The scoreboard
unit
level reporting — or the facilities revolt
Industry desk
Hospital marketing that books service-line visits — not a brand campaign nobody can schedule.
Service-line demand a scheduler can actually sit.
Hospital marketing for US systems and multi-specialty clinics. Paid search, local SEO, and landing pages by service line and rooftop — booked visits, not a brand film that cannot be scheduled.
- P&L desk
- Reply in one business day
- 30-min working session
Service linesPer rooftopCounsel path
USA metros we work
Dallas–Fort WorthHoustonPhoenixAtlantaMiamiChicagoLos Angeles
How this desk thinks
Performance marketing for hospitals and multi-specialty groups
Hospital marketing that only runs a brand anthem still loses the patient who searched a service line tonight. We split cardiology, ortho, imaging, and whatever you actually want to grow — then geo-fence facilities so a downtown click is not sent to a campus that cannot see them.
Health systems fail when corporate PMax eats every rooftop and GMs cannot see their own GBP. We write market rules, unit-level reporting, and intake SLAs. SpikeROAS is not a medical provider. Claims go through your review. PHI stays out of ad platforms.
Related: lead generation, paid search, landing pages, local SEO, and analytics. Adjacent desks: healthcare hub, cardiology and orthopedics.
SpikeROAS is a hospital marketing agency for US health systems and multi-specialty groups. We run service-line Google Ads, GBP per rooftop, and intake scored to booked visits. We are not a medical provider. Corporate ads that steal from the unit do not survive this desk.
Fit
Who this hospital desk is for
Health systems
National or regional brand plus local capture. Written lead-ownership between brand and facilities.
Multi-specialty groups
Ortho is not primary care. Separate campaigns, pages, and KPIs.
Service-line growth mandates
A specific line has to move (imaging, joint, women's). We will not bury it in a brand campaign.
The leak
What breaks in this category
- Brand campaigns that cannot be scheduled
- Service lines competing in one budget
- Duplicate GBPs and review chaos
- Legal review that freezes tests for months
The desk
What we run
- Service-line Search and landers mapped to schedulable visits
- GBP and reviews per facility
- Geo rules so campuses do not steal from each other
- HIPAA-aware call tracking and offline conversions
What you get
What this engagement actually delivers
- Service-line Google Ads mapped to schedulable visits
- Facility-level GBP and local campaigns
- Intake and tracking counsel can live with
- Reporting a CMO and a facility GM can both read
The fork
The fork that decides the P&L
Brand-only hospital ads
- One anthem, twelve service lines
- No one owns the phone
- PMax blending brand and non-brand
- PHI accidentally in forms and pixels
How this desk runs
- Schedulable visits as the conversion
- Service line plus rooftop architecture
- Counsel-batched creative that still tests
- You own the accounts
Channels
Channels on this desk
Google Ads by service line
Search for high-intent procedures and 'near me' facility queries. Brand defense. PMax only when incremental.
Local SEO
GBP categories, services, and reviews per rooftop. Location pages that a scheduler would send.
YouTube and Meta
Education, not sensational disease copy. Remarketing inside policy. Search captures the spike.
Landing and measurement
Click-to-call, online scheduling where you have it, enhanced conversions, CRM stages without diagnoses.
Engagement
How an engagement starts
01
Define the unit
What a qualified enquiry is, which jobs or tickets sales will actually run, and the number that has to move. If marketing and sales disagree, we do not buy traffic.
02
Rebuild the path
Tracking, landing pages, CRM routing, and the first kill list. Ads do not launch into a homepage that was never built to convert.
03
Launch what can move now
Paid search and the channels that can ring the phone this month. Organic, reviews, and GEO compound while the calendar fills.
04
Pace to the scoreboard
Weekly reallocation. Scale when cost per booked job, SQL, or contribution holds. Throttle when you are at capacity.
Stack
Services this desk uses
Lead Generation
Sales-accepted conversations. Not a CPL screenshot.
Paid Search
Google and Microsoft Ads treated as capital — every query has a job.
Paid Social
Meta, LinkedIn, TikTok, and YouTube — creative as the media plan.
Landing Pages
The page is the second half of the ad.
Local SEO
Maps, GBP, and city pages that actually ring the phone.
SEO
Search that compounds. Rankings that close.
AI + GEO
Get cited in ChatGPT, Gemini, Perplexity, and AI Overviews.
Performance Creative
Ads designed to be tested, killed, and scaled — not presented.
Analytics & Attribution
Know which dollar worked — without worshipping last click.
FAQ
Questions from this industry
What is a hospital marketing agency?
A hospital marketing agency runs patient acquisition for health systems: service-line Google Ads, local SEO per rooftop, and CRM measurement scored to booked visits. SpikeROAS is the performance desk — not a medical provider and not a replacement for brand or PR.
Do you replace our health-system agency of record?
Often we sit as the performance desk beside brand and PR. If the AOR owns the Google account and will not share, we say so on the call.
Can you advertise every hospital service line?
No. Some lines are restricted or not worth the CPC. We will tell you which to capture on Search and which to leave to physicians and referrers.
How do you handle HIPAA?
Event-level inquiry and booked-visit conversions. No clinical data in Google or Meta. Vendors that record calls need a BAA when PHI is possible.
How does SpikeROAS market hospitals?
SpikeROAS runs hospital marketing as service-line Google Ads, YouTube and Meta education, and GBP per rooftop, scored to booked visits. Corporate ads that steal from the unit are killed. We are not a health system.
Also on the floor
Other clinic desks
Next step
Ready to brief hospital marketing?
Tell us service lines, facilities, and the visit that has to move. We will map Search and local SEO — and what we would cut.