See which ads actually book patients, without handing patient data to Google or Meta.
Hippo is HIPAA-compliant conversion tracking for practices and telehealth companies.
Need help getting set up? Our team will handle the implementation with you.
✅ One snippet, live the same day.
✅ BAA signed at checkout.
✅ Plans start at $99/month.

The two ways healthcare marketing goes wrong

You can't tell what's working
Practice owners describe spending thousands without knowing what worked. Asking patients how they found you doesn't settle it either. “Google” could mean an ad, a map listing, or an organic search result.
I've spent near 15k USD with almost no return.
r/therapists …could NEVER show me how many leads were generated through their ads.
r/Chiropractic It's really hard to say right now if it's the marketing or the economy.
r/Dentistry 
The fix can get you sued
The tools that could answer the question keep showing up in lawsuits. Law firms now scan healthcare websites for tracking tags. Google won't sign a BAA for Analytics. Meta restricts conversion events for anyone in the health category.
Google won't sign a BAA for Analytics.
r/therapists I'm going through a provider's site right now and removing GA from everything except a few generic pages.
r/agency Law firms scanning healthcare websites for the presence of any analytics tags… and then filing lawsuits.
r/PPC
Hippo exists so you don't have to choose between the two.
You get real booking numbers, without sending patient names or health details to Google and Meta.
How Hippo works
Your website
Book your appointment
Book now
Call us
Booking
Call
Hippo
Records events
Removes identifying information
Sends clean conversion data
Excluded from conversion events
Names
Conditions
IP addresses
Clean conversion events only
Google / Meta


Booking
Call
Remove the pixels that send PHI.
Take the Google and Meta pixels off your site.
Paste one snippet.
Hippo records visits, bookings, and calls, then removes patient names, health details, and IP addresses from the conversion events sent to Google and Meta.
Send clean conversions back to Google and Meta.
Google and Meta receive conversion signals they can use to optimize your campaigns. Patient names, health details, and IP addresses stay out of those events.
What you get
Booked patients
Hippo shows which campaigns led to booked appointments and what each booking cost. See where your ad budget is bringing patients through the booking process.

A check on your agency
An independent copy of the numbers they report, in an account you own. If you ever switch agencies, everything stays with you.

Tracking that survives ad blockers
Server-side events keep flowing when browsers block pixels.

An audit trail for your tracking
A log of every event that went out and what was stripped from it. If a lawyer or auditor ever asks, you have the receipts.

Hippolytics / Who we help
Built for your practice
See which campaigns bring people to your practice.
Therapists and Group Practices
See which campaigns bring new clients.
Addiction Treatment and Recovery
Connect campaign spend to intake inquiries.
Ketamine and Psychedelic Clinics
Measure consultation bookings by campaign.
Telehealth
Understand what drives online bookings.
Mens Health DTC
Compare acquisition across your campaigns.
Womens Health and Fertility
See which campaigns drive consultations.
Dental
Know your cost per booked patient.
Med Spas
See which promotions get booked.
Dermatology
Connect campaign spend to appointments.
Imaging and Radiology
Measure calls and booking inquiries.
Primary Care and Multi Specialty Groups
See which campaigns bring new patients.
Labs and at Home Testing
Understand which campaigns drive inquiries.
Hospitals and Health Systems
Connect campaigns to appointment inquiries.
Consumer Apps & Devices
See which campaigns drive website inquiries.
Find the right plan for your practice.
Pricing
1,000 visitors/month
$99/month
Month to month.
Start now, no demo call1,000 visitors/month2,000 visitors/month
$199/month
Month to month.
Start now, no demo call2,000 visitors/month10,000 visitors/month
$299/month
Month to month.
Start now, no demo call10,000 visitors/month
Every plan includes:
- BAA signed at checkout
- No setup fees
- Cancel anytime. No compliance add-on that locks you in the day you enable it.
Server-side conversion tracking under a BAA, at a price a practice can actually pay.
The lawyers are already scanning for this
Class action firms scan healthcare websites for tracking tags, then file. The defendants aren't all venture-backed startups, either.
| Type | Company sued | Amount / status |
|---|---|---|
Therapists and Group Practices | Thriveworks | Up to $1.9M Settlement cap |
Addiction Treatment and Recovery | Workit Health | $578,680 Settlement |
Ketamine and Psychedelic Clinics | Choose Your Horizon | $400,000 Settlement |
Telehealth | Call-On-Doc | Up to $1.8M Settlement cap |
Men's Health DTC | LifeMD (RexMD) | Settled Amount undisclosed |
Women's Health and Fertility | Premom (Easy Healthcare) | $100,000 FTC civil penalty |
Dental | Aspen Dental | $2.80M Fixed settlement fund |
Med Spas | Ideal Image | Up to $3.5M Settlement cap |
Dermatology | Derick Dermatology | Up to $1M Settlement cap |
Imaging and Radiology | RAYUS Radiology | Settlement Total undisclosed |
Primary Care and Multi Specialty Groups | Duly Health and Care | $1.88M Settlement |
Labs and Home Testing | Labcorp | In progress Settlement approval |
Hospital and Healthcare Systems | Sutter Health | $21.5M Settlement |
Consumer Apps & Health Tech | Flo Health | $8M Proposed settlement |
Settlement figures are agreed funds or caps, not necessarily amounts paid. Settlements do not establish liability. Cases include private lawsuits and regulatory actions.
Frequently asked questions
Is Google Analytics (GA4) HIPAA compliant?
Google won't sign a BAA for Analytics, and you must keep protected health information out of it. This is why legal teams keep pulling GA off provider websites. Hippo reports visits and bookings under a BAA.
Will Google or Meta sign a BAA?
Google offers BAAs for Workspace and Cloud, but never for Analytics or Ads. Meta doesn't offer one at all. Staying compliant means keeping PHI away from both platforms in the first place, which is the job Hippo does.
Can I put the Meta Pixel on my medical website?
On a booking page, a portal, or a condition page, the pixel sends an identifier along with the page context. That combination is where most of the current lawsuits started. The safe route is a tag that strips identifying data before anything is sent.
Is a consent banner enough?
No. Cookie consent does not constitute HIPAA authorization. A banner alone doesn't resolve the privacy risks of sending patient information to advertising platforms.
My agency runs our ads. Isn't compliance their problem?
HIPAA liability stays with the covered entity, meaning you. As one agency put it in a dental forum: "if they mess up, it's on you." Hippo works whether you or your agency runs the account, and the data belongs to you either way.
Will removing the native pixel hurt my campaign performance?
It can, if you replace it with nothing. Advertisers who go dark this way watch Meta report one conversion while their own system shows ten. Hippo sends cleaned conversion events through the platforms' server-side APIs instead, so bidding keeps learning from real bookings.
Why is Meta restricting my events?
In January 2025, Meta began suppressing lower-funnel events for advertisers in the health and wellness category. Server-side conversions with PHI removed are the supported way to restore that signal.
Can I do retargeting or lookalike audiences?
For the most part, no. Platform policy and HIPAA both restrict it, whatever tool you use, and a vendor promising full remarketing to patient lists should worry you. Hippo sticks to what can be done safely: conversion measurement and clean optimization signal.
Can't I just build this with server-side GTM?
You can, and some agencies try. It often fails legal review anyway; one reported that moving GTM server-side and anonymizing IPs "wasn't enough for the lawyers." With a DIY build, you're responsible for building and maintaining the PHI filtering and audit trail.
How is Hippo different from the enterprise tools?
Hippo starts at $99/month, with a BAA included in every plan. Hippo publishes its pricing, goes live the same day, and sizes its plans for a practice's ad budget rather than a hospital system's.
Is the BAA really included?
Yes, in every plan. You sign it electronically at checkout, before any data flows.
How long does setup take? Do I need a developer?
One snippet. Most sites go live the same day, and our team will handle the implementation with you if you want help. No developer required.