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hrmc.org website review

Visit site (opens in a new tab)Reviewed 27 October 202639 issues · 97 checks

This review found 39 issues worth fixing on hrmc.org, 17 of them high impact, across 97 checks. The most urgent: use efficient cache lifetimes. 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
2.8 s2.0 sMay 9Oct 242.5 s
Show as table
DateReal-visitor load time (LCP)
May 9, 20262.7 s
May 16, 20262.6 s
May 23, 20262.6 s
May 30, 20262.6 s
Jun 6, 20262.7 s
Jun 13, 20262.7 s
Jun 20, 20262.7 s
Jun 27, 20262.6 s
Jul 4, 20262.5 s
Jul 11, 20262.4 s
Jul 18, 20262.3 s
Jul 25, 20262.2 s
Aug 1, 20262.2 s
Aug 8, 20262.1 s
Aug 15, 20262.1 s
Aug 22, 20262.2 s
Aug 29, 20262.2 s
Sep 5, 20262.3 s
Sep 12, 20262.3 s
Sep 19, 20262.4 s
Sep 26, 20262.4 s
Oct 3, 20262.4 s
Oct 10, 20262.4 s
Oct 17, 20262.5 s
Oct 24, 20262.5 s
Real-visitor tap response (INP)75th percentile, phones
119 ms92 msMay 9Oct 24102 ms
Show as table
DateReal-visitor tap response (INP)
May 9, 2026112 ms
May 16, 2026105 ms
May 23, 2026107 ms
May 30, 2026105 ms
Jun 6, 2026105 ms
Jun 13, 2026102 ms
Jun 20, 202698 ms
Jun 27, 2026104 ms
Jul 4, 2026108 ms
Jul 11, 2026113 ms
Jul 18, 2026116 ms
Jul 25, 2026113 ms
Aug 1, 2026109 ms
Aug 8, 2026109 ms
Aug 15, 2026103 ms
Aug 22, 2026100 ms
Aug 29, 202699 ms
Sep 5, 202695 ms
Sep 12, 2026100 ms
Sep 19, 202699 ms
Sep 26, 202699 ms
Oct 3, 2026102 ms
Oct 10, 202697 ms
Oct 17, 2026102 ms
Oct 24, 2026102 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 hrmc.org (desktop) rendered by Google PageSpeed Insights

How it loaded on a phone

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

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

Speed

10 to fix36
  • Use efficient cache lifetimes

    11.9 s · 2.1 MB

    20 files are served with short cache lifetimes, so returning visitors download them again (2.1 MB).

  • Reduce unused JavaScript

    4.7 s · 900 KiB

    About 900 KiB of JavaScript is downloaded but never used on this page. Google estimates it would make the page about 4.7 s faster on a phone.

  • Mobile performance score: 36

    36/100

    Your mobile performance score is 36 (desktop: 49). Under 50 is Google's “poor” band: many phone visitors leave before the page is usable.

  • 4 third-party services on the page

    4 third-party services load with your homepage (healthsparq.com, Tealium and kyruus.com and others), adding 2.0 MB and 1.0 s of main-thread time.

  • Improve image delivery

    950 ms · 196 KiB

    3 images could be 196 KiB smaller with modern formats (WebP or AVIF) and sizes that fit a phone screen. Google estimates it would make the page about 950 ms faster on a phone.

  • healthsparq.com adds 963 ms

    963 ms

    healthsparq.com costs a phone 963 ms of main-thread work and 1.5 MB 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.

  • 12 long tasks on the main thread

    12 long tasks block the main thread while loading, the longest for 1.0 s. During a long task the page ignores taps.

  • Render-blocking requests

    950 ms

    3 files block the first paint until they finish downloading. Deferring or inlining them could save about 950 ms.

  • Main-thread work: 3.9 s

    A phone's processor spends 3.9 s on main-thread work while loading, 2.8 s of it running JavaScript. Above 2 s, taps and scrolls feel sluggish.

  • kyruus.com adds 0 ms

    0 ms

    kyruus.com costs a phone 0 ms of main-thread work and 491 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.

  • Reduce unused CSS

    150 ms · 53 KiB

    About 53 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.

  • Legacy JavaScript

    150 ms · 40 KiB

    Polyfills for old browsers add 40 KiB JavaScript that modern phones do not need. Google estimates it would make the page about 150 ms faster on a phone.

  • Font display

    50 ms

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

  • 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.

  • Minify CSS

    5 KiB

    5 KiB could be saved by minifying CSS.

1 checks passed
  • Server response: 20 ms

    20 ms

    Your server sent the HTML in 20 ms, well inside Google's 600 ms guideline.

Core Web Vitals

9 to fix67
  • Fails Core Web Vitals for real visitors

    Real Chrome users on phones do not pass Google's Core Web Vitals on this page (28-day field data from the Chrome UX Report (opens in a new tab)). Google uses this in ranking.

  • Largest Contentful Paint: 15.9 s

    15.9 s

    Your largest element takes 15.9 s to render on a phone. Google's threshold for “good” is 2.5 s. The largest element is the element shown below.

  • Time to Interactive: 16.1 s

    16.1 s

    The page becomes fully interactive after 16.1 s. Good is under 3.8 s.

  • Total Blocking Time: 1.7 s

    1.7 s

    Scripts block taps and scrolling for 1.7 s in total while the page loads. Good is under 200 ms.

  • First Contentful Paint: 4.1 s

    4.1 s

    The first text or image appears after 4.1 s on a phone. Good is under 1.8 s.

  • Real-user LCP: 2.5 s

    2.5 s

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

  • Real-user FCP: 2.0 s

    2.0 s

    Real visitors see the first content after 2.0 s (75th percentile). Good is under 1.8 s.

  • Real-user TTFB: 1.2 s

    1.2 s

    Real visitors wait 1.2 s for your server to start answering (75th percentile). Good is under 800 ms.

  • Speed Index: 5.2 s

    5.2 s

    Visually, the page fills in at 5.2 s (Speed Index). Good is under 3.4 s.

  • Tap response (INP) held steady for real visitors

    -6%

    Over the last 25 four-week periods to 2026-10-24, real Chrome visitors' tap response (inp) went from 112 ms to 102 ms at the 75th percentile (Chrome UX Report (opens in a new tab) history).

  • Largest content (LCP) held steady for real visitors

    -6%

    Over the last 25 four-week periods to 2026-10-24, real Chrome visitors' largest content (lcp) went from 2.7 s to 2.5 s at the 75th percentile (Chrome UX Report (opens in a new tab) history).

3 checks passed
  • Real-user INP: 103 ms

    103 ms

    Real visitors wait 103 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.

  • Cumulative Layout Shift: 0

    0

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

Images and page weight

1 to fix85
  • Page weight: 2.4 MB in 37 requests

    2.4 MB

    Your homepage downloads 2.4 MB in 37 requests on a phone: scripts 1.8 MB (16), images 408 KiB (12) and stylesheets 88 KiB (4). Under 2 MB keeps phones on slow connections fast.

  • 1 image in older formats

    1 image (35 KiB) is 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.

  • 1 image below the first screen load straight away

    1 image further down the page (28 KiB) download before anyone scrolls to it. Adding loading="lazy" lets the first screen load first.

  • About 0.7 g of CO₂ per visit

    0.68 g

    By the Sustainable Web Design model, a visit to your homepage emits about 0.68 g of CO₂e: 82.0 kg a year at 10,000 visits a month. It scales with page weight, so every byte cut lowers it.

1 checks passed
  • Images are sized for phones

    No image is downloaded at more than three times the size it is drawn on a phone.

Accessibility

4 to fixGoogle 9293
  • 3 text elements with low contrast

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

  • Summary elements must have discernible text (1 element)

    Summary elements must have discernible text: 1 element on the page fails this check, rated serious by axe-core.

  • No main landmark

    The page has no <main> landmark, so screen-reader users cannot jump straight to the content.

  • 68 links without text

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

  • Headings skip levels

    Headings skip levels (h2 → h5), which makes the page harder to scan with a screen reader.

2 checks passed
  • Every image has alt text

    All 12 images in the HTML carry an alt attribute.

  • 35 automated accessibility rules passed

    axe-core 4.13.0, the open-source engine behind most accessibility testing tools, ran 39 WCAG 2.2 A/AA and best-practice rules on the phone render: 35 passed and 4 failed. 1 more need a person to judge. Automated rules catch about a third of accessibility problems; the rest need manual testing.

SEO

4 to fixGoogle 10076
  • robots.txt blocks all crawlers

    Your robots.txt disallows the whole site for every crawler, so search engines are told to stay out.

  • Title is long (68 characters)

    Your title is 68 characters, so Google will cut it off around 60: “Highlands ARH Regional Medical Center - Prestonsburg - KY - Hospital”.

  • No structured data

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

  • Meta description is long (691 characters)

    Your meta description is 691 characters; Google truncates after about 160, so the end of your pitch is cut.

  • No X (Twitter) card tag

    No twitter:card tag. X falls back to Open Graph, which is set, so this is minor.

  • 22 internal links, 164 external

    The homepage links to 22 pages on hrmc.org and 164 external pages.

4 checks passed
  • One H1 headline

    Your main headline reads: “Highlands ARH Regional Medical Center”.

  • Canonical URL set

    The canonical URL is https://providers.arh.org/location/highlands-arh-regional-medical-center/undefined.

  • Open Graph tags complete

    Open Graph tags are complete, so shared links show a title, description and image.

  • XML sitemap found

    Your XML sitemap is reachable at https://providers.arh.org/sitemap.xml.

AI search readiness

2 to fix53
  • robots.txt blocks 2 AI answer engine crawlers

    2 of 6

    Your robots.txt shuts out Claude (Claude-User) and Perplexity (Perplexity-User). These fetch pages to answer people's questions and cite the source, so your site can't be quoted or linked in those answers.

  • 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.

  • Opted out of AI training for 3 crawlers

    robots.txt blocks Google-Extended, Applebot-Extended and CCBot, which collect pages to train models. That's a legitimate choice and doesn't by itself stop the site appearing in AI answers.

2 checks passed
  • Text is in the HTML

    Your server sends the page's text in the HTML (717 words), so crawlers that don't run JavaScript still read it.

  • llms.txt published

    The site publishes /llms.txt (4 KiB, 0 links), a plain-text guide to the site for AI tools.

Other pages

1 to fix0
  • 2 linked pages are broken

    Your homepage links to /myarhchart and /location/highlands-arh-regional-medical-center/Sponsorship%20Request%20Application, which answer with an error. Visitors hit a dead end and search engines drop them.

  • 2 internal pages checked

    We fetched 2 pages linked from your homepage and read each the way a search engine does.

Best practices

1 to fixGoogle 10093
  • 3 JavaScript errors while loading

    3 errors were logged to the browser console while the page loaded, for example “Access to XMLHttpRequest at 'https://cdn.kyruus.com/pmc-customer-static-assets/2201wped/custom-style/1.1/2201wped-custo…”.

  • Missing source maps

    Large scripts ship without source maps.

2 checks passed
  • Tap targets are thumb-sized

    70 of 72 tappable elements near the top are at least 24 px.

  • Mobile viewport set

    The page declares a mobile viewport.

Security and trust

1 to fix88
  • 2 broken links to your own pages

    2 links from your homepage to your own site are broken, for example https://providers.arh.org/myarhchart/ (404).

  • No security.txt

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

7 checks passed
  • Served over HTTPS

    The homepage is served over HTTPS (providers.arh.org).

  • Valid certificate (43 days left)

    The certificate from GlobalSign nv-sa · GlobalSign Atlas R46 DV TLS CA 2026 Q3 verifies for hrmc.org and is valid for another 43 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://hrmc.org redirects to the secure version.

  • HTTP/2

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

Domain and trust

  • No CAA record

    arh.org 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.

  • DNSSEC is off

    arh.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.

2 checks passed
  • Domain is 30 years old

    30 years

    arh.org was registered in Apr 1996 through Network Solutions, LLC. An established domain carries more trust with email providers and search engines.

  • Registered until Apr 2032

    arh.org is registered until Apr 2032.

Content and conversion

4 to fix64
  • No call to action on the first screen

    On a phone, there is no call to action on the first screen: visitors have to scroll to find out what to do next.

  • Local business without LocalBusiness data

    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.

  • Thin social proof

    Social proof on the homepage: 12 customer or partner logos. Pairing it with named testimonials or customer logos makes it far more convincing.

  • No analytics detected

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

  • No opening hours

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

  • No form on the homepage

    There is no form on the homepage, so every lead has to click through to another page first.

  • No map or directions link

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

  • 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 398 words of copy

    The homepage carries about 398 words of visible text.

3 checks passed
  • 7 calls to action

    The homepage has 7 calls to action, for example “Buy ARH Apparel”, “Request a Sponsorship” and “LEARN MORE”.

  • Direct contact links

    Visitors can reach you directly: 1 phone link and 0 email links.

  • Phone number on the homepage

    Your phone number is on the homepage as a tap-to-call link.

Email authentication

2 to fix0
  • No DMARC policy

    hrmc.org has no DMARC record, so nothing tells receivers what to do with mail that fails SPF or DKIM. Gmail and Yahoo require DMARC from bulk senders.

  • No SPF record

    hrmc.org has no SPF record, so mail servers can't tell which servers may send email as you. Your mail lands in spam more often, and anyone can send mail pretending to be you.

  • No DKIM key on the usual selectors

    We found no DKIM key on the selectors the big email providers use. If you send through one of them, turning on DKIM signing improves delivery.

  • Domain receives no email

    hrmc.org has no MX record, so it receives no email. SPF -all and DMARC reject still matter: they stop others sending mail as you.

  • Email authentication score: 0/100

    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.

Privacy and tracking

  • 20 cookies set on arrival

    20

    Opening the homepage sets 20 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.

  • 7 other companies contacted

    Loading the homepage contacts 7 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).

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