Last Tuesday the Google-attributed admit count for July stood at 3, and we said the pipeline needed time to mature. That is exactly what happened: the count is now 11, and 6 of them landed in the last 7 days alone. The most important detail is where they came from. Four of the recent admits are Mental Health patients whose ad clicks are dated July 15 through July 27, meaning every one of them was found by the campaign after we switched its bidding to qualified leads on July 14. Those admits moved from click to admission in 0 to 7 days.
| Patient | Admitted into | Admit date | Ad click | Search that found you | How they reached you |
|---|---|---|---|---|---|
| Micah S. | MH Residential | July 22 | July 15 | "mental health treatment" | Phone call |
| Terrence H. | MH Residential | July 23 | July 20 | "mental health treatment" | Phone call |
| Ashonda W. | Detox | July 26 | July 26 | "mental health treatment center" | Phone call |
| Kristi B. | MH Residential | July 27 | July 27 | "mental health treatment center" | Phone call |
All four came in on non-brand searches: people who did not know Ambrosia yet, searched for mental health treatment, clicked the ad, and called. This is the campaign finding new patients, not picking up people already looking for you.
We analyzed 90 days of your Salesforce pipeline, comparing the two stages: Missing Info, where every new lead enters and which is what Google's bidding currently learns from, against VOB on Queue, where your team verifies benefits.
| Signal | Leads | Admits | Admit rate |
|---|---|---|---|
| Hits Missing Info (every new Google-attributed lead; today's bidding signal) | 152 | 29 | 19% |
| Reaches VOB on Queue | 75 | 21 | 28% |
| Stays in Missing Info, never reaches VOB on Queue | 77 | 8 | 10% |
A lead that reaches your verification stage is nearly three times as likely to admit as one that does not. As of this morning, every Google-attributed lead that reaches VOB on Queue reports back to Google Ads as its own conversion signal observation mode. It changes nothing about bidding yet. We are letting it accumulate volume first, deliberately: this stage produced 22 Google-attributed signals in June, which was too thin to bid on, but 40 in the last 30 days on the ramped budgets. That was the plan all along: start broad to feed the algorithm enough volume to learn, then graduate to the stronger signal once it can support bidding. We are about a week away from that graduation decision.
| Window | Spend/day | VOB on Queue entries/day | Cost per VOB on Queue lead |
|---|---|---|---|
| July 1-14 (before the bidding change) | $2,464 | 1.1 | $2,156 |
| July 15-27 | $3,384 | 1.7 | $1,999 |
| Last 7 days | $3,310 | 2.0 | $1,655 |
One thing to see clearly in this table: raw lead volume held flat while spend increased. That is the bidding change doing its job. We told Google to stop chasing lead count and buy verification-quality intent, and the mix shifted exactly that way: flat leads, nearly double the verified-stage rate, and a 23% lower cost per verified lead. Volume for its own sake was never the goal.
| Change | Detail |
|---|---|
| Teen campaign: Western New York is live | Buffalo and Rochester markets added this morning, per last week's agreement, ahead of the August ramp to the full $10K/month on Saturday. Texas remains ready when we want it; we can decide timing together. |
| Auto-applied recommendations stay off | All bidding and structure changes in this account are ours, on purpose, with a written trail. |
| When | What |
|---|---|
| This week | July finishes at the agreed $85K (budgets pulled back through Friday). Call-time data (calls by day and hour, answered vs missed, last 60 days) emailed to Josh and Natalia for the staffing exercise. |
| Saturday, Aug 1 | Budgets ramp back up. Teen gets a modest early-August lift, with the bigger push mid-August ahead of school-season referrals. August pacing agreed on next week's call. |
| End of this week | VOB on Queue graduation decision: if the signal keeps its volume, campaign bidding moves to optimize on VOB on Queue directly (it becomes the primary conversion; the current qualified action drops to observation). |
| Doc | Next one or two teen states to add (Texas and the Carolinas are the candidates); we stagger launches on purpose. |
| Masood | Call with Stephen about the landing page subdomain question, whenever works. |