Rick Cruz

C-Suite Financial Oversight Meets Digital Precision

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Strategic Google Ads Consultant for Profit-Driven Emergency Room (ER) Companies

In the high-stakes environment of for-profit Emergency Care, every click must translate into a patient encounter, and every dollar of ad spend must be accountable to the bottom line. I provide executive-level Google Ads consulting tailored specifically for healthcare executives who demand financial clarity and operational excellence from their digital marketing investment.

With a career rooted in the rigorous standards of a Certified Public Accountant (CPA) and over 30 years of experience as a Chief Operating Officer (COO) and Chief Financial Officer (CFO), I bridge the gap between complex digital analytics and boardroom-level financial reporting. As we work together, if you allow me to get a glimpse into your operations and profit margins, I’ll be able to understand and develop a more custom Google advertising strategy beyond the story your Google Ads and Google Analytics tell.

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The “Red Flag” Advantage: Deeper Marketing Analytics

Most agencies focus on “impressions” and “clicks.” I emphasize profitability and cost efficiency. Drawing on my background in financial reviews, I identify potential issues within Google Ads accounts—uncovering wasted spend in highly competitive healthcare keywords and optimizing conversion pathways to ensure your facilities effectively connect with the right patients at the right time.

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Why a CFO Mindset Matters in PPC

Marketing has evolved beyond purely creative endeavors; it now represents a significant line item on your P&L. I approach your Google Ads budget with the same financial rigor and strategic oversight that I have applied to managing the finances of multi-office professional services firms.

I Only Work With One ER Provider Per Major Market.

Professional Experience

Former CPA / CFO / COO

  • Managing Principal (2026-Present)

    RIK Consulting LLC, specializing in Google Ads in the for-profit ER sector. Allow me to utilize my skill set for you.

  • Chief Financial Officer (CFO) and Chief Operating Officer (COO) (2017–2026)

    Oversaw financial strategy and operational management for LawConnect, Inc., a digital marketing agency focused on lead generation and consumer-to-provider connections.

  • Chief Financial Officer (CFO) and Chief Operating Officer (COO) (1990–2017)

    Led operational and financial functions at two prominent law firms, Cantey Hanger LLP and Bailey & Galyen, managing the complex operations of organizations with over 100 employees across multiple locations.

  • Certified Public Accountant (CPA) (1990–2026)

    License provided a foundation of integrity, technical accuracy, and advanced business modeling. I have recently surrendered my CPA so I can give financial advice to non-employers. I’m in it with you.

  • Education

    B.B.A. in Accounting from the University of Texas at Arlington, with additional studies in engineering and computer programming.

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My Strategic Business Partner

Every Consultant Needs a Strong Supporting Cast

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Full-service digital marketing team

Support for ad designs and ad copy, landing page designs and content, as well as all other digital marketing requirements (websites, apps, developer support and services).

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Google Ads specialists

Experts in the Google Ads arena, who are capable of providing 24/7 support and services for your PPC, Performance Max, and Local Service Ads needs.

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A decade-long business relationship and counting

Consistency and trust is imperative with strategic partners. Something I’ve got with mine—and I hope to build with you.