Molitaris Consulting

Post-Call Sync, July 21

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Ambrosia · July 21 post-call sync

Leaning into what admits: budget shifts to General Rehab, the panhandle comes out, and the teen campaign goes national

Google Ads and Salesforce reviewed on today's call · every account change agreed this morning is already live · paid counts are Google-attributed (click-verified in Salesforce)
The week in one line: admissions are running 24% ahead of June's same-day pace (61 versus 49 through the 21st), census is back to 74 after the mid-June low of 67 ("pretty tight on beds at a few of our locations, which is a good problem to have"), and the July 15 budget increase deployed cleanly into General Rehab volume: clicks up 85% on a mild 14% CPC move.
From today's call, all live as of this afternoon: $750/day moved from Mental Health to General Rehab (now $750 and $2,550 per day), because General Rehab's lead type has historically admitted better while Mental Health's qualified leads have not been converting downstream. Sixteen panhandle counties are excluded from both adult campaigns (Jacksonville deliberately stays, section 2). The teen campaign's out-of-state launch set is agreed: last week's states plus Texas, north and south, now that in-network status is confirmed, plus Western New York. Conversion-signal graduation to VOB-stage holds about two more weeks since both campaigns just moved to the qualified-lead goal.

1. What changed in the account today

ChangeStatusDetail
Budget shift to General RehabLive 10:54 AMMental Health $1,500 to $750/day, General Rehab $1,800 to $2,550/day. Total unchanged; the money follows the lead type that admits.
Panhandle county exclusionsLive, both campaigns16 counties excluded on General Rehab and Mental Health (map below). Jacksonville stays per Doc: good mental health patients have come from that area.
Competitor negativesLive this morningLocal facility and provider names added as negatives to both campaigns, continuing the weekly search-term cleanup.
Teen out-of-state targetingGoing live nextLaunch set: Illinois, North Carolina, South Carolina, Texas (north and south), Western New York. In place ahead of school-season referrals in mid-to-late August.

2. Where the adult campaigns serve now

The map is live and interactive. Blue counties are currently served; the terracotta counties are the panhandle exclusions applied today. Rationale from the call: travel objections are showing up in the weekly opportunity review (2 of 13 last week), impression share has headroom (Mental Health 28%, General Rehab 33%), and search volume concentrates where population does, so trimming the far panhandle focuses spend without starving delivery.

Think another county should come out? Click it. Selected counties turn dark blue; use the send button and the request goes straight to Stephen for review. Nothing changes in the account until it is reviewed, so click freely.

Serving Excluded today (panhandle) Your proposed exclusions

Excluded today

    Your proposed exclusions

    • None yet. Click a blue county.

    3. How far people make it through the funnel

    The view from today's call: every opportunity created in the month, tracked by the furthest stage it has ever reached. Toggle between all lead sources and the Google-attributed slice.

    July cohort (created Jul 1 to 21) June cohort (full month)

    "Reached" counts pass-throughs via stage history. Stages are not strictly sequential. The July cohort is 0 to 3 weeks old, so late-stage numbers keep growing all month. From the call: the all-source funnel is holding (73% past Missing Info versus June's 82% at full maturity), the Google-attributed slice is the one to work (44% past Missing Info so far), and Josh's June-versus-July disposition analysis with Natalia will tell us how much is recency versus mix.

    4. Form leads and the insurance field

    The optional insurance field went live July 14 and is verified passing through end to end. Few form leads fill it in so far (1 of 11), form volume dipped since it was added, and daily calls rose in the same window (76 to 84 per day) with the new "Rather talk? Call" option on the form. Consensus on the call: that trade works in our favor, since callers connect and convert at a far higher rate than form leads. We watch one more week, then decide whether the insurance ask moves to the thank-you step or becomes a quick-pick list of carriers.

    Carried decision: whether form-fill Missing Info leads should keep counting as qualified in what reports to Google, revisited alongside the VOB graduation in about two weeks.

    5. Call answering, week over week

    Five full weeks of inbound calls (2,599, complete weeks verified). Context first: the headline is good. Answer rate holds at 86 to 90 percent every single week, median pickup is 6 to 8 seconds, and for benchmark, another facility we track averages over a minute of wait. The watch item is hold time for the calls that wait: as paid call volume roughly tripled (27 to ~100 per week), the longest waits stretched. Five weeks ago, even the slowest 1 in 10 callers was answered within about 20 seconds; last week that slowest 1 in 10 waited 53 seconds or more, and callers answered within 15 seconds slid from 84 to 77 percent overall, 92 to 74 percent on Google Ads calls.

    87.5%
    Answer rate, last full week
    holding in the 86 to 90 range all five weeks
    7s
    Median pickup, every week
    intake is fast when staffed
    20s → 53s
    Wait for the slowest 1 in 10 calls
    long holds got longer as volume grew
    74%
    Paid calls answered in 15s
    was 92% five weeks ago · peer bar is ~90%
    All inbound calls Google Ads calls ~90% peer bar (answered within 15s)
    Josh's context, which explains the week: two intake reps were out last week and a new rep is mid-training, so this was staffing, not a volume ceiling. It fits the data: last week's paid dip was mostly callers hanging up during a long ring (14 of the 19 paid misses), exactly what a stretched tail produces. Answer times are expected to recover as the team returns to full strength. Leadership's reaction on the call was the right one: "Do we need to hire somebody to make this work? Things are converting."

    Google Ads calls

    Jun 15Jun 22Jun 29Jul 6Jul 13
    Calls27479090101
    Answered2643828182
    Answer rate96.3%91.5%91.1%90.0%81.2%
    Median ring (answered)5s7s8s8s8s
    Wait, slowest 1 in 10 calls10s26s30s34s43s
    Answered within 15s92.3%79.1%81.7%80.2%74.4%

    All inbound calls

    Jun 15Jun 22Jun 29Jul 6Jul 13
    Calls382447441639576
    Answered344386389562504
    Missed3861527772
    Answer rate90.1%86.4%88.2%87.9%87.5%
    Median ring (answered)7s7s7s7s6s
    Wait, slowest 1 in 10 calls20s26s35s44s53s
    Answered within 15s84.0%82.6%78.9%77.8%77.0%

    Where the misses live: evenings and weekends. 7 to 10 PM runs 17 to 21 percent missed versus 5 to 11 percent in core hours, and Saturday and Sunday run 17 to 18 percent versus 9 to 13 on weekdays. Missed calls also mostly stay missed: about half of missed callers never connect on a later attempt. That is where the coverage conversation goes next if the pattern persists after the team is back to full strength. We re-pull this weekly; method: answered versus missed from call status (missed includes rang-out and caller-abandoned-during-ring), ring time on answered calls.

    6. Admissions and census

    61
    Admissions July 1 to 21
    June same window: 49 (+24%)
    74
    Census today
    up from the mid-June low of 67
    Tight on beds
    at several locations
    "a good problem to have"

    Framing per the July 16 site discussion: total digital spend versus total admissions, floor thinking, not paid versus organic in isolation. Josh and Natalia are running a June-versus-July lead disposition analysis offline; the budget shift in section 1 is the first action from that conversation, and the campaign-level admit breakdown is being added to the weekly report.

    7. Decisions and action items

    Ours

    Budget shift and county exclusionsDone Live in the account as of this afternoon (section 1).
    Teen out-of-state targetingApplying the agreed launch set: Illinois, North Carolina, South Carolina, Texas north and south, Western New York.
    Report: admit breakdown by campaignAdding branded versus non-branded and campaign-level admit attribution to the weekly report.
    Conversion graduation checkIn about two weeks: evaluate moving the Google Ads signal from qualified-lead to VOB-stage, and answer Josh's analytics pass-back question.

    Theirs

    Josh: travel objections watchTrack whether travel objections stay at ~2 of 13 weekly opportunities or grow; considering a "travel" closed-lost reason in Salesforce so the geo decisions get cleaner data.
    Josh and Natalia: disposition analysisJuly versus June lead and call conversion detail, offline this week.
    Intake staffingAnswer-time recovery expected as the two absent reps return and the new rep finishes training; urgency handling on ads calls re-emphasized with the team.

    8. What we're watching this week

    The budget shift's first readGeneral Rehab at $2,550/day with the qualified-lead goal: watch cost per qualified through the learning period rather than reacting to single days. Mental Health at $750/day keeps serving its best segment.
    Panhandle exclusion effectSpend should redistribute into the peninsula automatically. If travel objections persist in the weekly review, the map above is where the next trim gets decided, together.
    Teen rampOut-of-state goes live this week; first read is search-term quality by state, ahead of the August full budget.
    Adult out-of-stateParked for next month per Doc: candidate markets noted (Wisconsin, Indiana, Michigan, parts of Tennessee), Florida CPA comes first.
    Answer timesWeekly re-pull; expecting recovery with full staffing.