We grew a health clinic's patient bookings 2.5×
How we scaled Wrenfield's Google Ads to nearly two-and-a-half times its launch-quarter patient bookings at peak — while turning return on ad spend from a fraction of cost into more than three times it — on a flat fee.
The partner
Wrenfield is a U.S. health clinic. Patient acquisition has to pay for itself — each booking carries real value, so the account's job is to grow booked patients while turning ad spend from a cost into a positive return.
Goals
- Grow booked patients predictably.
- Turn ad spend into a positive return, not just a cost.
- Capture high-intent health search.
- Measure every call and booking, with their value.
- Scale without the cost per booking climbing.
Strategy
We paired high-intent Search with Performance Max and made conversion value the north star — so the clinic didn't just get more bookings, it got a return: spend turned from a fraction of the value it produced into a multiple of it.
- 01
Captured high-intent health search
Search on the queries that carry genuine booking intent for the clinic's services.
- 02
Tracked value, not just leads
Bookings and their value were measured so bidding optimized to return, not raw volume.
- 03
Added reach with Performance Max
Performance Max expanded volume once value tracking proved which bookings paid.
- 04
Turned ROAS positive
Bid and budget management moved the account from a fraction of cost to a multiple of it.
- 05
Optimized weekly
A weekly loop compounded bookings and return toward a peak quarter.
Results
At its peak quarter booked patients ran nearly two-and-a-half times the launch quarter, while return on ad spend climbed from roughly a fifth of cost to more than three times it — and the cost per booking came down.
Patient momentum
Booked patients per quarter · % change vs the launch quarterThe team
A senior-run Google Ads pod: strategy & account lead and a PPC specialist on daily optimization — the same people, on a flat monthly fee.
Metrics shown as relative growth. Absolute account figures are kept confidential.
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