Every dollar, optimized every 12 seconds
Automated bid management, real-time budget reallocation, creative testing, and true conversion tracking — across Google, Meta, TikTok. Your dollars move to what's actually working, not what looked good yesterday.
Ad platforms are built to reward attention. If nothing's watching Monday to Friday, your dollars quietly flow to what isn't converting
Six jobs, done every 12 seconds
Not once a week when the account manager remembers to log in. Every dollar, every ad group, every twelve seconds.
Real-time bid management
Every 12 seconds
Every keyword bid re-checked and re-priced against real conversion data — not weekly, not daily. Every 12 seconds.
Budget reallocation
Dollars find what works
Sees which campaigns are converting, shifts spend automatically — within the caps you set, never past them.
Creative testing
Auto A/B, always on
Multiple headline & image variants rotate against each other. Losers pause. Winners scale. You approve the initial set.
Audience refinement
Learn who books
Analyzes demographics, times, devices, geographies of patients who actually convert. Then targets more of them.
Wasted spend detection
Auto-pause before you notice
Ad groups exceeding your CPA threshold auto-pause pending your morning review. No more Monday-morning surprises.
True conversion tracking
Bookings, not clicks
Real conversions — calls, form fills, PMS bookings — tied back to the ad that drove them. Not just impressions.
Every 12 seconds, same five steps
Ingest → analyze → decide → execute → log. Roughly 6,240 times a day per account. Every decision, auditable.
Signals in
Pull performance data from every platform — every 12 seconds.
Score everything
Every ad group scored on CPA trend, conversion rate, and audience quality.
Choose action
Bid up, bid down, pause, or reallocate — within your caps and guardrails.
Push to platform
Change goes live via API. Google, Meta, TikTok — all synced in real time.
Reasoning saved
Every decision, every reason, every dollar — auditable, exportable, yours.
One brain, every platform
Google, Meta, TikTok — all in one loop, all reading your real conversion data. No more platforms optimizing for themselves.
What we won't do, ever
Six commitments enforced in code and contract — not just written on a slide.
Never uses health-condition targeting
Google and Meta ban targeting by medical condition — we don't just avoid it, we can't. Enforced in code.
Never makes unbacked treatment claims
No “painless,” no “guaranteed,” no “#1 in the state” without proof. Every claim reviewed before it goes live.
Never optimizes for vanity metrics alone
Impressions and CTR are inputs, not outputs. The only metric we care about is real conversions — bookings and calls.
Never hides spend behind agency markup
You see what Google charges. We charge you separately. If a competitor won't show you their platform invoices, ask why.
Never locks you into a contract
Month-to-month. Cancel anytime. Take the account, the history, and the learnings with you. Zero exit friction.
Never launches changes without your opt-in
Guardrails you set = guardrails we respect. Auto-changes within limits; anything past them waits for your approval.
Wherever your patients are searching
Eight platforms, one brain, one weekly report. Optimize the ones that matter for your specialty.
Have a niche platform? If it has a real-time bidding API, we can plug in. Ask us on your audit call.
The commitments, signed and dated
Every dollar you spend, every decision we make, every report you see — on the record.
Transparency isn't a feature. It's the whole point
Every account we manage stays in your name. Every dollar you spend goes directly to the platform. Every decision the AI makes is logged with its reasoning — and delivered in a weekly report.
What we hold ourselves accountable to
Operational commitments — not marketing numbers.
The questions practice owners actually ask
Ownership, transparency, HIPAA, exit. Straight answers.
01
Who owns the ad accounts — you or us?
Ownership
You do. Always. We work inside your Google Ads, Meta Ads, and platform accounts as authorized managers. If you ever fire us, everything — account, history, learnings, conversion data — stays with you. No handoff drama, no rebuilds.
02
How is this different from a normal ad agency?
Pricing
Three things. First, no markup — you see exactly what Google charges. Second, every 12 seconds instead of “we'll check next Tuesday.” Third, full transparency — every AI decision is logged with its reasoning, and you get a weekly report.
03
What ad platforms do you optimize?
Platforms
Google Search & Display, YouTube, Meta (Facebook + Instagram), TikTok, LinkedIn, Microsoft Ads (Bing), and Google Local Services. If a platform has a real-time bidding API, we can plug in.
04
We're already running ads. How do you take over?
Setup
We audit first — free, view-only access to your accounts. We show you exactly where money is leaking, what to keep, and what to change. If you like it, we plug in over a weekend. Nothing pauses; nothing gets rebuilt from scratch.
05
Is this HIPAA-safe? Meta and Google have strict rules for medical ads
Compliance
Yes — and it's a real constraint. We never use health-condition targeting (which Google and Meta ban for medical), never make treatment outcome claims, and route all copy through our compliance review before it goes live. This is why healthcare-specific matters.
06
What if we want to pause or stop optimizing?
Pricing
One click, anytime, no penalty. Pause the automation — your ads keep running exactly as they were. Full stop — hand you the account, keys, and a written summary of what we learned. Zero lock-in, ever.
Want us to audit your ad spend?
Free, view-only, no obligation. Share read access to your Google Ads & Meta accounts. Within a business day, we'll show you exactly where money is leaking — and what we'd do differently.
Watch it optimize your account.
Share view-only access to your Google Ads or Meta Ads. Within a business day, we'll walk you through exactly where money is leaking, what we'd change, and what it'd save you — free, no commitment, ever.