Cleveland Chiropractic Best Month on Record
The last 30 days landed 80.5 paid conversions at an ads-only cost of $7.58 each. That is the highest lead volume and the lowest cost the account has ever recorded, on a deliberately careful budget while Jake is still recovering. Inside: the June numbers, where the PracSuite attendance pipeline sits, the website rebuild offer that went out on 10 June, and one access item we need to chase before next month.
June Performance
Paid conversions climbed again on a near-flat budget. The ads-only cost per lead is now $7.58, down from $8.27 in May and $12.32 in April. Fully loaded with the $330 management fee, the all-in cost per lead is $11.68, the lowest the account has ever produced.
Total Ad Spend
Practically flat against May's $607.00 and up modestly on April's $505.78. We have held the reduced daily budget set during Jake's recovery, so the lift this month came from efficiency, not extra spend.
Paid Conversions
Up from 73 in May (+10%) and 41 in April (+96%). Counts PracSuite booking submissions and website lead form fills, the same definition used in prior months. Excludes contacts, direction requests and page views.
All-In Cost per Lead
Fully loaded with the $330 CAGM fee: $610.23 ad spend plus $330, across 80.5 conversions. Down from $12.84 in May (-9%) and $20.28 in April (-42%). Ads-only cost per lead is $7.58. At the 50% off first-consult offer of $62.50, the account still pays back on the first visit.
Spend vs Results Five Months, One Direction
Five months of live data since the March campaign rebuild. Cost per lead is shown fully loaded, including the $330 you pay CAGM to manage the account. Every column keeps moving the right way.
| Metric | February | March | April | May | June | Direction |
|---|---|---|---|---|---|---|
| Ad Spend | $572.63 | $593.55 | $505.78 | $607.00 | $610.23 | Steady |
| + CAGM Fee | $330.00 | $330.00 | $330.00 | $330.00 | $330.00 | Flat |
| All-In Cost | $902.63 | $923.55 | $835.78 | $937.00 | $940.23 | Steady |
| Leads | 28.0 | 26.8 | 41.0 | 73.0 | 80.5 | Up 10% |
| All-In Cost per Lead | $32.24 | $34.47 | $20.28 | $12.84 | $11.68 | Down 9% |
How the Account Behaved
Beneath the headline numbers, the click and impression mix tells you the bidder is being picky in a good way: fewer wasted impressions, a high click-through rate, and conversions arriving at a steady pace across the month.
Impressions
Times your ads were shown to people in the Cleveland service area in the last 30 days. The bidder has tightened auction selection since the restructure, so impressions are lower than a year ago but each one is closer to a buying intent search.
Clicks
Click-through rate of 6.79%, well above the chiropractic industry benchmark of roughly 4%. Average cost per click sits at $1.30, which is normal for a competitive local health category.
Click to Conversion
80.5 conversions from 469 clicks. Roughly one in six paid clicks turns into a booking submission or lead form. That is a strong landing-page-to-booking rate for a chiropractic offer and points to good message match between ad and page.
Closing the Attendance Loop
Where it sits today
Vendor Key application drafted, awaiting your go-ahead
ReadyThe Smartsoft application package is written and ready to submit. It only goes out once you confirm. Approval is the long pole on the whole pipeline, so a same-day go-ahead is what keeps July on track.
Booking poller and uploader built and tested
BuiltWe have built the small service that reads PracSuite and pushes attended-and-paid appointments to Google Ads as Enhanced Conversions for Leads. It runs on our infrastructure, no Zapier middle-fee, and is already tested against sample data.
What it gives you
Bid for attended new patients, not clicks
4 actionsFour conversion actions: Booking Submitted, Appointment Attended, Appointment Paid, and New Patient Confirmed. New Patient Confirmed becomes the primary bidding signal, so Google chases patients who actually show up and are new to the practice.
The new-vs-existing split, automatically
AutoEvery attended appointment is checked for prior visits. New patients fire their own conversion. That gives you the monthly new-versus-existing split you asked for, and stops the bidder chasing cheap rebookings from existing patients.
The Website Rebuild Offer
What we sent on 10 June
$500 one-off rebuild offer
$500A flat $500 to rebuild clevelandchiropractic.com.au on the same Next.js and Vercel stack already driving your ad results. This price is well below standard scope and only on the table because we want the booking funnel sitting on a site that matches the account's performance.
Why the current site is the weak link
2022Four-year-old WordPress and Elementor build, heavy page-builder bundle, slow on mobile, no schema markup, no llms.txt, and a plugin stack that is a constant security and patching risk. AI search engines have nothing clean to cite.
What it changes for the ads
Faster pages, more booked enquiries
EdgeEdge-rendered pages pass the Core Web Vitals checks the current site fails. Same paid traffic, more of them converting because the landing experience is faster and cleaner. The PracSuite booking widget carries over unchanged.
Built to be cited by AI search
GEOSchema and llms.txt so ChatGPT, Perplexity and Google AI Overviews quote the clinic by name. As local-health searches shift toward AI answers, this is the difference between being a result and being the recommendation.
One Quick Access Item
To keep the reporting honest from next month, we need one piece of access we do not yet have. It is a five-minute job on your end and unlocks the third layer of the booking story.
Google Analytics 4 Access
We do not currently have viewer access to the GA4 property on clevelandchiropractic.com.au. Without it we cannot show on-site behaviour: which pages paid visitors land on, how far they get before clicking Book, and which paths produce the highest booking rate.
Level of Access Required
Viewer only. We do not need editor or admin. The invite goes to reporting@createandgrow.au. No risk to your existing setup and you can revoke it any time from the GA4 admin panel.
Time on Your End
Sign in to analytics.google.com, pick the Cleveland Chiropractic property, Admin, Property Access Management, add reporting@createandgrow.au as Viewer. We have a one-page how-to ready if that is easier.
What Happens Next
CAGM Will Do
- 1Submit the PracSuite Vendor Key application: The moment you confirm, the Smartsoft application goes out. Approval timing is on Smartsoft, so the sooner we lodge it, the sooner the attendance pipeline switches on.
- 2Connect GA4 once viewer access lands: Inside 24 hours of the invite we will have the property linked into the monthly report, so July's deck includes on-site behaviour data.
- 3Hold the reduced daily budget: Keep the lower spend in place while you recover. We will not lift it until you give us a back-on-the-floor date.
- 4Next monthly review: First week of July, same format as this one, now with the PracSuite attendance pipeline status and GA4 layer included.
We Need From Jake
- !Written go-ahead to submit the PracSuite Vendor Key application, plus an Account API Key generated from your PracSuite admin when ready
- !GA4 Viewer access for reporting@createandgrow.au, five-minute admin job, instructions ready if you want them
- !Yes or no on the $500 website rebuild quote sent on 10 June
- !Your best estimate on when you are back on the floor, so we can plan the budget lift
Any Questions Jake?
June was the best month on record: 80.5 conversions, $11.68 all-in cost per lead, and almost no change in spend. The next two moves are switching on the PracSuite attendance loop and adding GA4 so the report tells the full story. Take it easy on the recovery and we will keep the leads ticking over.