Systems before scale. Clarity before spend.

Systems-First Paid Media for Healthcare, Multi-Location, and Enterprise Organizations

We design, fix, and scale Google Ads and paid media systems for complex organizations across North America.

Multi-location Healthcare

Paid Media Performance Overview

Jan – Dec 2025

New patient starts

4,812

+24% vs prior year

Blended MER

5.3x

+1.3x vs prior year

Cost per acquisition

$218

-$44 vs prior year

Show rate

74%

+9pts vs prior year

Funnel — all locations

Clicks

142,300

Leads

9,840

6.9% CVR

Booked

6,510

66% book rate

Shows

4,812

74% show rate

Treated

3,890

81% case accept

Representative data · Powered by Grayvault attribution infrastructure

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Trusted by growth-focused teams managing millions in annual ad spend.

Most agencies optimize campaigns. We design the system those campaigns depend on.

As organizations scale, paid media becomes more complex. Attribution gaps widen. Reporting fragments. Performance becomes harder to defend at the executive level.

Grayvault Consulting builds the paid media infrastructure behind scalable Google Ads and multi-channel growth - including conversion architecture, attribution frameworks, account structure, and optimization governance.When the system is built correctly, paid media performance becomes predictable, defensible, and scalable.

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Testimonials

Hear from clients finally performing at the level they deserve

"Invaluable insights and exceptional results"

Our partnership with Grayvault Consulting has been a significant competitive advantage for OMG Commerce. Over five years of collaboration, the team's deep understanding of Google Ads and innovative approach to auditing have consistently delivered exceptional results for our clients. The thoroughness of the strategic recommendations and dedication to staying ahead of industry shifts have translated directly into measurable performance gains. I highly recommend the Grayvault Consulting team.

Brett Curry
Co-Founder and CEO, OMG Commerce

"Excellent communication and actionable strategy"

We partnered with Grayvault Consulting to optimize our Google Ads across two accounts, and our experience was very positive. Before making any changes, the team conducted a thorough audit and provided us with a detailed Playbook outlining the proposed action plan. This clear roadmap gave us a strong understanding of the steps needed to improve our campaigns. The Grayvault team excels at breaking down complex Google Ads concepts in a way that's easy to understand. Throughout the process, we felt well-supported — our questions were answered promptly, and the strategic guidance was always clear and insightful. The recommendations were effective across our campaigns, and when a couple of campaigns needed adjustment, the team quickly identified the issues and resolved them. We also refined our campaign structure and fixed our Google Merchant Center integration. We're pleased with the results and look forward to continuing to work with Grayvault Consulting.

Oksana Murashova
Senior E-Commerce Manager, HiEnd Accents & Paseo Road

"Transforming Google Ads performance with precision and dedication"

We've worked with Grayvault Consulting since 2019 and have nothing but great things to say. The team is truly professional and consistently goes above and beyond to ensure the best possible outcomes for our business. Over the past several years, Grayvault has become an invaluable part of our team. Their expertise in Google Ads is truly impressive — they quickly identified areas where our account was underperforming and provided actionable recommendations that made an immediate difference. The team takes the time to explain findings and strategies in a way that's easy to understand, and they're always available and incredibly responsive. It's clear that Grayvault Consulting genuinely cares about client success and is committed to delivering the highest level of service. I would highly recommend them to anyone looking to improve their Google Ads performance.

Bryan Simpson
Co-Founder and CEO, Big Blanket Co

"Expertise that transforms sales processes"

Grayvault Consulting has been instrumental in enhancing the OMG Commerce sales process through strategic Google Ads account reviews and playbook creation. Their in-depth knowledge, meticulous approach, and unwavering commitment to success have given us the confidence to deliver exceptional results for our clients. The account reviews and playbook creation have provided valuable insights and enabled us to create tailored strategies, driving growth and improved ROI. I highly recommend the Grayvault Consulting team for their unparalleled expertise and dedication to transforming businesses.

Chris Brewer
Co-Founder, OMG Commerce
WHY GRAYVAULT

Built for Organizations That Can’t Afford Guesswork

Experience with healthcare marketing and regulated industries
Multi-location and DSO marketing expertise
Enterprise ecommerce performance systems
Executive-ready reporting and attribution clarity
Data-driven optimization methodology
Smile Dental - +24% Year Over Year Production Growth across the network
results

Proven Paid Media Results at Scale

More than 100+ multi-million dollar organizations across healthcare, ecommerce, and enterprise sectors trust Grayvault Consulting to strengthen their paid media systems and drive measurable growth.

insights

Google Ads, Attribution, and Paid Media Systems

Guides and technical breakdowns on scalable Google Ads structure, conversion tracking, attribution modeling, and performance optimization.

insights

In The Media

Interviews, tips, guides, industry best practices, and news.

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How ShearComfort restored profitable growth by adopting Northbeam’s MTA to unify attribution and scale budget decisions with confidence.

From Views to Sales: Winning with YouTube Ads

hy a click-first mindset doesn’t work for Google Ads video campaigns on YouTube, the metrics that matter most, and how to structure for better engagement and performance.

How to Win the Holiday PPC Season in the Age of AI

Craig Graham shares his insight on how PPCers can adapt and still win the holiday season.

Google Ads Testing Video Assets For Search Campaigns?

Google Ads is testing a new asset type named video. It seems Google may be testing allowing advertisers to add video assets to their search ads and other Google Ads campaigns.

Let’s Build the Right Paid Media Infrastructure

If your organization has outgrown basic campaign management and needs scalable paid media systems, we should talk.

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