Sanctuary has partnered with OrthoUnited since 2018 to build and continually evolve a comprehensive digital marketing strategy focused on connecting more patients with the orthopaedic care they need. Through search engine optimization, paid advertising, content development, social media, ongoing strategic consulting, and emerging AI search optimization, OrthoUnited has strengthened its digital presence while generating measurable growth in online appointment scheduling.

Client Overview

OrthoUnited provides a full scope of orthopaedic care across Northeast Ohio, helping patients access specialized treatment for joint pain, sports injuries, spine conditions, hand and upper extremity concerns, foot and ankle conditions, and more.

When OrthoUnited partnered with Sanctuary in 2018, the opportunity went beyond generating more website traffic. The goal was to build a digital presence that could support the organization’s continued growth, increase awareness throughout the communities it serves, and make it easier for prospective patients to find the right care and take the next step.

The Challenge

Building a Digital Strategy That Connects More Patients With Quality Care

Orthopaedic care is highly local, highly personal, and often driven by a specific patient need. Someone searching for a joint replacement specialist may have very different questions and priorities than an athlete looking for sports medicine care or a patient trying to determine where to go for an acute injury.

As OrthoUnited continued to grow, its digital marketing strategy needed to support an increasingly diverse range of specialties, audiences, providers, locations, and patient needs.
Key opportunities included:

  • Increasing online appointment scheduling
  • Reaching prospective patients searching for specific orthopaedic services in their local communities
  • Improving the efficiency of paid advertising investments
  • Creating content around the questions, concerns, and priorities of distinct patient audiences
  • Building awareness and engagement beyond traditional search channels
  • Adapting the strategy as patient search behavior evolved across Google, social platforms, and AI-powered search experiences

The goal was not simply more visibility. OrthoUnited needed a connected digital strategy capable of turning that visibility into meaningful patient actions.

Services:

Digital Marketing Strategy, Search Engine Optimization (SEO), Local SEO, Generative Engine Optimization (GEO), Content Marketing, Paid Advertising, Organic Social Media, Paid Social Media

Through our partnership, we’ve helped OrthoUnited increase online appointment scheduling by 60%, while achieving a cost per online appointment 53% below national orthopaedic benchmarks.

The Solution

Sanctuary developed an ongoing cross-channel strategy designed to reach prospective patients throughout their journey, from early education and awareness to actively searching for care and scheduling an appointment.

1. Local and Persona-Specific Content

Sanctuary developed service, specialty, and localized content around the specific needs and questions of OrthoUnited’s patient audiences. By aligning content more closely with patient intent, OrthoUnited has strengthened its local organic visibility and increased conversions from organic search by 40% year over year.

2. A More Focused Google Search Advertising Strategy

Sanctuary continually analyzes and refines OrthoUnited’s Google Ads strategy to prioritize the searches, services, and audiences most likely to result in meaningful patient actions. By shifting investment toward higher-performing opportunities, the key event rate from Google Search advertising is up 16.73% year over year.

3. Cross-Channel Awareness and Engagement

Paid and organic social media complement OrthoUnited’s search strategy by building awareness, educating prospective patients, and keeping the organization visible throughout the patient journey. Content highlights specialties, physicians, treatment options, patient education, community involvement, and events.

4. Preparing for AI-Driven Search

As patient search behavior evolves, Sanctuary is monitoring OrthoUnited’s visibility within AI-powered search experiences and identifying opportunities for Generative Engine Optimization (GEO). This helps position OrthoUnited for continued visibility as patients increasingly use AI tools to research conditions, treatments, providers, and local care options.

The Results

Through a long-term partnership and continually evolving digital strategy, OrthoUnited has achieved meaningful improvements in both patient acquisition and marketing efficiency.

Key results include:

  • 60% increase in appointments scheduled online in the past year
  • 53% lower cost per online appointment scheduled compared to national orthopaedic benchmarks
  • 82% of appointments scheduled online are from new patients
  • 40% year-over-year increase in conversions from organic search
  • 17% year-over-year increase in Google Search advertising key event rate
  • Continued expansion of OrthoUnited’s visibility through paid social, organic social, local search, and emerging AI-powered search experiences

Together, these results demonstrate the value of looking beyond any single marketing channel. By aligning content, search, advertising, social media, analytics, and ongoing strategy around the patient journey, OrthoUnited has built a digital marketing program that continues to generate measurable growth.

“We began working with Sanctuary Marketing Group in 2018, and over the past seven years we’ve seen tremendous growth in our digital presence. That growth has directly translated into increased business and greater community awareness of the services we provide. Sanctuary consistently thinks ahead and provides strategic recommendations to keep our digital platforms ahead of the curve as marketing trends evolve. Their team is prompt, professional, and exceptionally creative. We’re grateful for their partnership and highly recommend them to any business looking to elevate their marketing efforts.”

Holly Stefanko

Director of Marketing at OrthoUnited

Tactics Driving Results

Several strategic initiatives have contributed to OrthoUnited’s continued digital growth:

  • Ongoing digital marketing strategy and performance consulting
  • Cross-channel marketing investments informed by performance data
  • Local search engine optimization
  • Service and specialty-specific content development
  • Persona-focused content aligned with different patient needs
  • Organic search optimization
  • Google Search advertising focused on higher-converting audiences
  • Paid social media awareness campaigns
  • Organic social media and community engagement
  • Ongoing analytics, measurement, and campaign refinement
  • AI search monitoring and Generative Engine Optimization (GEO)



Through our partnership, we’ve helped OrthoUnited increase online appointment scheduling by 60%, while achieving a cost per online appointment 53% below national orthopaedic benchmarks.

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