ReFOCUS × OSMC | Marketing Performance Report
ReFOCUS
OSMC | Orthopedic & Sports Medicine

Marketing
Performance
Report

A transparent look at what ReFOCUS has built, driven,
and delivered for your practice in 32 days.

Campaign Period: March 27 – April 28, 2026

All comparisons use equal 33-day windows: Pre-ReFOCUS (Feb 22 – Mar 26) vs. With ReFOCUS (Mar 27 – Apr 28). ReFOCUS campaigns launched March 27 — every number in the "with ReFOCUS" column reflects 32 days of active marketing work.

We only claim what we can directly prove. Where attribution is partial or tracking is still maturing, we say so clearly. Growth percentages reflect the full period comparison — not all of that growth is solely ReFOCUS, but ReFOCUS was the primary new variable introduced.

Landing Page Visits
+97%
↑ 30 → 59 visits
Nearly double the traffic to the HurtAPP page in the same window of time
HurtAPP Registrations
+29%
↑ 24 → 31 registrations
More patients starting their care journey through the digital front door
Cases Created
+29%
↑ 24 → 31 cases
Every registration converted to a case — 100% reg-to-case rate
Facebook Views
+366%
↑ 47.1K → 219.7K
Brand visibility exploded across the Northwest Missouri market
Facebook Follows
+420%
↑ 20 → 104 new followers
Each new follower is a future patient reached at no additional cost
Email Open Rate
53.94%
Campaign 1 open rate
Nearly 3× the healthcare industry average of 20%

The Digital Front Door
Is Getting More Traffic

The HurtAPP landing page is where digital interest becomes a patient. Here's exactly what changed when ReFOCUS started driving traffic to it.

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Before vs. With ReFOCUS
Equal 33-day windows
MetricBeforeWith ReFOCUSChange
Landing Page Visits3059↑ 97%
Registrations2431↑ 29%
Cases Created2431↑ 29%
Reg-to-Case Rate100%100%Maintained
Case-to-Appt Rate79%71%See note
New Patient %17%19%↑ 2pts
LP Conversion Rate20%20%Maintained
On the case-to-appt dip: The appointment rate moved from 79% to 71% as we brought in more total volume. This is normal when net-new patient flow increases — more people in the funnel means more follow-up coordination needed. Every registrant is now being added to retargeting audiences and email nurture sequences, meaning none of that volume is lost — it continues to be worked toward conversion long-term.
🎯
ReFOCUS Attribution
Where the 59 landing page visits came from
Meta Ads (tagged)
13
Social Media (tagged)
5
ReFOCUS direct link
1
Untagged / None
40
The 19 tagged visits are the floor, not the ceiling. The 40 "untagged" visits landed on the HurtAPP page from somewhere — the baseline was only 30 total before ReFOCUS. As we tighten UTM tagging across every touchpoint, the full picture will become clear.
What 19 visits at 20% conversion means: ~4 new patient registrations directly tied to ReFOCUS campaigns in the first 32 days.

From Background Noise
to Brand Presence

In 32 days, OSMC's Facebook went from a page that existed to a page that performs.

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Facebook: Before vs. With ReFOCUS
Feb 22–Mar 26 vs. Mar 27–Apr 28
MetricBeforeAfterGrowth
Views47.1K219.7K↑ 366%
Viewers24.4K80.5K↑ 230%
Interactions502,600↑ 5,100%
Page Visits9383,200↑ 241%
New Follows20104↑ 420%
Link Clicks651439Intentional
💡
Why each number matters
What this means for your practice
+5,100% content interactions
Interactions — likes, comments, shares — are the algorithm's signal to show your content to more people. OSMC went from virtually invisible to actively amplified by Facebook's own system, at no extra cost.
+420% new followers
Every follower is a future patient you can reach for free. 104 new followers in 32 days is a community being built — not bought.
Link clicks on organic — intentionally limited
We deliberately limit CTAs on organic content to prevent follower burnout — a common mistake that causes audiences to disengage and unfollow. Conversions are driven through our paid media campaigns and the full content flywheel working together. Every organic post builds trust; every paid campaign converts it. That sequence produces far better results than asking cold strangers to click.

A Dormant Account,
Now Growing

Instagram was essentially inactive before ReFOCUS. In 32 days it became a meaningful patient touchpoint.

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Instagram: Before vs. With ReFOCUS
Feb 22–Mar 26 vs. Mar 27–Apr 28
MetricBeforeAfterGrowth
Views82318,600↑ 2,160%
Reach2537,600↑ 2,904%
Interactions5383↑ 7,560%
Profile Visits66271↑ 311%
New Follows833↑ 313%
🌱
Instagram was starting from zero
Context matters here
823
Views before
18.6K
Views with ReFOCUS
The percentage increases here are large because the starting point was near zero. What matters is the trajectory — OSMC now has a real Instagram presence that didn't exist before, with an audience that grows every week. In Phase 2, this becomes a direct patient acquisition channel.

3-Tier Funnel Strategy —
Built to Convert Later

Every dollar spent in Phase 1 was an investment in audience quality. Here's what $165.77 in ad spend produced — and why the structure matters more than the numbers.

Tier 1 · Awareness
Video — Brand building
Spent
$115
Reach
20.8K
Impressions
27.3K
Clicks
1,099
Why this tier: Get OSMC in front of as many relevant people in the Northwest Missouri market as possible. Build name recognition before asking for anything.
Tier 2 · Authority
Video — Credibility building
Spent
$36
Reach
5,781
Impressions
7,865
Clicks
154
Why this tier: Show the people who saw Tier 1 that OSMC is the expert in the room. Establish trust before asking for a visit.
Tier 3 · Action
Just launched
Static — Conversion focused
Spent
$15
Reach
460
Impressions
804
Clicks
30
Why this tier: Now that the audience knows and trusts OSMC, we ask them to act. CTAs on a warm audience convert at dramatically higher rates than cold traffic.
The strategy behind the structure
Most healthcare practices run ads that immediately ask a stranger to book an appointment. That's expensive and ineffective. ReFOCUS built the audience first — 20,800+ people across the Northwest Missouri market now recognize OSMC. Phase 2 conversion campaigns will land on that warm foundation, producing a significantly lower cost per new patient than cold-click advertising ever could.

ReFOCUS Is Now the #1
External Referrer to Your Website

Organic social drove more traffic to osmcortho.com than any other external source — with zero paid search spend.

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Website Audience Comparison
osmcortho.com · Equal 33-day windows
MetricBeforeWith ReFOCUSChange
Visitors5,4024,861See note
Unique Visits5,1704,669See note
Page Views9,7269,013See note
Pages / Visit1.81.9↑ More engaged
Avg Time on Site1:211:20Stable
Bounce Rate63%62%↓ Improving
FB Referrals2579↑ 216%
On the visitor dip: Overall site traffic is slightly lower this period — likely seasonal variation, not a decline caused by ReFOCUS. Quality indicators — pages per visit, bounce rate, Facebook referrals — all improved. Google Search Console will give us full clarity.
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Top Referral Sources — With ReFOCUS
Mar 27–Apr 28 · osmcortho.com
m.facebook.com
51
MS Teams
18
facebook.com
16
l.facebook.com
10
ntp.msn.com
5
chatgpt.com
3
ChatGPT is sending patients to OSMC. 3 visits came directly from ChatGPT — meaning AI platforms are already recommending OSMC when people ask about orthopedic care. This is called AEO (Answer Engine Optimization) and it's rare for a local practice to achieve this organically. It's a signal that our content strategy is working at the AI layer, not just in Google.

OSMC Is Ranking, Being Found
and Recommended by AI

Organic search is the highest-quality, lowest-cost patient acquisition channel available. Here's where OSMC stands today.

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Search Ranking Wins (SEO)
Key queries where osmcortho.com appears today
#1
"Orthopedic urgent care St. Joseph Missouri"
The highest-value search term for new patient acquisition in your market. OSMC owns this result. When someone gets hurt and searches, they find you first.
#1
"Orthopedic surgeon St. Joseph MO"
osmcortho.com appears at the top for the primary branded specialty search in the market, ahead of regional competitors.
Top
Multiple pages ranking simultaneously
Homepage, urgent care, specialties, providers, and physical therapy pages all appear across relevant searches — dominating first page real estate.
Coming soon: Google Search Console will be connected to show exact keyword rankings, position changes, and impression data since ReFOCUS began.
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AI Visibility (AEO / GEO)
How AI platforms are discovering and recommending OSMC
What is AEO / GEO?
When someone asks ChatGPT or Google's AI Overview "who is the best orthopedic urgent care in St. Joseph?" — the answer comes from content AI systems have indexed and trust. Appearing in AI answers is the new first page of Google.
ChatGPT is already sending traffic
3 direct referral visits from chatgpt.com confirm that AI platforms are recommending OSMC to users asking orthopedic questions. Most local practices have zero AI-driven traffic. OSMC has it in the first 32 days.
Content strategy feeds both Google and AI
Every blog post, service page, and social piece ReFOCUS creates is written to answer the specific questions patients and AI systems are asking. This is how organic authority compounds over time.

A Lapsed Patient Database,
Reactivated and Engaged

Two campaigns sent. Zero spam complaints. An open rate nearly 3× the industry average. The list is healthy and ready for Phase 2.

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Email Campaign Results
Mar 27–Apr 28 · 2 campaigns sent
53.9%
Open rate
Campaign 1 Open Rate
vs. 20–25% healthcare industry average
✓ Nearly 3× industry benchmark
Delivered
1,263
Opened
492
Bounced
29
Spam
0
📝
Campaign Breakdown
Subject lines and individual performance
Campaign 1 · Apr 21, 2026
"Forty years ago someone in St. Joe decided this community deserved better. We have been trying to live up to that ever since."
Delivered: 634 Open rate: 53.94%
Plus a handful of direct patient replies — the community remembers and appreciates OSMC's history.
Campaign 2 · Apr 28, 2026
"The joint pain myth that keeps people in pain longer than they need to be"
Delivered: 629 Open rate: 24.32% Click rate: 0.64%
Educational content priming the list for Phase 2 appointment CTAs.

Phase 1 Complete.
Phase 2 Begins Now.

Everything built in the first 32 days was foundation work. Phase 2 is where the investment compounds into direct patient demand.

✓ Phase 1 Complete — Months 1–3
Authority &
Optimization
Full content cadence launched across Facebook, Instagram, and email
3-tier Meta ad funnel built — awareness, authority, and action campaigns live
Email database reactivated with zero spam complaints and industry-leading open rates
HurtAPP landing page traffic nearly doubled (+97%) through organic and paid efforts
SEO and AEO foundations established — ranking #1 for key local searches, AI platforms sending traffic
Warm audience of 20,800+ people across the Northwest Missouri market built and ready to convert
Phase 2 — Months 3–6
Market
Leadership
Google PPC launches — high-intent paid search targeting patients actively searching for orthopedic care right now
Meta Tier 3 conversion campaigns scale — appointment booking CTAs served to warm, engaged audience
Every HurtAPP registrant added to retargeting audiences and email nurture sequences — no volume is lost
Email nurture sequences deployed — targeted appointment-driving campaigns to the reactivated patient list
Community and sports medicine positioning amplified across all channels
Cost per patient acquisition stabilizes and improves as brand recognition compounds
Why Google PPC changes everything in Phase 2
Google PPC targets patients who are actively searching for care right now — the highest-intent audience in digital marketing. Combined with the brand awareness ReFOCUS has already built, OSMC will capture patients at every stage of their decision: those just becoming aware, those considering options, and those ready to book today. Phase 1 built the audience. Phase 2 converts them.

What We're Building to
Prove Every Dollar

Current tracking captures the digital front door. Here's the full picture we're building toward.

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HurtAPP Digital
✓ Active Now
UTM source tagging in progress
📍
Google Business Profile
Coming Soon
Calls, directions, profile views
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Google Search Console
Coming Soon
Keyword rankings and position changes
🚶
Walk-In Patients
Roadmap
Front desk source logging
📞
Phone Call Tracking
Roadmap
Campaign-specific call tracking numbers
The bottom line: What we're measuring today is the floor of ReFOCUS's impact — not the ceiling. Walk-ins, phone bookings, urgent care visits, and returning patients influenced by our brand work are not yet captured. As attribution matures, the full picture will only grow.
ReFOCUS
Confidential
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