Freestanding ER Network — 45% Patient Growth in 6 Months
A multi-location freestanding ER network in the Dallas–Fort Worth metroplex was losing market share to hospital systems. Our integrated digital strategy delivered a 45% increase in patient visits and $800K+ in additional annual revenue.
What Was Going Wrong
The ER network operated three locations in high-competition suburban corridors. Despite quality facilities and board-certified physicians, they were invisible in Google's Local Pack for high-acuity keywords. Hospital systems with massive marketing budgets dominated every search result.
- 1Zero presence in Local Pack for "emergency room near me"
- 2Google Ads CPA exceeded $280 per patient visit
- 3Competitors outranked them on all high-acuity keywords
- 4No review generation strategy — average 3.2 stars across locations
- 5Website not optimised for mobile or speed
The Plan
We deployed a three-pronged approach: dominate local search with aggressive GBP optimisation, capture immediate-need traffic with high-intent Google Ads, and build authority through healthcare-specific link building.
- Complete GBP overhaul for all 3 locations with weekly posts and Q&A seeding
- Google Ads restructured around high-acuity symptom keywords with location extensions
- Competitor geofencing campaigns targeting patients near rival urgent cares
- Automated review collection system to rebuild online reputation
- Technical SEO audit and Core Web Vitals optimisation on website
How We Did It
Month 1: Foundation
Technical SEO audit, GBP claim and verification for all locations, review generation system deployment, website speed optimisation.
Month 2: Campaigns Live
Google Ads launched with call-only and location extension campaigns. Local citation building across 100+ directories. First GBP posts published.
Month 3–4: Optimisation
A/B testing ad copy and landing pages. Review count grew from 45 to 180+ across locations. Local Pack rankings began improving.
Month 5–6: Dominance
Top 3 Local Pack position secured for primary keywords. CPA reduced by 65%. Patient visits up 45% from baseline.
“NextGen Health transformed our digital presence. We went from being invisible online to dominating our local market in under six months. The ROI has been extraordinary.”
Frequently Asked Questions
More Case Studies
Want Results Like These?
Every strategy is custom-built for your practice. Book a free consultation and we'll show you how we can deliver similar growth.