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Month-to-Month Comparison

May 2026 vs June 2026

Performance Summary

May 2026

Performance Summary

AI-powered intelligence brief — May 2026

Google Ads Spend

$36,826

+1.1%vs prev.

Conversions

264.55

-11.0%vs prev.

SEO Total Users

6,045

+40.8%vs prev.

Search Clicks

3,613

-7.1%vs prev.

Monthly Overview

Paid Media

Google Ads spend increased +1.1% to $36,825.85, but conversions declined −11.0% to 264.55, pushing cost per conversion up +13.6% to $139.20. Paid reach contracted — clicks −7.8% and impressions −6.5%, suggesting less available traffic or reduced auction visibility.

SEO & Organic

Organic performance was stronger from a lead-quality standpoint — total users +40.8%, conversions +247.0%, and average session duration up +110.4%. However, new users declined −7.0%, showing traffic growth leaned more on returning users.

Website Summary

Total users rose +36.5% to 6,045 while new users fell −10.8% to 2,963. Conversions jumped +239.8% to 2,627, but average session duration slipped −20.0% to 00:12:08 — a sign that rapid traffic growth diluted dwell time per visit.

Search Visibility

Google Search performance was mixed — impressions fell −10.0% and clicks fell −7.1%, but site CTR improved +3.2% to 2.67%, indicating visibility is improving faster than click capture.

Outlook

May's biggest opportunity is improving paid efficiency and organic SERP engagement while protecting the strong conversion momentum from SEO.

Key Takeaways

1

Phone leads remain the core paid conversion driver

"Calls from ads" led Google Ads conversion volume with 154 conversions, followed by "First Time Phone Call" at 82.95, reinforcing that call-based lead handling remains central to paid performance.

2

Performance Max Vanderbilt continues to carry efficient scale

Performance Max (Vanderbilt) generated 55 conversions at just $9.36 cost/conv., making it the strongest high-volume efficiency campaign in May.

3

Memphis and Murfreesboro stood out among geo campaigns

Infusion (Memphis) delivered 13 (-29.7%) conversions at $69.03 (+40.2%) cost/conv., while Infusion (Murfreesboro) produced 11 (-31.3%) conversions at $82.93 (+45.5%) cost/conv., both showing continued local paid presence.

4

Informational and local pages are gaining traction

Pages like Bowling Green (+18.2% clicks, +200.1% conversions) and Norfolk (+100.0% conversions at -50.9% lower CPA) show expanding local paid visibility translating into leads.

5

High-intent pages are losing traffic but not necessarily output

The homepage (-11.0% users) and infusion center page (+3.9% users) still contributed meaningful conversion volume (70 and 29 respectively), indicating strong conversion efficiency from returning and engaged users.

June 2026

Performance Summary

AI-powered intelligence brief — June 2026

Google Ads Spend

$31,846

-13.5%vs prev.

Conversions

210.49

-22.8%vs prev.

SEO Total Users

4,807

-20.5%vs prev.

Search Clicks

4,000

+9.5%vs prev.

Monthly Overview

Paid Media

Google Ads cost declined −13.5% as conversions fell −24.2%, pushing cost per conversion up +14.2%. Reach softened too — clicks −20.2% and impressions −28.6%.

SEO & Organic

Site traffic pulled back: total users −20.5%, new users −21.4%, and conversions −23.8%. Engagement quality improved, with average session duration rising +36.6%.

Website Summary

Total users fell −20.5% to 4,807 and new users −21.4% to 2,329. Conversions declined −23.8% to 2,001, while average session duration rose +36.6% to 00:16:34 — visitors who did arrive engaged more deeply than in May.

Search Visibility

Google Search was a bright spot — clicks +9.5% and impressions +9.3%, although average position weakened to 11.36.

Call Tracking

Calls followed the broader demand decline — total calls −15%, first-time callers −22%, and answered calls −15%.

Key Takeaways

1

Cumming, Clarksville, and Cookeville delivered strong paid efficiency

Cumming generated 22 conversions (+84.4%) at a $58.88 CPA (-53.7%), while Clarksville produced 13 conversions (+116.7%) at a $103.58 CPA (-58.3%). Cookeville also improved sharply with 7 conversions (+133.3%) and a $103.88 CPA (-66.6%).

2

Performance Max Bowling Green remained highly efficient

The campaign generated 14 conversions (+7.5%) with a 20% conversion rate and a low $22.40 CPA. This suggests the campaign is still converting efficiently despite clicks declining (-38.2%).

3

Local SEO page growth came from emerging markets

The Maryville page grew total users by +127.3% and new users by +120.0%, while Macon increased total users by +23.8% and conversions by +100.0%. These pages show useful localized momentum even as larger SEO pages declined.

4

Localized "infusion center" searches gained traction

"Infusion center macon ga" increased clicks by +250.0% with a 10.45% CTR, while "infusion center nashville" and "infusion center bowling green ky" each grew clicks by +166.7%. These terms point to stronger local search intent in key markets.

5

Non-branded discovery terms are gaining click share

"Infusion centers near me" increased clicks by +90.0% and CTR by +43.8%, while "infusion center near me" increased clicks by +46.2% and CTR by +68.0%.

ROI Summary

May 2026

ROI Summary

Full Month May 2026

SEO Patients

66

Digital Ad Patients

6

Total Marketing Patients

72

Total New Patients

1,051

% Driven by Marketing

6.85%

Gross Patient Value

$18M

at $250K per patient

Net Patient Value (12%)

$2.16M

Monthly Digital Spend

$44,200

Cost Per Digital Acq.

$5,711

Monthly SEO Spend

$6,000

Cost Per SEO Acq.

$70.47

Gross Total Return

358.6x

Net Total Return

43.0x

June 2026

ROI Summary

Full Month June 2026

SEO Patients

67

Digital Ad Patients

5

Total Marketing Patients

72

Total New Patients

932

% Driven by Marketing

7.73%

Gross Patient Value

$18M

at $250K per patient

Net Patient Value (12%)

$2.16M

Monthly Digital Spend

$31,847

Cost Per Digital Acq.

$6,369

Monthly SEO Spend

$6,000

Cost Per SEO Acq.

$89.55

Gross Total Return

475.5x

Net Total Return

57.1x

Google Ads Overview

May 2026

Google Ads Overview

Cost

$36,825.85

-1.1%vs prev.

Conversions

272.58

-13.0%vs prev.

Cost / Conv.

$135.10

+13.8%vs prev.

Conversions by Type

Calls from ads
First Time Phone Call
Form Capture
12Stone - GA4 (web)
Clicks
Impressions

Clicks

3,541

-10.8%

Impressions

44,676

-9.0%

May 1May 6May 11May 16May 21May 26May 3104080120160040080012001600
June 2026

Google Ads Overview

Cost

$31,846.51

-13.5%vs prev.

Conversions

210.49

-22.8%vs prev.

Cost / Conv.

$151.30

+12.0%vs prev.

Conversions by Type

Calls from ads
First Time Phone Call
Form Capture
12Stone - GA4 (web)
Clicks to call
Local actions - Directions
Local actions - Other e...
Clicks
Impressions

Clicks

2,826

-20.2%

Impressions

31,887

-28.6%

Jun 1Jun 6Jun 11Jun 16Jun 21Jun 26045901351800500100015002000

SEO Overview

May 2026

SEO Overview

New Users

2,963

-10.8%vs prev.

Total Users

6,045

+36.5%vs prev.

Conversions

2,627

+239.8%vs prev.

Avg. Session Duration

00:12:08

-20.0%vs prev.

Keyword Visibility

Jul 25Aug 25Sep 25Oct 25Nov 25Dec 25Jan 26Feb 26Mar 26Apr 26May 26Jun 2603006009001200
  • Top 1-3
  • Top 4-10
  • Top 11-20
  • Top 21-30
  • Top 31-50
June 2026

SEO Overview

New Users

2,329

-21.4%vs prev.

Total Users

4,807

-20.5%vs prev.

Conversions

2,001

-23.8%vs prev.

Avg. Session Duration

00:16:34

+36.6%vs prev.

Keyword Visibility

Jul 25Aug 25Sep 25Oct 25Nov 25Dec 25Jan 26Feb 26Mar 26Apr 26May 26Jun 2603006009001200
  • Top 1-3
  • Top 4-10
  • Top 11-20
  • Top 21-30
  • Top 31-50

SEO Top Pages

May 2026

SEO – Top Pages

Landing PageTotal Users% ΔNew Users% ΔConv.% Δ
(not set)3K+193.7%0—2K+370.6%
/2K-15.1%1K-13.9%70-27.8%
/solutions/infusion-center555+1.5%420+3.4%29-6.5%
/infusion-center/canton104-16.8%86-18.1%5-44.4%
/medication98-9.3%30+11.1%2+0.0%
/about-us89-29.4%70-31.4%1-50.0%
/contact87-31.0%44-13.7%5-50.0%
/infusion-center/richmond-va-infusion-center63+12.5%46+31.4%3-40.0%
June 2026

SEO – Top Pages

Landing PageTotal Users% ΔNew Users% ΔConv.% Δ
(not set)2K-18.1%0—2K-23.2%
/1K-25.1%1K-22.2%36-48.6%
/solutions/infusion-center412-25.8%304-27.6%20-31.0%
/infusion-center/canton80-23.1%73-15.1%5+0.0%
/about-us71-20.2%59-15.7%1+0.0%
/medication69-29.6%22-26.7%0-100.0%
/contact57-34.5%31-29.5%2-60.0%
/infusion-center/spring-hill-tn56-11.1%52-11.9%2+100.0%

Google Search

May 2026

SEO – Google Search

Clicks

3,653

-9.8%vs prev.

Impressions

142,181

-8.3%vs prev.

Site CTR

2.57%

-1.6%vs prev.

Avg. Position

10.11

+2.02vs prev.

Non-Branded Queries

KeywordClicks% ΔImpressions% ΔPositionCTR% Δ
iron infusion near me32-36.0%311-33.4%410.29%-3.9%
iron infusion17-10.5%774+4.5%52.20%-14.3%
iv therapy near me17+30.8%5K+26.7%10.37%+3.3%
infusion center near me13+8.3%753+10.9%81.73%-2.3%
iron infusions near me12-7.7%143-17.8%128.39%+12.3%
infusion centers near me10-28.6%199-20.1%65.03%-10.6%
infusion center chattanooga9+350.0%61+125.9%114.75%+99.2%
iron infusion knoxville tn9+80.0%49+40.0%218.37%+28.6%
infusion center7+75.0%734-0.4%20.95%+75.7%
infusion center louisville ky6+100.0%55-3.5%110.91%+107.3%
iron transfusion near me6+20.0%26-7.1%623.08%+29.2%
iron transfusions near me6+500.0%41+64.0%314.63%+265.9%
June 2026

SEO – Google Search

Clicks

4,000

+9.5%vs prev.

Impressions

155,462

+9.3%vs prev.

Site CTR

2.57%

+0.1%vs prev.

Avg. Position

11.36

+1.25vs prev.

Non-Branded Queries

KeywordClicks% ΔImpressions% ΔPositionCTR% Δ
iron infusion near me31-3.1%359+15.4%48.64%-16.1%
infusion center near me19+46.2%655-13.0%22.9%+68.0%
infusion centers near me19+90.0%263+32.2%47.22%+43.8%
iv therapy near me13-23.5%4K-19.5%20.35%-5.0%
iron infusions near me12+0.0%112-21.7%810.71%+27.7%
iron infusion10-41.2%759-1.9%41.32%-40.0%
infusion center bowling green ky8+166.7%40+48.1%120%+80.0%
infusion center nashville8+166.7%41+20.6%219.51%+121.1%
infusion center7+0.0%662-9.8%21.06%+10.9%
infusion center macon ga7+250.0%67+21.8%210.45%+187.3%
iv hydration near me7+16.7%2K-17.2%20.33%+41.0%
infusion center louisville ky6+0.0%66+20.0%19.09%-16.7%

Call Tracking

May 2026

Call Tracking

Total Calls

4,535

+163%vs prev.

Missed Calls

276

+78%vs prev.

First Time Callers

2,938

+142%vs prev.

Answered Calls

4,259

+171%vs prev.

Source Statistics

SourceTotal Calls% ΔFirst Time% ΔMissed% Δ
Google My Business3K+525.3%2K+436.3%166+268.9%
Google Ads457-2.1%270-23.9%27+3.8%
Google Organic423+0.2%204-24.2%49+28.9%
Bing Organic91-11.7%31-50.8%3-72.7%
Direct62-41.0%33-40.0%9-18.2%
Yahoo Organic18-25.0%9-25.0%1-50.0%
cdtsphx50p.production.imsglo…17-19.0%0—17-19.0%
www.12stonehealth.com8-11.1%1-80.0%2—
DuckDuckGo Organic6+500.0%4+300.0%0—
Unknown Source4-50.0%3-40.0%1+0.0%
chatgpt.com3—3—0—
www.anthem.com2—1—1—
June 2026

Call Tracking

Total Calls

3,857

-15%vs prev.

Missed Calls

217

-21%vs prev.

First Time Callers

2,304

-22%vs prev.

Answered Calls

3,640

-15%vs prev.

Source Statistics

SourceTotal Calls% ΔFirst Time% ΔMissed% Δ
Google My Business3K-18.9%2K-26.4%135-18.7%
Google Organic429+1.4%205+0.5%25-49.0%
Google Ads406-11.2%261-3.3%23-14.8%
Bing Organic87-4.4%30-3.2%12+300.0%
Direct83+33.9%36+9.1%8-11.1%
Yahoo Organic21+16.7%9+0.0%0-100.0%
cdtsphx50p.production.imsglo…12-29.4%0—12-29.4%
www.12stonehealth.com12+50.0%6+500.0%0-100.0%
DuckDuckGo Organic10+66.7%3-25.0%2—
Unknown Source5+25.0%3+0.0%0-100.0%
cca.bgchamber.com1—1—0—
greaterlouisvillekycoc weblinkc1—1—0—

TwelveStone Health Partners — Month-to-Month Comparison

May 1, 2026 – June 30, 2026