and messaging. Clean conversion tracking was wired in before anything relaunched.
The Result
Within two quarters, ROAS climbed to 3.8× as budget shifted toward the searches that actually converted. Cost per booking fell sharply, and reporting finally tied spend directly to patient acquisition.
Staffing · Employment Ads
Filling hard-to-staff roles without raising budget
−42%
Cost Per Applicant
2.3×
Qualified Applicants
90d
Engagement
The Challenge
A staffing firm couldn't fill specialized roles fast enough. Generic job-board spend was producing volume but almost no qualified candidates, and cost per applicant kept climbing.
The Approach
We built role-specific campaigns with tight geographic and demographic targeting, paired with dedicated landing pages for each requisition. Application tracking let us optimize toward quality, not just clicks.
The Result
Cost per applicant dropped 42% while qualified applications more than doubled. The firm filled its priority roles ahead of schedule and kept the framework for future hiring pushes.