INDEX · 01 · OVERVIEW
01 · HEALTHCARE/Deep by choice. Eight industries total./Built in Jacksonville, FL

Healthcare groups

Patients in crisis type into Google. We make sure a real clinic is what they find.

Multi-clinic healthcare marketing built around patient search behavior, closed-loop attribution from first query to booked appointment, and content that survives Google's medical E-E-A-T bar. Not brand ads. Not impressions. The clinic that's near them, open, and takes their insurance.

Michael reads every inbound · 24h reply on weekdays
Featured case
SaVida Health
+277%

Organic clicks YoY across 50+ clinics. Non-brand keywords carried 100% of the growth through the AI Overviews rollout. Two-year engagement, concluded August 2025, infrastructure handed off and still running.

Read the full case study
INDEX · 02 · CASE STUDIES
Shipped work

Three case studies, numbers published.

Every number below is from client-approved data. No composite ranges, no rounded-up claims, no engagements we can't name.

Healthcare · Addiction treatment

SaVida Health

Industry CTR on #1 organic positions dropped 32% when Google rolled out AI Overviews. SaVida's organic lead volume grew +9% YoY through the same window. A four-tier content model built for queries AI Overviews can't answer, across 50+ addiction-treatment clinics.

+9%
Leads YoY through AIO collapse
Marketing consulting · Senior care · PACE · Medicare Advantage

Generations Now

Lisa LaMagna runs Generations Now, a marketing consulting firm specializing in PACE programs, Medicare Advantage, and senior care. She engaged Digital1010 in 2019 as a senior thought partner for her own client work. Six years later, the relationship is still active. The headline result: a documented 3.6x conversion lift (2.0% to 7.29%) on a landing page she rebuilt from a single coaching recommendation, tested in production, attributable to the framework rather than the implementation. Repeat advisory packs across multiple business cycles, including her transition from solo consultant to multi-client firm and her win of a multi-year government-funded contract serving three Kansas PACE organizations.

3.6x
Conversion lift · single coaching recommendation
Healthcare · WordPress performance rebuild

SaVida Health · WordPress rebuild

50+ clinic WordPress site was dragging: 5.8-second load times, bloated database, failing Core Web Vitals, 62% bounce. Rebuilt the stack. 1.9s load. 68% database reduction. CWV Good across every location page. Bounce dropped to 41%. The technical foundation that made the +9% organic-lead compounding possible.

5.8s → 1.9s
Load time · WordPress rebuild
INDEX · 02B · INSIGHTS
Field notes on this vertical

20 insights on how we work here.

The same thinking that runs our Healthcare engagements, written up. Long reads on the operational discipline behind the work.

OPS2026-05-04

How we manage ADA compliance for multi-location websites.

ADA web accessibility lawsuits set a new record every year for the past five. The targets are not Fortune 500s. They are regional operators with multi-location websites: medical groups, professional services, hospitality, retail. Here is the standard we hold our work to, the process we use to get there, and what we do to keep sites accessible after launch.

7 min · Read →
OPS2026-05-04

HIPAA and your marketing stack: what healthcare clients need to know in 2026.

Class actions against healthcare systems for tracking technology use have not slowed. Settlements have crossed nine figures. Most marketing agencies are not equipped to operate inside HIPAA. If you are a covered entity running campaigns, your website and your marketing stack are part of your compliance perimeter.

7 min · Read →
AEO2026-03-28

Measuring AEO visibility across four platforms, weekly.

A client asked us if they were showing up in AI search. We didn't have a straight answer. Nobody did. So we built a methodology: query sets, four-dimension scoring across ChatGPT, Perplexity, Google AI Overviews, and Claude, weekly cadence. Then we ran it on real accounts. Here's what came out.

8 min · Read →
GROWTH2026-03-26

What the March 2026 Google Update Actually Means for Your Traffic

Four days ago, Google rolled out a major algorithm update. Here's what actually changed, who got hit hardest, and what to do about it from someone who's been through 15+ years of these updates.

6 min · Read →
PLATFORM2026-03-20

Why websites quietly stop working. And what an actual maintenance contract looks like.

Sites don't fail loudly. They decay. Plugins go stale, SSL certs expire mid-quarter, the form vendor rotates an SMTP credential, the cache layer stops cooperating with the CDN. Here's the failure pattern we see most, and the operating discipline that prevents it.

11 min · Read →
PLATFORM2026-03-13

Nine website mistakes I keep finding inside audits I'd rather not run.

After about a thousand site audits, the same nine operational mistakes show up everywhere. They don't show up in agency redesign pitches, because none of them are visible to the eye. Each one quietly bleeds revenue.

12 min · Read →
GROWTH2026-03-06

Your website isn't broken. Your attribution is.

Most 'my site doesn't convert' complaints aren't a conversion problem. They're a measurement problem. Here's how we audit it, what we usually find, and why the fix almost never starts with a redesign.

11 min · Read →
PLATFORM2026-02-27

When to actually redesign a website. And what eight to ten weeks of doing it properly looks like.

We rebuild two to four sites a year. One client at a time. Eight to ten weeks for the build, plus a week on location for photography. Here's the trigger criteria we use, the sequence we run, and what 'properly' looks like when the alternative is a sixty-thousand-dollar refresh that doesn't move the number.

13 min · Read →
PLATFORM2026-02-20

Custom websites versus templated ones. The stack decision is the engineering decision.

Most agencies pick a stack and bend every problem to fit. We pick the stack that fits the problem. Sitefinity for enterprise corporate sites. Next.js for headless commerce. WordPress when the editor team needs it. The platform decision is the most important decision on the project.

12 min · Read →
GROWTH2026-02-13

How 'near me' searches actually work. And what we run weekly to win them.

Near-me searches are the highest-intent queries on the internet. The local pack that ranks for them is decided by three signals most agencies undersell. Here's how we run it for fifty-clinic healthcare brands and single-location service businesses, against the same algorithm.

12 min · Read →
GROWTH2026-02-06

Healthcare digital marketing through the AI search collapse. What worked at fifty clinics.

We held organic clicks +277% year over year for a fifty-clinic addiction-medicine network during the AI Overviews rollout that ate the rest of healthcare's organic traffic. Here's the operational version of how. HIPAA-aware intake, medical E-E-A-T content, schema, and a CRM-attribution discipline most agencies skip.

14 min · Read →
GROWTH2026-01-09

Your AI Marketing Strategy Is Making Your Brand Forgettable: The Case for Strategic Human-AI Balance

Your AI Marketing Strategy Is Making Your Brand Forgettable: The Case for Strategic Human-AI Balance. Field notes from Digital1010's ongoing work.

29 min · Read →
GROWTH2025-12-30

Your 2026 Marketing Plan Is Already Failing: How to Build a Strategy That Actually Drives Results

Why most marketing plans become forgotten documents by Q2, and how to create an actionable framework that delivers measurable business outcomes

18 min · Read →
AEO2025-12-09

AEO vs SEO: Why Answer Engine Optimization is Reshaping Search (And It's Not Too Late to Adapt)

How AI search is changing digital visibility, and what businesses need to understand about optimizing for both traditional search engines and AI-powered answer engines

28 min · Read →
GROWTH2025-11-24

Why Most Digital Agencies Fail at SEO-Ready WordPress Builds (And How to Do It Right)

How businesses waste $20,000+ on agency builds that require complete SEO reconstruction before they can actually compete.

37 min · Read →
PLATFORM2025-11-14

Why Your WordPress Website Is Still Slow After Optimization (And What Enterprise Sites Actually Need)

**How businesses waste $10,000-$20,000 on surface-level fixes while ignoring the architectural problems that actually determine performance**

29 min · Read →
GROWTH2025-11-07

Your WordPress Site Is Being Targeted: The 2025 Security Crisis Costing Businesses Six Figures

Marcus Chen believed his e-commerce site was secure. He paid for managed hosting advertised as "enterprise-grade security." He installed Wordfence. He kept his updates current, or so he believed. Then attackers stole 72 hours of customer payment data.

25 min · Read →
GROWTH2025-10-14

Why Healthcare Programmatic SEO Fails (And the Framework That Actually Works in 2025-2026)

Most healthcare organizations approach programmatic SEO the same way: hire a developer to build templates, populate them with location or condition data, launch hundreds of pages, and wait for traffic. Six months later, they're still waiting. The pages are indexed, but they're…

13 min · Read →
PLATFORM2025-10-06

How Google's AI Overviews Are Reshaping WordPress SEO Strategy (And What Actually Works in 2025)

Your WordPress site ranks on page one. Your Core Web Vitals are passing. Your content is comprehensive and well-optimized. Yet your organic traffic has declined 15-30% over the past six months.

14 min · Read →
GROWTH2025-09-19

Why seven out of ten website redesigns fail, and how to guarantee yours succeeds

Your website redesign should be your biggest growth catalyst. Instead, it might become your most expensive business mistake.

9 min · Read →
INDEX · 03 · THE PLAYBOOK
How we work this vertical

Four signatures of the work.

Multi-location clinical networks. HIPAA-aware content, careful lead handling, medical E-E-A-T. Where the SaVida work lives.

Signature 01

HIPAA-safe intake

Form fields that don't leak PHI into Google Analytics. Call-tracking routes that never expose chart data to the analytics layer. Compliance is the intake architecture, not a pre-launch checkbox.

Signature 02

Multi-clinic SEO architecture

Location-page templates wired to each clinic's real GBP data, not template-filled placeholders. Redirect discipline when a clinic merges, closes, or rebrands. 50+ clinics on one shared operational tier.

Signature 03

Medical E-E-A-T content

Every claim sourced to a clinician with named credentials. SaVida's content library clears Google's medical E-E-A-T bar because it was written by the people who do the work, not by a generalist agency copywriter.

Signature 04

Closed-loop CRM attribution

Form submits and 60-second-plus calls tied to ad source, keyword, and booking outcome. The number we optimize against isn't clicks or form-fills. It's kept appointments.

INDEX · 04 · THE BENCH
The bench behind the cases

6+ engagements in Healthcare.

The named case is the headline. Below it, a sample of the bench, cycling live so you see the breadth, not just the highlight reel. Click any tile for the project notes.

Anchor · HealthcareFeatured case
+277%

SaVida Health

Organic clicks YoY across 50+ clinics. Non-brand keywords carried 100% of the growth through the AI Overviews rollout. Two-year engagement, concluded August 2025, infrastructure handed off and still running.

INDEX · AEO PULSE · LIVE
AEO Pulse·Healthcare

Live AI citations across the healthcare bench right now.

The AI search layer is where buyers research before they Google. We monitor it the way old-school SEO firms monitor SERPs. Numbers below are real engagement data, cycled through a sample of the queries we track for this account.

Query · frame 1/3is suboxone covered by insurance for opioid recovery
Updated 0s ago
ChatGPT-4o
#2 cited
Claude 3.5 Sonnet
#1 cited
Perplexity
#3 cited
Google AI Overviews
Featured
Gemini 2.0
#4 cited
Citation: SaVida Health · 50+ clinic location pages with named-clinician schema. Built for queries AI Overviews can't fully answer because they require licensed sourcing.
Polled by Otto · 47 Healthcare queries in the monitoring setCycle 6.5s · Hover to pause
INDEX · THE HONESTY CUT
What we won't do

In Healthcare, we'd rather turn it down than fake it.

The shape of what we'll take is also the shape of what we won't. We'd rather lose the deal than ship the wrong work. Most of these have already cost us engagements. We're fine with that.

  • 01

    We don't take dental practices that won't name a clinician on the content.

    Medical E-E-A-T isn't optional. If your hygienist's content is signed by 'the team,' Google won't trust it and AI engines won't cite it. The byline is the work.

  • 02

    We turn down direct-to-consumer telehealth shops that want SEO without compliance review.

    State medical-board rules vary per state. Volume without compliance is a regulatory bill we won't co-sign.

  • 03

    We refuse intake builds where PHI fields could route through Google Analytics.

    HIPAA exposure is irreversible. Compliance is the architecture, not a checkbox at QA.

  • 04

    We don't use stock testimonials with disease specifics.

    Even fictionalized patient outcomes can violate state-board ad rules. Real or nothing.

INDEX · 05 · THE OTHER SEVEN
INDEX · 06 · CLOSER

Tell us what you're trying to accomplish in Healthcare.

One paragraph is enough. Michael reads every inbound and replies within 24 hours on weekdays. If Healthcare is a fit, we'll be direct about the shape of the engagement. If it isn't, we'll tell you that too.