ecmc.edu website review

15 files block the first paint until they finish downloading. Deferring or inlining them could save about 2.6 s.

20 images could be 2.8 MB smaller with modern formats (WebP or AVIF) and sizes that fit a phone screen.

5 files are served with short cache lifetimes, so returning visitors download them again (105 KiB).

Your mobile performance score is 64. Pages that score under 90 lose visitors before the first paint.

About 141 KiB of JavaScript is downloaded but never used on this page. Google estimates it would make the page about 800 ms faster on a phone.

About 142 KiB of CSS is downloaded but never applied on this page. Google estimates it would make the page about 400 ms faster on a phone.

5 third-party services load with your homepage (Google Tag Manager, termly.io and jQuery CDN and others), adding 458 KiB and 277 ms of main-thread time.

3 long tasks block the main thread while loading, the longest for 82 ms. During a long task the page ignores taps.

7 KiB could be saved by minifying JavaScript.

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.

2 KiB could be saved by minifying CSS.

Your largest element takes 7.2 s to render on a phone. Google's threshold for “good” is 2.5 s. The largest element is the element shown below.

The first text or image appears after 3.4 s on a phone. Good is under 1.8 s.

Visually, the page fills in at 5.8 s (Speed Index). Good is under 3.4 s.

The page becomes fully interactive after 7.2 s. Good is under 3.8 s.

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

Over the last 25 four-week periods to 2026-10-31, real Chrome visitors' tap response (inp) went from 103 ms to 112 ms at the 75th percentile (Chrome UX Report (opens in a new tab) history).

Your homepage downloads 7.4 MB in 74 requests on a phone: images 6.7 MB (37), scripts 448 KiB (14) and stylesheets 146 KiB (13). Under 2 MB keeps phones on slow connections fast.

3 images (206 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 2.10 g of CO₂e: 252.5 kg a year at 10,000 visits a month. It scales with page weight, so every byte cut lowers it.

8 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: 1 element on the page fails this check, rated moderate by axe-core.

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

1 visible link has no text or label, so screen readers cannot say where it goes.

Headings skip levels (h2 → h4 and h2 → h4), which makes the page harder to scan with a screen reader.

There is no <h1>, so neither visitors nor Google get a clear main headline.

Structured data found (BreadcrumbList, Hospital, ImageObject and Organization) but with 1 problem, for example “Hospital: missing @context (expected "https://schema.org")”.

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

1 link has no real href, so search engines can't follow it.

The homepage links to 111 pages on ecmc.edu and 14 external pages.

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.

/request-medical-records and /patients-visitors/accessing-your-health-records all use the title “Accessing Your Health Records - ECMC Hospital | Buffalo, NY”. Search engines can't tell which page to show for a search, so each competes with the others.

/patients-visitors/billing-and-insurance/pay-your-bill, /ecmc-foundation, /featured-events, /make-an-appointment, /medical-professionals and /news and 9 others have no meta description, so Google writes the search snippet from whatever text it finds.

Your homepage links to 1 page by a URL that isn't its canonical one, for example /request-medical-records, whose canonical is /patients-visitors/accessing-your-health-records. Linking straight to the canonical URL saves crawlers a detour and keeps ranking signals on one address.

/patients-visitors/billing-and-insurance/pay-your-bill, /contact-us and /patients-visitors/patient-portal have no <h1> headline, so visitors and search engines get no clear main topic.

We fetched 15 pages linked from your homepage (of 61 found) and read each the way a search engine does.

5 errors were logged to the browser console while the page loaded, for example “Connecting to 'https://pagead2.googlesyndication.com/ccm/collect?rcb=12&frm=0&apvc=1&ae=g&en=page_view&dl=https%3A%2F%2…”.

1 image is displayed at the wrong aspect ratio, so it looks stretched or squashed.

Chrome logged issues while loading the page (“Content security policy”).

1 link to other sites is dead, for example https://mychart.ecmc.edu/ECMC/app/activation (500).

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

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.

ecmc.edu 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.

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

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.

The homepage shows no opening hours. If customers visit or call, show when.

Your phone number appears as text but isn't a tel: link, so phone visitors can't tap to call.

The homepage carries about 502 words of visible text.

DMARC is set to p=none, so mail pretending to be ecmc.edu is still delivered. Reports are on, so moving to quarantine is the next step.

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 Tag Manager (measured from a US location before any click). A consent tool (Termly) is installed; check it blocks these until visitors agree where the law requires it.

Opening the homepage sets 1 cookie (measured from a US location before any click).

Loading the homepage contacts 6 hosts run by other companies (fonts, scripts, analytics, ads), each of which sees the visitor's IP address.