11 Years of Google Ads. 226 Conversions. Still Optimizing.
How a 35-year-old multidisciplinary clinic in North Vancouver has maintained top-of-page Google Ads presence since March 2015 — with a 7% CTR and a chiro campaign now converting at 27% in the last 30 days.
vs 2–3% industry avg
from $13,730 CAD spend
both campaigns
An Established Clinic With No Digital Channel
Mountain Health & Performance launched as a brand-new multidisciplinary clinic on the Saanich Peninsula — a geographically tight market with several established chiropractic and wellness practices already present. The clinic opened with five practitioners offering chiropractic care, registered massage therapy, osteopathy, acupuncture, shockwave therapy, and athletic therapy.
Referrals are inherently unpredictable. When referring practitioners retire, move, or change habits, the pipeline dries up. The clinic needed a controllable, owned source of new patients that it could scale or adjust independent of anyone else’s behaviour.
100-223 Mountain Highway
Chiro · RMT · Osteopathy · Acupuncture · Shockwave · Athletic Therapy
11+ years
How the Account Has Been Built and Maintained
How the dual-campaign structure was built and has been maintained across 11 years of active management.
Audit, Build & Launch
Two campaigns launched simultaneously — RMT/massage campaign and chiropractic campaign — each with independent keyword lists targeting North and West Vancouver searches. 16 geo-targeting pins set at 2–4 km radius around clinic-relevant locations. CPTBC and CCBC-compliant ad copy written from the ground up. Conversion tracking configured for calls and form submissions. Responsive Search Ads built for both campaigns. Search Network only — no Display spend diluting the budget.
Google Business Profile Overhaul & Review Strategy
In parallel with the paid campaign, a full Google Business Profile optimization was executed: complete service listing for all disciplines, high-quality photo uploads, Q&A pre-population, review request workflow, and weekly GMB posts linked to the clinic’s service pages. Within 60–90 days, Mountain Health & Performance entered the Maps 3-Pack for primary Peninsula searches. Within the year, it held the #1 position.
Optimization, ICBC Expansion & Sustained Growth
Monthly bid adjustments, search term pruning, and ad copy rotation based on real conversion data. A dedicated ICBC campaign layer was added once the base campaign was optimized — targeting motor vehicle accident patients who are fully covered and highly motivated to book. Online inquiries grew 165% from campaign launch. New practitioners joined the roster as patient volume consistently outpaced capacity.
The Numbers That Ended Referral Dependence
Measured from campaign launch through the first 12 months of operation.
“Established 1988 — 35+ years in practice. Multidisciplinary clinic with 5 therapists — all now growing their patient base. Consistently 30–60 new patients per month from Google Ads alone. Business now breaks its own revenue record month over month.”
What Changed for the Clinic
- Launched Google Ads for the first time — generating qualified leads within the first two weeks
- 165% growth in online inquiries from campaign launch to month 6
- 38 new patients per month consistently — chiropractic, RMT, and ICBC pipelines all active
- 4.8-star Google rating leveraged as a conversion asset in ads and Maps results
- ICBC campaign layer added — fully covered MVA patients with highest conversion rate of any segment
- New practitioners joined the roster as consistent patient volume created demand for additional capacity
- Referral dependence eliminated — new patient pipeline now owned, controllable, and scalable
- WSBC workers’ comp campaign running alongside ICBC — fully covered patients from both programs
What Was Running
This result was driven by a combination of paid and organic Google tactics working in tandem — each reinforcing the other.
Mountain Health & Performance serves patients across the Saanich Peninsula offering:
See What’s Possible Across Specialties
Ready to Stop Depending on Referrals for New Patients?
Mountain Health & Performance ended referral dependence and hit 38 new patients per month on a $199/month management fee. Book a free strategy call and we’ll show you what’s realistic for your market.
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