Conversion tracking for hospices, measured in gifts and referrals
A hospice is funded by donations, legacies and often a chain of charity shops, while its actual service reaches people through clinical referral. That makes the advertising question narrow and the privacy question absolute: nothing about a patient, a family or a diagnosis may ever reach an ad platform, under any configuration, for any optimisation benefit.
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Getting and tracking leads for hospices
Where a hospice's admissions come from, and what paid search should and should not take credit for
A US hospice admits most patients through physicians, hospitals and nursing facilities, with families who search and call making up a smaller, important share. Local Services Ads is not available for hospice. Count a call when a family asks about hospice care for someone not yet on service, keep every clinical detail out of the payload, and record each admission's referral source in Homecare Homebase, WellSky or Axxess.
The complaint we hear: Google Ads reports a steady number of calls, the admissions team says almost none of them were new families, and the referral report shows 'internet' against admissions that a liaison worked for weeks. Families of current patients search the hospice by name at night and tap the call ad because it sits above the listing; bereavement callers, volunteers and nurses asking about openings do the same. Each one passes a duration rule, so the call conversion fills with people the hospice already serves and Smart Bidding learns to buy brand clicks.
The ten-minute check: list last month's admissions with their referral source and count how many say family or self against physician, hospital or facility. Then take the ad-call log for the same month and have intake mark each call as new family inquiry, current patient family, bereavement, volunteer, job seeker or professional referral. If the new-family share is small and the brand campaign carries most of the calls, the account is paying to answer its own patients.
Fixed looks like this: a new-family inquiry as the primary conversion, current patient calls routed to a separate after-hours line that is not in any ad, and admissions reported by referral source so liaison work and paid search are judged apart. A hospice is typically a HIPAA covered entity, so the event leaves the hospice side keyed only to the click ID after counsel approves the data map, with no diagnosis, level of care or location of care attached. If the hospice also raises memorial gifts, those are a separate conversion. The free audit checks the call mix and the referral field.
Where the leads come from
| Channel | Role | Note |
|---|---|---|
| Local Services Ads | Not available | Hospice is not on Google's US Local Services Ads category list; paid local search runs through Search ads. |
| Google Search ads | Families searching hospice care at home or palliative care nearby | Brand terms attract current patient families, so brand and non-brand are separate campaigns; remarketing and Customer Match can't be used for health-related ads. |
| Business Profile | The number families call at night and the reviews they read first | Keep the main number current families also use as the primary phone, put tracking numbers on the website and ads, and UTM-tag the website link. |
| Meta | Volunteer, caregiver recruiting and community events more than admissions | Never optimized on anything about a patient; health datasets can be restricted, so only neutral events. |
| Physician, hospital and facility referrals | Most admissions | Arrive through CarePort, fax or a liaison and are tracked in a referral CRM such as Trella Health, never as ad conversions. |
| Senior care directories and community partners | Occasional family referrals | Track by name so they do not drift into the 'internet' bucket. |
Which calls count
- Count it when
- Count the call when a family member, caregiver or the patient asks about hospice or palliative care for someone not yet on service, in your service area.
- Minimum duration
- Duration means little in hospice, because a grieving family member and a new inquiry can both talk for a long time; the intake outcome is the test.
- After hours
- Families call at night when symptoms change. Current patients need a clinical line that is never advertised; new families need an on-call admissions nurse who can answer, or the ads should not run at those hours.
Where each lead should land
- Search ad call or form
- Referral record with the click ID held apart from clinical fields, carried to admission as a count with no diagnosis.
- Current patient family call
- Clinical on-call line and the patient chart, never a marketing record or a conversion.
- Physician, hospital or facility referral
- Referral record with the referrer named and the liaison who worked it, reported apart from paid media.
- Business Profile call
- Referral record with lead source Google Business Profile, separate from paid search.
Hospices · what breaks
What hospices usually run into
- 01
Clinical referrals are not a marketing conversion
They arrive through healthcare professionals, not campaigns.
- 02
Legacy giving realised years later
The most valuable income with the longest possible lag.
- 03
Retail and fundraising sharing one budget
Different economics, different audiences.
Hospices · the fix
What changes — Hospices
Received gifts as the conversion
At the amount that arrived.
Legacy pledges recorded separately
Never valued as current income.
No clinical or family detail in any payload
A count and a value may leave; nothing else.
Hospices · architecture
The conversion map for hospices
Five events, with a hard boundary around everything clinical.
- 1
Gift received
- 2
Recurring gift started
Worth several times a one-off.
- 3
Legacy pledge registered
Enormous value, realised years later.
- 4
Event or shop participation
Fundraising activity in its own units.
- 5
Volunteer signup
Capacity created, not revenue.
Hospices · diagnose
Where hospices tracking usually breaks
- 01
Any clinical detail in a conversion payload
A disclosure about a person at the most vulnerable moment of their life. There is no benefit that justifies it.
- 02
Legacy pledges valued as current income
They may be realised in a decade or revoked entirely.
- 03
Retail revenue pooled with fundraising
Different customers, different margins, different campaigns.
- 04
Bereavement-sensitive targeting
Retargeting a grieving family is a reputational and ethical failure before it is a measurement one.
Hospices · prove
How the work is proven — Hospices
Source of truth
The fundraising CRM — received gifts by date, with no clinical or service data attached
- Received gifts reconciled at actual amounts against what each platform reports.
- The conversion payload demonstrated to carry no clinical or family detail.
- Legacy pledges reported separately and never as current income.
- Retail and fundraising reported apart.
Hospices · free audit
What we check in the free audit
- Any clinical detail in a conversion payload
- Legacy pledges valued as current income
- Retail revenue pooled with fundraising
- Bereavement-sensitive targeting
Checked against
The fundraising CRM — received gifts by date, with no clinical or service data attached
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Hospices · when not to buy
What lands in your monthly report — Hospices
One page a month, in language you can put in front of a director.
- Gifts received by campaign, one-off and recurring.
- Legacy pledges as a separate register with no currency figure.
- Retail contribution as its own line.
- Cost per pound raised, fundraising only.
Hospices · what we deliver
The flow we build — Hospices
Click identifier captured and persisted
Across giving journeys that are often slow and considered.
Carried into the fundraising CRM
Onto the supporter record.
Received gift fires the conversion
As a plain amount.
Refunds and cancelled recurring gifts reversed
Both occur.
Written guarantee
95%+ tracking accuracy
Measured against The fundraising CRM — received gifts by date, with no clinical or service data attached. Miss it and we keep working at no cost.
From $400 · See packages
FAQ
Hospices questions, answered
Tread extremely carefully, and involve your clinical governance people before your media people. Retargeting anyone in this situation is a decision about dignity, not about performance.
No. Record them, celebrate them, and keep them out of any figure used to justify current spend. They may be realised in ten years or not at all.
Report them separately. Retail and fundraising share an organisation and nothing else, and pooling them makes both unreadable.
No. Not the service used, not the condition, not the referral route. A count and a value may leave; nothing else does.
More on Hospices
- Google Ads · HospicesGoogle Ads conversion tracking for hospices
- Meta · HospicesMeta Ads conversion tracking for hospices
- TikTok · HospicesTikTok Ads conversion tracking for hospices
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