Does Site come with ongoing hosting and maintenance?

Site is a one-time build. Maintenance is the upkeep floor for the asset after launch: hosting, security patches, SSL, backups, uptime monitoring, and change requests. It keeps the site you paid for from decaying. The natural next step for growth after the build is Engine, which compounds organic traffic on the foundation Site ships.

Can we keep our existing CMS / platform?

If it's WordPress on Kinsta or similar, yes; we bring our hardened Macbach theme and schema layer. If it's a legacy page builder on shared hosting, the answer is usually to rebuild because the Core Web Vitals and HIPAA gates will not clear on that platform.

How long does a build take?

It depends on tier: Foundation launches in 4-6 weeks, Growth in 8-12, Dominance in 12-16. Discovery and design come first, then build, content, and schema, then HIPAA audit and launch. The timeline assumes weekly check-ins and responsive approvals; slower approval cycles extend it proportionally.

Do you guarantee Lighthouse 90+?

It is a launch gate written into the contract. We will not launch if any templated page is below 90 mobile Performance. We have extended timelines to meet the gate; we have not launched without hitting it.

Services · Site· Pricing

Site
The website asset.

A website is not a brochure. It's the practice's most-used employee. Custom-designed, Core-Web-Vitals green, HIPAA-compliant forms, built to convert. Site is the one-time build; Engine is the growth engine that takes over after launch.

From $12,000

one-time build, plus optional maintenance

Start the Practice Audit Book a scope call

Published tiers

Three scopes.
All quoted.

Foundation

Monthly

$12,000 build + $500 / mo maintenance

10 to 20 pages. Custom design on the Macbach editorial system. Schema complete. Lighthouse 90+ mobile. 4-6 week launch. 3-year client LTV typically $30K.

Growth

Monthly

$22,000 build + $900 / mo maintenance

30 to 50 pages. Custom design system. Full schema graph. Conversion tools (quizzes, calculators, comparison tables). 8-12 week launch. 3-year client LTV typically $54K.

Dominance

Monthly

from $45,000 build + $1,800 / mo active management

100+ pages. Geo-landing matrix. Provider profile system. Before/after gallery framework. Custom CMS where warranted. 12-16 week launch. 5-year client LTV typically $153K.

What ships at every tier

Custom design, no templates, no page-builder runtime dependencies
Core Web Vitals green on launch, measured, written into SLA
HIPAA-compliant forms with server-side validation and no PHI in analytics
Full JSON-LD graph (Organization, Physician, Service, FAQ, Breadcrumb)
Accessibility tested to WCAG 2.1 AA and scored before launch

Questions

Answered before
the call.

Does Site come with ongoing hosting and maintenance?: Site is a one-time build. Maintenance is the upkeep floor for the asset after launch: hosting, security patches, SSL, backups, uptime monitoring, and change requests. It keeps the site you paid for from decaying. The natural next step for growth after the build is Engine, which compounds organic traffic on the foundation Site ships.
Can we keep our existing CMS / platform?: If it's WordPress on Kinsta or similar, yes; we bring our hardened Macbach theme and schema layer. If it's a legacy page builder on shared hosting, the answer is usually to rebuild because the Core Web Vitals and HIPAA gates will not clear on that platform.
How long does a build take?: It depends on tier: Foundation launches in 4-6 weeks, Growth in 8-12, Dominance in 12-16. Discovery and design come first, then build, content, and schema, then HIPAA audit and launch. The timeline assumes weekly check-ins and responsive approvals; slower approval cycles extend it proportionally.
Do you guarantee Lighthouse 90+?: It is a launch gate written into the contract. We will not launch if any templated page is below 90 mobile Performance. We have extended timelines to meet the gate; we have not launched without hitting it.

Guide

Site Playbook

The long-form explainer. How the product works, what ships, what month twelve looks like.

Read the playbook

Tool

Site Vital Check

The diagnostic that tells you whether this product is the right lift for your practice. Runs free.

Run the tool

Comparison

All pricing

Side-by-side view of every product tier. Useful if you’re still deciding which product is the right starting point.

See all pricing