OSSM Idaho Case Study | 97% CPA Reduction, 8× Organic Traffic | Findable

Healthcare & Wellness Case Study

OSSM Idaho — From Underperforming to Regional Healthcare Dominance

A medical practice with underperforming online presence became the dominant healthcare brand in their region through a custom website rebuild, aggressive SEO strategy, and ultra-efficient Google Ads management.

0%
CPA Reduction
Organic Traffic Growth
0+
Keywords Ranked
$0
Cost Per Lead

The Challenge

An Underperforming Online Presence in a Competitive Market

OSSM Idaho is a multi-specialty orthopedic and sports medicine practice in Idaho. When Findable signed them in March 2021, their digital marketing was underperforming — high cost-per-acquisition on Google Ads ($176 per conversion), minimal organic search visibility, and a website that wasn't converting the traffic they did have.

In healthcare, patients research before they book. If you're not showing up for the searches your potential patients are making, you're invisible — and they're booking with your competitor down the street.

OSSM needed a partner who understood both the marketing and the medicine. Healthcare marketing has unique constraints: HIPAA compliance, E-E-A-T requirements for YMYL content, and patients who need trust before they'll pick up the phone.

The Strategy

Custom Website + Aggressive SEO + Efficient Google Ads

1

Custom website rebuild (launched late 2023) — fast-loading, mobile-first, conversion-optimized with MedicalOrganization schema, patient-friendly navigation, and clear CTAs for each specialty.

2

Content strategy targeting patient questions — blog posts on topics like cupping therapy benefits and wrist tendonitis treatment, which now drive 53% of all organic traffic.

3

Google Ads restructured with specialty-segmented campaigns, negative keyword mining, and bid optimization — driving CPA from $176 down to $5.07 on the same monthly budget.

4

Local SEO with GBP optimization, service area content, and specialty-specific landing pages to dominate the local pack.

5

Continuous optimization over 5+ years — this isn't a quick win, it's compounding growth from consistent, disciplined management.

The Results

Results by Channel

Google Ads

97%
CPA Reduction
$5.07
Current CPA
345
Conversions/mo
$176
Starting CPA
Same monthly budget (~$1,750/mo) — 2× more conversions
CPA dropped every year: $176 → $59 → $27 → $13 → $7 → $5
Conversions grew from 169/mo to 345/mo in one year

SEO & Content

Traffic Growth
2,100+
Keywords Ranked
322K/mo
Impressions
Top 9
Avg Position
328 → 2,688 organic clicks/mo (8× in 17 months)
9K → 322K impressions/mo (34× growth)
Two blog posts drive 53% of organic traffic
Average position improved from 20+ to top 9

Custom Website

$3.5K/mo
Traffic Value
Hockey Stick
Impact
New website launched late 2023 — immediate organic inflection point
Custom-coded for speed, SEO, and conversions
MedicalOrganization schema for rich search results

The Journey

Timeline

March 2021

Findable Signs OSSM

Starting CPA: $176 per conversion. Minimal organic presence. Underperforming website.

2021–2023

Foundation Building

Google Ads optimization drives CPA from $176 to $13. Organic keyword portfolio grows from minimal to ~500 keywords.

Late 2023

New Website Launches

Custom-coded website goes live. This is the inflection point — organic traffic goes vertical.

2024

Compounding Growth

Keywords: 500 → 2,100+. Blog content strategy kicks in. Two posts become organic traffic engines.

2025–2026

Regional Dominance

8× organic traffic. $5 CPA. 345 conversions/month. OSSM is the dominant healthcare brand online in their market.

Key Takeaways

What This Proves

A custom website is the accelerant. OSSM's organic traffic was flat for years — the new website was the catalyst that made everything compound.

Content strategy works when it targets real patient questions. Two blog posts (cupping therapy, wrist tendonitis) drive over half of all organic traffic.

Google Ads efficiency improves with time. Same budget, better results every year. CPA went from $176 to $5 over 5 years of continuous optimization.

The system compounds. SEO + Google Ads + custom website working together produce results that no single channel can match alone.

The System Behind the Results

The Local Business Accelerator

Custom website + ads + Growth Hub + AI. The same system that produced these results. $2,995/mo. No contracts.

See the Accelerator →
Findable

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