Not because of features, but because of what it will and will not tell you afterwards. Two clinics running identical campaigns on different systems end up with completely different ceilings.
Practice management software in Australian podiatry gets selected on clinical notes, claiming and rostering, which is entirely reasonable. Nobody chooses it on whether it can return a funding weighted conversion value to Google Ads three months later, and yet that is what determines whether the account can ever be optimised properly.
This is not an argument for changing systems. It is an argument for knowing which of three tracking architectures you are entitled to before anyone sells you the most expensive one.
Halaxy publishes webhooks for appointment create, update and delete, with a configurable authentication header and a FHIR payload. Real time, no polling, and by a distance the cleanest option in Australian allied health.
Cliniko and Splose can hold the click identifier in a patient custom field and expose whether the patient attended. The integration has to poll for changes rather than be told about them, which is more moving parts but entirely workable.
Where the system has neither webhooks nor a usable API, conversions can be matched on hashed email and phone instead of the click identifier. It works on almost anything that can export a patient list, and it should be the default recommendation rather than the fallback of last resort.
Claiming rails matter here because they decide how quickly a funded appointment becomes a recorded, reconcilable outcome. HICAPS lists Halaxy and Nookal among its featured practice management integrations. Tyro Health, formerly Medipass, is the broader rail, connecting to more than eighty systems including Cliniko, coreplus, Front Desk, Gensolve, Halaxy, Nookal, Splose, Zanda and the Best Practice range.
One operational detail catches out a lot of podiatry clinics: Cliniko's Medicare bulk billing runs through Tyro rather than natively, and a claim cannot be submitted without a completed Assignment of Benefit. Clinics regularly discover this as a backlog of unsubmitted claims rather than as a setting.
A senior team that lives inside your account. Conversion infrastructure wired in before any ad goes live. Reporting that ties spend to booked appointments, not impressions.
A senior specialist who runs clinic accounts day to day.
Every keyword, headline and account structure built inside real Australian clinic accounts.
Winner, Best Google Ads Campaign, Australia 2025. Google Partner. AFR Fast 100.