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adena.org website review

Visit site (opens in a new tab)Reviewed 18 October 202633 issues · 99 checks

This review found 33 issues worth fixing on adena.org, 9 of them high impact, across 99 checks. The most urgent: render-blocking requests. Your full playbook turns these into prioritised fixes alongside reviews, competitors and channels.

  1. Homepage
  2. Phone render
  3. Links and pages
  4. Google PageSpeed

Google PageSpeed Insights (opens in a new tab), mobile

Real-visitor load time (LCP)75th percentile, phones
2.3 s1.6 sApr 25Oct 101.9 s
Show as table
DateReal-visitor load time (LCP)
Apr 25, 20262.1 s
May 2, 20262.1 s
May 9, 20262.1 s
May 16, 20262.1 s
May 23, 20262.1 s
May 30, 20262.2 s
Jun 6, 20262.2 s
Jun 13, 20262.2 s
Jun 20, 20262.2 s
Jun 27, 20262.1 s
Jul 4, 20262.0 s
Jul 11, 20261.8 s
Jul 18, 20261.8 s
Jul 25, 20261.7 s
Aug 1, 20261.7 s
Aug 8, 20261.7 s
Aug 15, 20261.7 s
Aug 22, 20261.8 s
Aug 29, 20261.8 s
Sep 5, 20261.8 s
Sep 12, 20261.8 s
Sep 19, 20261.8 s
Sep 26, 20261.9 s
Oct 3, 20261.9 s
Oct 10, 20261.9 s
Real-visitor tap response (INP)75th percentile, phones
126 ms108 msApr 25Oct 10112 ms
Show as table
DateReal-visitor tap response (INP)
Apr 25, 2026121 ms
May 2, 2026121 ms
May 9, 2026121 ms
May 16, 2026121 ms
May 23, 2026124 ms
May 30, 2026122 ms
Jun 6, 2026120 ms
Jun 13, 2026120 ms
Jun 20, 2026117 ms
Jun 27, 2026113 ms
Jul 4, 2026113 ms
Jul 11, 2026110 ms
Jul 18, 2026110 ms
Jul 25, 2026114 ms
Aug 1, 2026115 ms
Aug 8, 2026114 ms
Aug 15, 2026114 ms
Aug 22, 2026113 ms
Aug 29, 2026113 ms
Sep 5, 2026114 ms
Sep 12, 2026113 ms
Sep 19, 2026112 ms
Sep 26, 2026112 ms
Oct 3, 2026112 ms
Oct 10, 2026112 ms

Chrome UX Report (opens in a new tab): real Chrome visitors over rolling 28-day periods.

One score from every part of this review. How it works

Full-page screenshot of adena.org (desktop) rendered by Google PageSpeed Insights

How it loaded on a phone

  1. adena.org at 0.4 s0.4 s
  2. adena.org at 0.8 s0.8 s
  3. adena.org at 1.1 s1.1 s
  4. adena.org at 1.5 s1.5 s
  5. adena.org at 1.9 s1.9 s
  6. adena.org at 2.3 s2.3 s
  7. adena.org at 2.6 s2.6 s
  8. adena.org at 3.0 s3.0 s

adena.org does not allow embedding, so this is Google's rendering of the page.

Speed

6 to fix66
  • Render-blocking requests

    2.9 s

    5 files block the first paint until they finish downloading. Deferring or inlining them could save about 2.9 s.

  • Improve image delivery

    1.4 s · 1.4 MB

    11 images could be 1.4 MB smaller with modern formats (WebP or AVIF) and sizes that fit a phone screen. Google estimates it would make the page about 1.4 s faster on a phone.

  • Mobile performance score: 66

    66/100

    Your mobile performance score is 66 (desktop: 91). Pages that score under 90 lose visitors before the first paint.

  • Reduce unused JavaScript

    750 ms · 127 KiB

    About 127 KiB of JavaScript is downloaded but never used on this page. Google estimates it would make the page about 750 ms faster on a phone.

  • Reduce unused CSS

    300 ms · 80 KiB

    About 80 KiB of CSS is downloaded but never applied on this page. Google estimates it would make the page about 300 ms faster on a phone.

  • Use efficient cache lifetimes

    350 ms · 20 KiB

    2 files are served with short cache lifetimes, so returning visitors download them again (20 KiB).

  • 3 third-party services on the page

    3 third-party services load with your homepage (piwik.pro, JSDelivr CDN and Google Fonts), adding 257 KiB and 124 ms of main-thread time.

  • 3 long tasks on the main thread

    3 long tasks block the main thread while loading, the longest for 120 ms. During a long task the page ignores taps.

  • Phones get a much slower page than desktops

    Desktop scores 91 but mobile only 66. A gap that wide usually means heavy scripts and images that hit phones hardest.

  • Minify JavaScript

    7 KiB

    7 KiB could be saved by minifying JavaScript.

  • Chained critical requests

    Critical files load one after another instead of in parallel (3 chains). Preconnecting to key origins and preloading the hero image shortens the chain.

  • Forced reflow

    Scripts make the browser recalculate the layout repeatedly while the page loads, which wastes processor time on phones.

2 checks passed
  • Main-thread work: 0.9 s

    A phone's processor spends 0.9 s on main-thread work while loading, 235 ms of it running JavaScript. That is comfortably low.

  • Server response: 21 ms

    21 ms

    Your server sent the HTML in 21 ms, well inside Google's 600 ms guideline.

Core Web Vitals

5 to fix100
  • Largest Contentful Paint: 12.3 s

    12.3 s

    Your largest element takes 12.3 s to render on a phone. Google's threshold for “good” is 2.5 s. The largest element is the text “Fairfield Medical Center is now Adena Fairfield Medical Cen…”.

  • Time to Interactive: 12.3 s

    12.3 s

    The page becomes fully interactive after 12.3 s. Good is under 3.8 s.

  • First Contentful Paint: 3.0 s

    3.0 s

    The first text or image appears after 3.0 s on a phone. Good is under 1.8 s.

  • Speed Index: 5.1 s

    5.1 s

    Visually, the page fills in at 5.1 s (Speed Index). Good is under 3.4 s.

  • 6 images without width and height

    6 images have no width and height attributes, so the layout jumps as each one loads.

  • Tap response (INP) held steady for real visitors

    -7%

    Over the last 25 four-week periods to 2026-10-10, real Chrome visitors' tap response (inp) went from 121 ms to 112 ms at the 75th percentile (Chrome UX Report (opens in a new tab) history).

  • Largest content (LCP) held steady for real visitors

    -7%

    Over the last 25 four-week periods to 2026-10-10, real Chrome visitors' largest content (lcp) went from 2.1 s to 1.9 s at the 75th percentile (Chrome UX Report (opens in a new tab) history).

8 checks passed
  • Passes Core Web Vitals for real visitors

    Real Chrome users on phones pass Google's Core Web Vitals on this page (28-day field data from the Chrome UX Report (opens in a new tab)).

  • Real-user LCP: 1.8 s

    1.8 s

    Real visitors wait 1.8 s for the largest content to appear (75th percentile). Good is under 2.5 s.

  • Real-user INP: 108 ms

    108 ms

    Real visitors wait 108 ms for the page to respond to a tap (75th percentile). Good is under 200 ms.

  • Real-user CLS: 0.00

    0.00

    For real visitors the layout shifts by 0.00 (75th percentile). Good is under 0.1.

  • Real-user FCP: 1.5 s

    1.5 s

    Real visitors see the first content after 1.5 s (75th percentile). Good is under 1.8 s.

  • Real-user TTFB: 763 ms

    763 ms

    Real visitors wait 763 ms for your server to start answering (75th percentile). Good is under 800 ms.

  • Cumulative Layout Shift: 0

    0

    The layout barely moves while loading (CLS 0, good is under 0.1).

  • Total Blocking Time: 0 ms

    0 ms

    Scripts block the page for only 0 ms while loading. Good is under 200 ms.

Images and page weight

2 to fix60
  • Page weight: 6.2 MB in 58 requests

    6.2 MB

    Your homepage downloads 6.2 MB in 58 requests on a phone: images 4.9 MB (30), other files 813 KiB (8) and scripts 316 KiB (11). Under 2 MB keeps phones on slow connections fast.

  • 1 image far larger than shown

    127 KiB

    1 image is downloaded at several times the size a phone draws it, for example frame-1(1).png at 1,632 px wide, shown at 300 px. Resized copies would save about 127 KiB.

  • 3 images in older formats

    3 images (420 KiB) are JPEG, PNG or GIF. The same pictures as WebP or AVIF are usually much smaller at the same quality, and every current browser shows them.

  • About 1.7 g of CO₂ per visit

    1.75 g

    By the Sustainable Web Design model, a visit to your homepage emits about 1.75 g of CO₂e: 209.9 kg a year at 10,000 visits a month. It scales with page weight, so every byte cut lowers it.

1 checks passed
  • Images load when needed

    Images below the first screen wait until the visitor scrolls to them.

Accessibility

4 to fixGoogle 9093
  • 2 buttons without a name

    2 buttons have no accessible name, so screen readers announce just “button”.

  • 4 text elements with low contrast

    4 text elements don't have enough contrast against the background to read easily, especially outdoors on a phone.

  • All page content should be contained by landmarks (4 elements)

    All page content should be contained by landmarks: 4 elements on the page fail this check, rated moderate by axe-core.

  • 1 form field without a label

    1 form field has no label, so screen readers announce an empty box and autofill guesses.

2 checks passed
  • Every image has alt text

    All 10 images in the HTML carry an alt attribute.

  • 39 automated accessibility rules passed

    axe-core 4.13.0, the open-source engine behind most accessibility testing tools, ran 42 WCAG 2.2 A/AA and best-practice rules on the phone render: 39 passed and 3 failed. 1 more need a person to judge. Automated rules catch about a third of accessibility problems; the rest need manual testing.

SEO

7 to fixGoogle 9271
  • Title is short (12 characters)

    Your title is only 12 characters: “Adena Health”. Between 30 and 65 characters leaves room to say what you do and for whom.

  • No structured data

    No structured data (JSON-LD), so Google can't show rich results such as your logo, ratings or FAQs.

  • 3 H1 headlines

    There are 3 <h1> headlines (“Adena Health System - Generations of Care for Our…”, “FIND your next appointment” and “740-779-FIND”). One clear main headline is easier for people and search engines.

  • No social preview image

    No Open Graph image, so links shared on LinkedIn, Slack or Facebook show no preview picture.

  • No XML sitemap

    No XML sitemap at https://www.adena.org/sitemap.xml, so Google discovers your pages only by following links.

  • 15 links with vague text

    15 links use generic text like “click here” or “learn more”, which tells Google nothing about the page behind them.

  • No robots.txt

    There is no robots.txt at adena.org/robots.txt, the first file search crawlers ask for.

  • No X (Twitter) card tag

    No twitter:card tag. X falls back to Open Graph, which is incomplete here.

  • 172 internal links, 12 external

    The homepage links to 172 pages on adena.org and 12 external pages.

2 checks passed
  • Meta description: 149 characters

    Your meta description is 149 characters: “Adena Health has been providing comprehensive healthcare to your friends, family and neighbors in south central and sou…”.

  • Canonical URL set

    The canonical URL is https://www.adena.org/.

AI search readiness

1 to fix88
  • No Organization structured data

    There is no Organization (or LocalBusiness) JSON-LD, so search engines and AI assistants have no machine-readable facts about who runs the site: its name, logo, profiles and contact details.

  • No llms.txt

    There is no /llms.txt, a short Markdown guide to your key pages for AI tools (llmstxt.org). It is optional and few AI tools read it yet, so treat it as a cheap extra.

2 checks passed
  • AI answer engines may read the site

    There is no robots.txt, so nothing stops the crawlers behind ChatGPT search, Claude and Perplexity from reading the site and cite it in answers.

  • Text is in the HTML

    Your server sends the page's text in the HTML (642 words), so crawlers that don't run JavaScript still read it.

Other pages

3 to fix85
  • 1 page without a meta description

    /contact-us has no meta description, so Google writes the search snippet from whatever text it finds.

  • 1 link to non-canonical URLs

    Your homepage links to 1 page by a URL that isn't its canonical one, for example /careers, whose canonical is /careers/careers. Linking straight to the canonical URL saves crawlers a detour and keeps ranking signals on one address.

  • 2 pages without an H1

    /types-of-care and /heart-and-vascular-institute have no <h1> headline, so visitors and search engines get no clear main topic.

  • 15 internal pages checked

    We fetched 15 pages linked from your homepage (of 114 found) and read each the way a search engine does.

4 checks passed
  • Linked pages load

    All 15 pages we checked loaded without an error.

  • Titles are unique

    Every page we checked has its own title.

  • No linked page is hidden from search

    None of the pages we checked carries a noindex tag.

  • Every page has a title

    All 15 pages that loaded have a <title>.

Best practices

3 to fixGoogle 9285
  • 7 small tap targets

    7 of 26 tappable elements near the top of the page are smaller than 24 px, hard to hit with a thumb.

  • 2 JavaScript errors while loading

    2 errors were logged to the browser console while the page loaded, for example “No global alert”.

  • 2 distorted images

    2 images are displayed at the wrong aspect ratio, so they look stretched or squashed.

1 checks passed
  • Mobile viewport set

    The page declares a mobile viewport.

Security and trust

100
  • 1 link through redirect chains

    1 link go through two or more redirects, for example https://instagram.com/AdenaMedical.

  • No Permissions-Policy

    No Permissions-Policy header to switch off camera, microphone and location for embedded content.

  • Deprecated X-XSS-Protection

    X-XSS-Protection is set to “1; mode=block”; the header is deprecated and can introduce bugs. Use 0 or remove it.

  • No security.txt

    There is no /.well-known/security.txt telling researchers how to report a security problem to you.

8 checks passed
  • Served over HTTPS

    The homepage is served over HTTPS (adena.org).

  • Valid certificate (159 days left)

    The certificate from DigiCert Inc · DigiCert Global G2 TLS RSA SHA256 2020 CA1 verifies for adena.org and is valid for another 159 days.

  • Protected from clickjacking

    X-Frame-Options or a frame-ancestors policy stops other sites framing yours.

  • Content-Security-Policy set

    A Content-Security-Policy is set, the main browser-side defence against injected scripts.

  • HSTS enabled

    Strict-Transport-Security is set, so browsers always use https.

  • http:// redirects to https

    http://adena.org redirects to the secure version.

  • HTTP/2

    The server speaks HTTP/2, so browsers load many files over one connection.

  • All 51 links work

    All 51 links checked from your homepage (40 internal, 11 external) answered without errors.

Domain and trust

  • DNSSEC is off

    adena.org's DNS answers are not signed. DNSSEC stops attackers forging them to send visitors or email elsewhere; most registrars switch it on in a click, though most sites still run without it.

3 checks passed
  • Domain is 29 years old

    29 years

    adena.org was registered in Jul 1997 through Network Solutions, LLC. An established domain carries more trust with email providers and search engines.

  • Certificate issuers are restricted

    CAA records allow only digicert.com to issue certificates for adena.org, so a mis-issued certificate from anyone else is refused.

  • Registered until Jul 2034

    adena.org is registered until Jul 2034.

Content and conversion

2 to fix75
  • No social proof

    No testimonials, customer logos, ratings or customer counts on the homepage: nothing tells a new visitor that others already trust you.

  • No analytics detected

    No analytics or tag manager detected in the HTML, so you can't measure whether any of these fixes work.

  • No risk reducer

    No guarantee or risk reducer (money-back, free trial, no credit card) is mentioned, which is often what tips a hesitant visitor.

  • About 467 words of copy

    The homepage carries about 467 words of visible text.

4 checks passed
  • Clear next step on the first screen

    On a phone, the first screen shows a clear next step: “Learn more” and “Schedule now”.

  • 16 calls to action

    The homepage has 16 calls to action, for example “Contact Us”, “Medical Records Request” and “Department contact numbers”.

  • 1 short form

    A short form (1 field at most) is right on the homepage.

  • Direct contact links

    Visitors can reach you directly: 6 phone links and 0 email links.

Email authentication

85
  • Email authentication score: 85/100

    Email authentication: SPF record 25 points, plus 15 when it ends in -all (10 for ~all); DMARC record 25, plus 25 for a reject policy (15 for quarantine); a DKIM key on a common selector 10.

3 checks passed
  • DMARC policy: quarantine

    DMARC tells receivers to quarantine mail that fails authentication, and sends you reports.

  • SPF in place (~all)

    An SPF record lists your sending servers and marks other mail as suspicious (~all): “v=spf1 include:%{i}._ip.%{h}._ehlo.%{d}._spf.vali.email ~all”.

  • DKIM signing found

    A DKIM key is published (selector “selector1”, “s1” and “s2”), so receivers can verify mail really came from you.

Privacy and tracking

  • 5 cookies set on arrival

    5

    Opening the homepage sets 5 cookies (measured from a US location before any click).

  • No consent tool detected

    No known cookie consent tool loads with the page. Some sites build their own banner, and some only show one to visitors from the EU.

  • 5 other companies contacted

    Loading the homepage contacts 5 hosts run by other companies (fonts, scripts, analytics, ads), each of which sees the visitor's IP address.

1 checks passed
  • No known trackers before consent

    No known advertising or analytics trackers load before a visitor clicks anything (measured from a US location before any click).

Upkeep, stack and company

No signs of neglect in what was checked: the copyright year, CMS and plugin versions, and jQuery.

Stack

CMS
Sitefinity 15.4.8636.0 DX

Upkeep, stack, hiring and company data from programmable.info

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