Paid Growth Campaign

Meridian's three-clinic network was running Google and Meta campaigns that had gone untouched for eighteen months. Spend had crept to $22,000 per month, but new patient bookings were flat. The internal team tracked clicks and impressions—not actual appointments. Nobody knew which campaigns were working, and the agency they'd used had left the account without explanation.

We paused all live campaigns on day one and spent ten days on forensics: two years of ad account history, conversion path data, and an exit interview with the former agency. We found six active campaigns targeting the same audience with nearly identical creative. We rebuilt the account from scratch around three patient archetypes the clinical team helped us define. Attribution was wired directly into the practice management system—so every ad click could be tied to a booked appointment within 72 hours.