Multi-Site Cardiology SEO and Paid Search Across Ten Brands

Aligned Cardio had grown by bringing practices into the group, and each one arrived with its own website, its own analytics account, and its own idea of what counted as a conversion. Ten brands, ten sets of numbers, no way to compare any of them. Leadership could not tell which practice was actually performing, so every decision got made site by site with no view of the whole. The other constraint was practical: clinical operations do not pause for a marketing project, so anything we recommended had to arrive as work that shipped, not a deck that waited for a meeting.

Across ten brands, the leverage was never going to be doing ten separate marketing programs. It was agreeing on what a win means, once. We put every property on the same conversion definitions so organic and paid were finally measured the same way, then set a documented baseline for each site instead of guessing. From there each brand got its own prioritized punch list against real competitor benchmarks, and a weekly ticket cadence with the development team so findings turned into shipped fixes rather than backlog. Standardize the measurement first and the rest of the network becomes executable in parallel. Skip that step and you get ten opinions.

With one measurement layer in place, we proved the playbook at a single practice before spending across the network. • 10 practice brands unified on one set of conversion definitions • About 836 combined monthly organic visits documented as a real starting baseline • A weekly cadence across all ten properties, up from no central rhythm at all • Paid search live with cost guardrails tied to what a patient is actually worth • 3.6× return at the first practice on the playbook, Colonial Heart That is where the force comes in. One practice proving the model is what earns the right to fund it everywhere else, so the same playbook is now moving to the next brands in the group. We also staged a parallel website for Virginia Cardiovascular Consultants as Aligned brought that practice in, keeping the VCC brand with Aligned as the partner. To be clear about that last one: the site is a preview built as a close asset. DNS has not swapped, and nothing here should be read as VCC being launched or the deal being closed.