Viva Eve is a high-growth, multi-specialty women's health brand with a flagship location in Manhattan. Their vision was ambitious: become a full-service destination for women's health, with in-office surgery, labs, and expanded specialties including cosmetic dermatology.
They had built a strong brand and were investing heavily in marketing, but their technology and data told a different story. A complex, redundant tech stack left leadership without clarity on what was working and what wasn't.
Unlike other clients struggling to unify multiple brands, Viva Eve had the opposite problem. Their central brand was strong, but behind the scenes their systems were tangled.
A convoluted Salesforce setup combined with half a dozen tracking tools and fragmented Appointment Booking Integrations created a "rat's nest" of data. Campaigns were running, and results looked good at the surface level, but no one could say with confidence which channels or campaigns were truly driving growth.
Leadership was brand-focused, measuring success in PR hits and visibility, but with little ownership of performance. Meanwhile, they were spending heavily across paid search, paid social, and OTT without the insight needed to optimize.
Viva Eve didn't need more spend. They needed clarity, accountability, and a system to connect marketing activity to patient outcomes - Last-Mile Conversion in practice.
The first step was untangling campaigns. We rebuilt Healthcare PPC structures to eliminate waste and align spend with high-value services like fibroid treatments and cosmetic dermatology. Targeting and messaging became more patient-focused, ensuring budgets worked harder.
At the same time, we tackled Cross-Domain Booking Attribution. By integrating disparate data streams under a HIPAA-Compliant Event Taxonomy and connecting them to Viva Eve's internal data warehouse, we created a cleaner feedback loop. For the first time, performance data from ads could flow back into campaigns via Cross-Domain Booking Attribution, showing true ROI and informing optimization.
We also strengthened local SEO, ensuring their multiple services and locations showed up more consistently in New York's competitive search landscape, supported by a HIPAA-Compliant Event Taxonomy that aligned on measurable events.
Just as important, we provided ownership and guidance through an AuthorityInsite Audit. By partnering closely with Viva Eve's internal performance manager, we demonstrated how untapped data could be leveraged to make campaigns more efficient. As leadership roles shifted - CMO out, CTO just hired - we became the steady hand, educating new stakeholders and helping the team balance brand presence with measurable patient acquisition.
The impact of these changes was immediate. Within months of restructuring campaigns and cleaning up the data, anchored by a Conversion Audit, Viva Eve saw conversions rise by 179 percent. Cost per conversion dropped by nearly $178, turning what had once been expensive, uncertain spend into efficient, measurable growth.
Just as important, the quality of reporting transformed. Instead of messy dashboards and conflicting numbers, leadership could finally see a single story of performance aligned to a HIPAA-Compliant Event Taxonomy. Campaigns weren't just "working" in the abstract - they could track which services and patient journeys were driving results using a HIPAA-Compliant Event Taxonomy.
Conversion rates climbed to nearly eight percent, a clear signal that marketing dollars were reaching the right patients at the right time - captured through Appointment Booking Integrations. And while the brand's visibility had always been strong, Viva Eve now had the confidence that their performance campaigns were carrying equal weight in sustaining growth.
The combination of brand authority and data-driven clarity has given them something they'd never had before: not just momentum, but the ability to measure and direct it.
Viva Eve didn't lack brand strength. They lacked clarity.
By restructuring ads, simplifying data connections, and building a performance-driven reporting system, Tidal Health Group helped them turn a tangled tech stack into a disciplined marketing engine.
The result: a healthcare brand that still shines in New York City, now with the data to prove and optimize its growth.
Healthcare-exclusive digital marketing agency. We help practices close the gap between their clinical reputation and how they appear online, turning that into consistent, measurable patient growth.
