Our clients don't grow for a year. They keep growing.

Opened with no patient base, no reviews and no search history — competing against established hospitals with a decade of authority.

Local Services Ads first for verified top-of-page placement, symptom-cluster Google Ads scaled to overnight hours, and an AI SEO build so assistants name the hospital for after-hours questions.

Bidding on “veterinary dentistry” — a term almost no pet owner types — while owners searched the symptom instead.

Rebuilt the account around smell, tartar and mouth-pain language, matched each cluster to a dedicated landing page, and pruned dead keywords weekly.

Every location ran its own ads with no shared reporting, and promotions crossed state lines without a compliance check.

One Client Portal across all locations, budget shifted monthly toward whichever site was booking, and every promotion verified by the Compliance Checker before it ran.

Shopping feed was unstructured and refill demand was invisible, so spend chased first orders that never repeated.

Rebuilt the Shopping feed around refill economics, split campaigns by first purchase versus repeat, and added Meta retargeting for lapsed refills.

No storefront, no map pin advantage, and ads spending well outside a drivable service radius.

Radius-precise targeting around the real route, neighborhood social presence, and a booking-first site built for phones.

Relied entirely on referring DVMs, with no visibility to owners researching a condition on their own.

Condition-based search and AI SEO for self-referring owners, plus a referral-facing content layer that keeps partner clinics informed.