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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.
- Homepage
- Phone render
- Links and pages
- Google PageSpeed
Google PageSpeed Insights (opens in a new tab), mobile
Site score
67DClosest competitors among reviewed websites
Compare side by sideShow as table
| Date | Real-visitor load time (LCP) |
|---|---|
| May 9, 2026 | 2.7 s |
| May 16, 2026 | 2.6 s |
| May 23, 2026 | 2.6 s |
| May 30, 2026 | 2.6 s |
| Jun 6, 2026 | 2.7 s |
| Jun 13, 2026 | 2.7 s |
| Jun 20, 2026 | 2.7 s |
| Jun 27, 2026 | 2.6 s |
| Jul 4, 2026 | 2.5 s |
| Jul 11, 2026 | 2.4 s |
| Jul 18, 2026 | 2.3 s |
| Jul 25, 2026 | 2.2 s |
| Aug 1, 2026 | 2.2 s |
| Aug 8, 2026 | 2.1 s |
| Aug 15, 2026 | 2.1 s |
| Aug 22, 2026 | 2.2 s |
| Aug 29, 2026 | 2.2 s |
| Sep 5, 2026 | 2.3 s |
| Sep 12, 2026 | 2.3 s |
| Sep 19, 2026 | 2.4 s |
| Sep 26, 2026 | 2.4 s |
| Oct 3, 2026 | 2.4 s |
| Oct 10, 2026 | 2.4 s |
| Oct 17, 2026 | 2.5 s |
| Oct 24, 2026 | 2.5 s |
Show as table
| Date | Real-visitor tap response (INP) |
|---|---|
| May 9, 2026 | 112 ms |
| May 16, 2026 | 105 ms |
| May 23, 2026 | 107 ms |
| May 30, 2026 | 105 ms |
| Jun 6, 2026 | 105 ms |
| Jun 13, 2026 | 102 ms |
| Jun 20, 2026 | 98 ms |
| Jun 27, 2026 | 104 ms |
| Jul 4, 2026 | 108 ms |
| Jul 11, 2026 | 113 ms |
| Jul 18, 2026 | 116 ms |
| Jul 25, 2026 | 113 ms |
| Aug 1, 2026 | 109 ms |
| Aug 8, 2026 | 109 ms |
| Aug 15, 2026 | 103 ms |
| Aug 22, 2026 | 100 ms |
| Aug 29, 2026 | 99 ms |
| Sep 5, 2026 | 95 ms |
| Sep 12, 2026 | 100 ms |
| Sep 19, 2026 | 99 ms |
| Sep 26, 2026 | 99 ms |
| Oct 3, 2026 | 102 ms |
| Oct 10, 2026 | 97 ms |
| Oct 17, 2026 | 102 ms |
| Oct 24, 2026 | 102 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
How it loaded on a phone
0.4 s
0.8 s
1.1 s
1.5 s
1.9 s
2.3 s
2.6 s
3.0 s
hrmc.org does not allow embedding, so this is Google's rendering of the page.
Speed
Use efficient cache lifetimes
11.9 s · 2.1 MB20 files are served with short cache lifetimes, so returning visitors download them again (2.1 MB).
Reduce unused JavaScript
4.7 s · 900 KiBAbout 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
36/100Your 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 KiB3 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 mshealthsparq.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 ms3 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 mskyruus.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 KiBAbout 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 KiBPolyfills 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 msWeb 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 KiB5 KiB could be saved by minifying CSS.
1 checks passed
Server response: 20 ms
20 msYour server sent the HTML in 20 ms, well inside Google's 600 ms guideline.
Core Web Vitals
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 sYour 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 sThe page becomes fully interactive after 16.1 s. Good is under 3.8 s.
Total Blocking Time: 1.7 s
1.7 sScripts 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 sThe 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 sReal 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 sReal 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 sReal 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 sVisually, 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 msReal visitors wait 103 ms for the page to respond to a tap (75th percentile). Good is under 200 ms.
Real-user CLS: 0.00
0.00For real visitors the layout shifts by 0.00 (75th percentile). Good is under 0.1.
Cumulative Layout Shift: 0
0The layout barely moves while loading (CLS 0, good is under 0.1).
Images and page weight
Page weight: 2.4 MB in 37 requests
2.4 MBYour 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 gBy 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
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
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
robots.txt blocks 2 AI answer engine crawlers
2 of 6Your 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
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
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
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 yearsarh.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
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
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
20Opening 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).
Upkeep, stack and company
Stack
- Hosting
- Network Solutions Hosting
Upkeep, stack, hiring and company data from programmable.info
Go beyond the website
What your $25 Growth Playbook adds
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