advancedmd.com website review

About 2.4 MB of JavaScript is downloaded but never used on this page. Google estimates it would make the page about 2.5 s faster on a phone.

20 files block the first paint until they finish downloading. Deferring or inlining them could save about 4.8 s.

Wistia costs a phone 1.9 s of main-thread work and 804 KiB of downloads while your page loads. That alone is enough to make taps feel slow. Loading it after the page is usable, or only on the pages that need it, takes that off the critical path.

A phone's processor spends 10.2 s on main-thread work while loading, 6.7 s of it running JavaScript. Above 2 s, taps and scrolls feel sluggish.

Your mobile performance score is 32 (desktop: 38). Under 50 is Google's “poor” band: many phone visitors leave before the page is usable.

The page has 3,482 HTML elements. Above 1,500, rendering and every interaction get slower on phones.

8 third-party services load with your homepage (Wistia, Google Tag Manager and Drift and others), adding 2.8 MB and 3.7 s of main-thread time.

24 files are served with short cache lifetimes, so returning visitors download them again (654 KiB).

Google Tag Manager costs a phone 536 ms of main-thread work and 380 KiB of downloads while your page loads. Loading it after the page is usable, or only on the pages that need it, takes that off the critical path.

Drift costs a phone 422 ms of main-thread work and 813 KiB of downloads while your page loads. Loading it after the page is usable, or only on the pages that need it, takes that off the critical path.

92 KiB could be saved by minifying JavaScript.

Polyfills for old browsers add 65 KiB JavaScript that modern phones do not need. Google estimates it would make the page about 300 ms faster on a phone.

20 long tasks block the main thread while loading, the longest for 351 ms. During a long task the page ignores taps.

Facebook costs a phone 295 ms of main-thread work and 222 KiB of downloads while your page loads. Loading it after the page is usable, or only on the pages that need it, takes that off the critical path.

6 KiB could be saved by minifying CSS.

Optanon costs a phone 215 ms of main-thread work and 307 KiB of downloads while your page loads. Loading it after the page is usable, or only on the pages that need it, takes that off the critical path.

125 KiB JavaScript is shipped twice across bundles. Google estimates it would make the page about 250 ms faster on a phone.

About 48 KiB of CSS is downloaded but never applied on this page. Google estimates it would make the page about 150 ms faster on a phone.

1 image could be 164 KiB smaller with modern formats (WebP or AVIF) and sizes that fit a phone screen.

Web fonts hide text while they load. Setting font-display: swap shows text immediately (about 50 ms).

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

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

The first text or image appears after 9.0 s on a phone. Good is under 1.8 s.

Your largest element takes 13.9 s to render on a phone. Google's threshold for “good” is 2.5 s. The largest element is the text “Move care forwardSM”.

Visually, the page fills in at 16.2 s (Speed Index). Good is under 3.4 s.

The page becomes fully interactive after 28.7 s. Good is under 3.8 s.

Scripts block taps and scrolling for 1.1 s in total while the page loads. Good is under 200 ms.

Over the last 25 four-week periods to 2026-10-17, real Chrome visitors' tap response (inp) went from 120 ms to 189 ms at the 75th percentile (Chrome UX Report (opens in a new tab) history).

Over the last 25 four-week periods to 2026-10-17, real Chrome visitors' largest content (lcp) went from 1.6 s to 1.8 s at the 75th percentile (Chrome UX Report (opens in a new tab) history).

Your homepage downloads 4.0 MB in 240 requests on a phone: scripts 2.8 MB (123), fonts 475 KiB (8) and images 422 KiB (17). Under 2 MB keeps phones on slow connections fast.

7 images (362 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.

By the Sustainable Web Design model, a visit to your homepage emits about 1.13 g of CO₂e: 135.2 kg a year at 10,000 visits a month. It scales with page weight, so every byte cut lowers it.

5 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: 2 elements on the page fail this check, rated moderate by axe-core.

4 visible links have no text or label, so screen readers cannot say where they go.

Headings skip levels (h4 → h6 and h1 → h3), which makes the page harder to scan with a screen reader.

Elements with visible text labels do not have matching accessible names. (1 element).

There are 2 <h1> headlines (“Healthcare OFFICE MANAGEMENT SOFTWARE” and “ONE PLATFORM”). One clear main headline is easier for people and search engines.

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

1 link use generic text like “click here” or “learn more”, which tells Google nothing about the page behind it.

The homepage links to 367 pages on advancedmd.com and 6 external pages.

Your robots.txt lets ChatGPT search (OAI-SearchBot), ChatGPT (ChatGPT-User), Perplexity (PerplexityBot) and Perplexity (Perplexity-User) read the homepage but closes other sections to them, so answers about those pages can't cite you.

We fetched 15 pages linked from your homepage (of 118 found) and read each the way a search engine does.

1 image failed to load on a phone, for example https://bat.bing.com/action/0?ti=4051523&tm=gtm002&Ver=2&mid=e7283fe6-c375-4712-b3b2-e27e1b3622c9&bo=1&sid=8b0da9c0cc4711f1a8735f324cd9c26e&vid=8b0dfb80cc4711f1a8ccd1831ea7f4d9&vids=1&msclkid=N&pi=918.

62 of 143 tappable elements near the top of the page are smaller than 24 px, hard to hit with a thumb.

4 errors were logged to the browser console while the page loaded, for example “Failed to load resource: the server responded with a status of 403 ()”.

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

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

advancedmd.com has no CAA record, so any certificate authority may issue a certificate for it. A CAA record naming your provider (for example letsencrypt.org) closes that door.

advancedmd.com'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.

Your homepage shows a street address but no LocalBusiness JSON-LD, so Google and AI assistants have to guess your address, hours and phone from the page text.

Social proof on the homepage: 3 testimonial or review blocks. Pairing it with named testimonials or customer logos makes it far more convincing.

There is no link to Google or Apple Maps. A directions link is one tap for a phone visitor.

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

The homepage carries about 1,709 words of visible text.

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.

Before a visitor clicks anything, the page loads Google Ads, Google Analytics, Google Tag Manager, LinkedIn Insight and Meta Pixel and 2 mores (measured from a US location before any click). A consent tool (OneTrust) is installed; check it blocks these until visitors agree where the law requires it.

Opening the homepage sets 24 cookies (measured from a US location before any click).

Loading the homepage contacts 46 hosts run by other companies (fonts, scripts, analytics, ads), each of which sees the visitor's IP address.