Case Study · Children's Surgery International

How a nonprofit went from zero to maximum Ad Grants spend in months.

No Google Ads history. No conversion data. No paid media budget. Just a mission, and the right platform to make $10,000/month go to work.

Children's Surgery International
Children's Surgery International
Pediatric surgical care for underserved communities

The results speak for themselves.

Four months in, a brand-new account is operating at near-maximum efficiency, and the trajectory keeps climbing.

$6,144
Grant Spend Deployed
Total since launch
8.74%
Click-Through Rate
~3–4× search industry avg
100%
Optimization Score
Fully dialed-in account
412
Total Clicks
3,432+ impressions
01 Background

A compelling mission.
Zero digital infrastructure.

Children's Surgery International delivers free, specialized medical and surgical care to children worldwide while building in-country self-sufficiency through professional training and education. Their work is transformative. Their digital presence was not.

When they came to Ad Grants Pilot, there was no Google Ads history, no conversion data, and no campaign foundation. Everything started from zero.

CSI's mission cuts across more than a dozen countries, but the team running it is small. Communications and development sit on the same desk, and digital marketing wasn't a dedicated role. They knew the Google Ad Grants program gives qualifying nonprofits up to $10,000/month in free search advertising, and they'd been approved. What they didn't have was a way to actually use it. Like most newly approved nonprofits, the account had no spend history, no conversion data for Google to learn from, and no campaign foundation to build on. The grant existed on paper. Translating it into actual donations, awareness, and volunteer recruitment was a different problem.

The Opportunity
Google gives nonprofits $10,000 every month in free search ads. Most never come close to using it. CSI was going to be different.
$10K
02 Challenge

Unlocking $10K/month is harder than it looks.

The grant existed on paper. Deploying it fully required the right campaign structure, robust conversion signals, and enough account authority to compete in search auctions. Those are things that take agencies months to build.

0
Days of prior Google Ads history when CSI started. No campaign structure, no historical data, no quality score. The account was brand new.

With a lean team and no dedicated digital marketing expertise, CSI needed a partner who could close the gap between grant approval and maximum spend, fast.

The honest baseline for most newly approved Ad Grants accounts is a few hundred dollars of monthly spend for the first quarter (enough to stay compliant, nowhere near the cap). CSI didn't have that runway. They needed the first 30–60 days to do real work.

Monthly Grant Spend & Clicks
Growth trajectory from account launch through March 2026
Grant Spend
Clicks
Last point projected →
03 Approach

Built for speed. Optimized for performance.

Three coordinated moves, executed in sequence, took CSI from standing start to maximum spend.

01
Search Campaigns
Ad Grants Pilot's automated campaign builder rapidly stood up tightly structured search campaigns, generating keyword sets, headlines, and descriptions from CSI's own landing pages. Ad groups were kept to 15–20 focused keywords, with target terms embedded in headlines to maximize Ad Quality Score.
02
Conversion Tracking
CSI's donation platform was integrated with Google Analytics and Google Ads, enabling real-time attribution. Micro-conversion signals (form starts, session engagement, multi-page visits) were layered in with calibrated values, training Google's bidding systems to prioritize high-intent donors. Result: 100% optimization score.
03
Performance Max & Donations
As the account matured, Performance Max campaigns were introduced, unlocking audience-based targeting and image assets. A separate donation-specific campaign was built with conversion goals pointed exclusively at completed donations, giving Google a precise, unambiguous signal about what mattered most.
Methodology in detail

01 Why structure beat speed

Structure mattered as much as speed. Each ad group was kept tight (15 to 20 closely related keywords) so that every search query mapped to a headline that contained the exact term being searched. That mapping is what drives Ad Quality Score, and Quality Score is what determines whether an Ad Grants account can compete against paid advertisers in the same auctions. The campaign builder generated the first draft of keywords and ad copy directly from CSI's landing pages, so the search → ad → landing page chain was internally consistent from day one. CSI's communications team then refined the copy so it sounded like the organization, not a template.

02 Micro-conversions made the bidding work

The micro-conversion layer is what made the bidding work this fast. With only a handful of completed donations in the early weeks, Google's smart bidding algorithms didn't have enough volume to optimize toward. Calibrated values on form starts, multi-page sessions, and engaged-time signals gave the system enough to learn from while real donation data accumulated underneath. Within a few months the account hit a 100% optimization score, not because every recommendation was blindly accepted, but because the recommendations that were applied were the right ones for the structure the account was built on.

03 Performance Max came after the data, not before

Performance Max is the channel most newly approved Ad Grants accounts can't use effectively, because PMax needs conversion volume to feed its targeting models. By the time CSI's account had three months of clean conversion data, PMax was no longer a gamble. It was the obvious next step. The donation-specific campaign was kept structurally separate so its single conversion goal (completed donations) wasn't diluted by the broader engagement signals running in the search campaigns. That separation is what let the account scale toward the $10,000/month cap without sacrificing donor quality.

04 Results

Hitting the cap in months, starting from nothing.

CSI's account delivered across every key metric and is now consistently approaching the full $10,000/month grant allocation.

$6,144 deployed in grant spend since launch, growing toward the $10K cap
8.74% CTR roughly 3–4× the search industry average. Highly relevant, well-targeted ads
412 clicks, 3,432+ impressions from a brand-new account with zero prior history
100% optimization score achieved. Fully dialed-in account across all campaigns
Donations exceed the monthly Ad Grants Pilot subscription cost. Positive ROI in year one
Performance Max live and scaling. Daily spend limits hit on multiple days, trajectory pointing to the full cap

The clearest signal that the account is working isn't the click-through rate or the optimization score. It's that grant-attributed donations are now exceeding CSI's monthly Ad Grants Pilot subscription cost. The grant has gone from an unused asset on a Google for Nonprofits dashboard to a self-sustaining acquisition channel for a mission that depends on every dollar reaching surgical care for kids.

"

Ad Grants Pilot's software and customer success team were critical for helping our small team get started with Ad Grants, maxing out our spend, and bringing in donations within just 4 months.

Veronika Skorich
Veronika Skorich
Communications & Development Manager
Children's Surgery International
CSI
Frequently asked questions

Common questions about scaling Google Ad Grants.

The questions nonprofit teams ask most often when they're working out how to turn the Ad Grant into a real acquisition channel.

For a brand-new account with no conversion history, three to six months is realistic if the account is structured correctly from launch. CSI hit the cap in about four months. The bottleneck is rarely the grant itself. It's the conversion data Google's bidding system needs in order to spend efficiently.

Technically yes, but it usually shouldn't until the account has clean conversion data for Google's models to learn from. CSI's account ran search-only for the first few months and added Performance Max once conversion volume was stable. Launching PMax cold tends to burn impressions on low-intent traffic.

By integrating the donation platform with Google Analytics and Google Ads so completed donations fire as conversions, then layering in calibrated micro-conversions (form starts, engaged sessions, multi-page visits) to give the bidding system enough early signal to optimize against.

Yes, but not for every nonprofit and not on every topic. Mission areas with real search demand, multiple landing pages, and at least one strong donation flow can usually hit the cap within a few months. Niche missions with thin search demand may plateau below it.

The optimization score is Google's measure of how fully a campaign is using available levers (bidding, ad strength, conversion goals, etc.). It doesn't directly affect rankings, but accounts at 100% are usually structurally healthy. CSI's account reached 100% within four months.

An agency runs the account for you on a monthly retainer, typically $1,000–$3,000+/month. Ad Grants Pilot is software that builds and maintains the account structure for a flat subscription, with a customer success team for support, designed for nonprofits that want agency-grade results without an agency-grade fee.

With account activation and the first 30 days of setup. Getting conversion tracking live, building one tightly structured search campaign, and confirming the account is meeting all policy and compliance requirements before scaling.

About the author
Steven Aguiar, co-founder and CEO of Ad Grants Pilot
Steven Aguiar
Co-founder & CEO, Ad Grants Pilot

Steven is the co-founder and CEO of Ad Grants Pilot. He's spent the last decade building Google Ad Grants and paid search programs for nonprofits, from small six-figure organizations to the American Heart Association, through his agency BlueWing, which serves 15+ nonprofit clients. He started Ad Grants Pilot to bring agency-grade Ad Grants management to nonprofits that don't have agency-sized budgets.

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