Industries Sports & Entertainment E-commerce & Retail B2B SaaS & Tech Real Estate Financial Services Healthcare Travel & Hospitality More Industries Services Customer Experience Media Strategy & Management Content, SEO & AIO Analytics & CRO CRM & Email Performance Creative More Services Our Work Blog About Careers Press Tools Work With Us
Performance Marketing

AmeriVet

AmeriVet, a network of 200+ veterinary clinics nationwide, operates in a competitive market dominated by a few behemoths. Intrepid shifted the paid media program from ROAS-based to a more operationally actionable New Client Cost Per Booking (NC CPB) framework.

↑0% YoY
New Client Acquisition
New client volume scaled year over year.
↑0% in 6 mos
New Client Acquisition
New client volume scaled in 6 months.
↓0%
New Client CPB
Decrease in new client cost per booking.
The Challenge

A ROAS metric that couldn't scale across 200+ clinics.

AmeriVet's paid media program was historically optimized toward NC ROAS (New Client Return on Ad Spend), which created several operational and strategic limitations as the program scaled across hundreds of veterinary practices. ROAS was heavily reliant on downstream revenue attribution, inconsistent across practices, and influenced by factors outside media performance.

This made it difficult to accurately compare clinic efficiency across markets, scale budgets confidently, and align paid media reporting with leadership's acquisition goals. The objective became transitioning to a more operationally actionable KPI centered on NC CPB (New Client Cost Per Booking).

Strategy & Approach

Rebuilding the optimization framework from the ground up.

01Framework Shift
From NC ROAS to NC CPB

Intrepid partnered closely with AmeriVet leadership, analytics teams, and platform partners to transition reporting, optimization, and budget allocation frameworks from NC ROAS to NC CPB, rebuilding campaign evaluation models around acquisition efficiency thresholds.

02Clinic Cohorting
First-party signals via Patient Prism and Vetstoria

We developed clinic cohorting and prioritization systems based on CPB performance, and implemented broader use of first-party conversion signals through Patient Prism and Vetstoria integrations, weighting conversion actions toward new client outcomes rather than total conversion volume.

03Bias Reduction
Brand exclusions and search query refinement

We introduced brand exclusions and search query refinement to reduce returning-client bias, and expanded use of broad match, Performance Max, and AI-driven bidding strategies while closely monitoring acquisition efficiency.

04Attribution & Change Management
Clean conversion classification across booking sources

One of the largest obstacles was attribution consistency — because the program relied on multiple booking sources and call tracking systems, ensuring clean conversion classification between new and returning clients required extensive auditing. Another challenge was organizational change management, realigning stakeholders around a new success metric.

The Results

More efficient new client acquisition, sustained over time.

New Client Volume: scaled by +182.28% YoY (raw number of new patients).
New Client Mix: surged by +162% YoY, with new acquisitions expanding from 9.17% to 23.97% of the total customer base.
Short-Term Scaling Efficiency (Q3 '25 – Q1 '26): scaled new client volume by +32% while simultaneously slashing acquisition costs (NC CPB) by -21%.
Long-Term Cost Reduction (YoY Q1 '25 – Q1 '26): decreased the cost to acquire a new client (NC CPB) by -20% year-over-year.
Work With Us

Ready to see what we can do for your brand?

We build scalable optimization frameworks for multi-location businesses. Let's talk.

Work With Us