LSEO Case Study / Healthcare + Medical / SEO + AI Search + Visitor Intelligence
How LSEO Took Cooper Strategy From Zero Organic Visibility to AI Search Discovery, Named Buyers, and 35% Lower Program Cost
Cooper Strategy sold complex 340B consulting and technology services to a small, research-heavy healthcare audience. LSEO built organic and AI visibility from a zero baseline, replaced an inefficient paid-search program with Visitor Intelligence, and gave the sales team a ranked list of real decision makers engaging with the brand.
Aug. 2025 → May 2026, Google Search Console
Up from 0 at baseline
April–May 2026
After media spend was removed
Case Study at a Glance
A B2B healthcare search program built for a buyer journey that rarely starts with a form fill.
Cooper Strategy specialized in 340B drug pricing program optimization, referral capture, contract pharmacy administration and related support for hospitals, health systems, FQHCs and pharmacies. Its buyers were high-value healthcare decision makers who researched quietly, involved multiple stakeholders and often moved across search engines, AI assistants and multiple site visits before ever contacting sales.
- Client
- Cooper Strategy
- Industry
- Healthcare / 340B Consulting + Technology
- Audience
- Hospitals, health systems, FQHCs + pharmacy leaders
- Engagement
- August 2025 – June 2026
- Outcome
- Organic + AI discovery, named buyer intelligence, lower cost
- Corporate Event
- Acquired by Pillr Health, announced June 9, 2026
- Recognition
- 2026 US Search Awards finalist, Best Use of Search: B2B (SEO)
01 / The Challenge
The buyers were researching. Cooper just could not see them.
Organic visibility started at zero.
In August 2025, the site recorded 0 clicks and 0 impressions in Google Search Console. For a company selling specialized 340B services into a narrow healthcare market, that meant Cooper had almost no measurable non-paid discovery channel.
Paid search was buying volume, not buyer quality.
Of 108 paid contact leads, 62% were vendor pitches or spam, and much of the remaining traffic came from outside the United States. The deeper problem was not simply lead quantity. It was that the actual healthcare buyers conducting research across search and AI remained anonymous.
02 / The Strategy
Build discoverability, earn AI visibility, then put names on the demand.
Technical + Content SEO
LSEO built a search foundation around Cooper's core 340B services, including referral capture, audits, new-patient procurement and eligibility. The goal was to create useful commercial and educational content for the exact problems covered entities were researching.
AI / Answer Engine Optimization
The same content was structured to surface beyond traditional search. By the end of the engagement, Cooper content was appearing across ChatGPT, Microsoft Copilot and Google Vertex AI alongside Google, Bing and Yahoo.
Visitor Intelligence
In April 2026, LSEO recommended shutting off Google Ads and replacing that spend with Visitor Intelligence — identifying qualifying professionals behind organic and AI visits, then ranking those visitors for sales outreach.
03 / Organic Search Results
From no measurable organic presence to a real search acquisition channel.
Across the engagement, Cooper generated 751 organic clicks and roughly 85,900 impressions. By May 2026, monthly performance had reached 97 organic clicks and 15,600 impressions, with approximately 97% of impressions coming from the United States.
LSEO's new-covered-entity guide became an example of how narrow B2B healthcare content can create meaningful visibility when it directly answers the questions the market is already researching.
04 / AI Search + GEO
AI visibility became valuable when it connected to identifiable healthcare buyers.
The goal was not merely to show Cooper Strategy's name inside an AI answer. LSEO tracked whether commercially relevant content was surfacing inside AI systems — and then whether those systems sent real people back to the website.
ChatGPT
Named visitors arrived after researching 340B topics through ChatGPT, including a nurse practitioner at Children's Hospital Colorado and a clinical pharmacy professor at UIC.
Microsoft Copilot
A director of corporate budget, compliance and reporting at Houston Methodist arrived through Microsoft Copilot during the May 2026 reporting period.
Google Vertex AI
A senior analyst at Cardinal Health reached Cooper content through Google Vertex AI, giving the sales team visibility into an otherwise anonymous research journey.
For a specialized B2B company, AI visibility matters most when it can be connected to the actual organizations and decision makers researching a category. The Cooper program connected AI discovery to buyer-level intelligence instead of treating citations as an isolated vanity metric.
05 / Visitor Intelligence
The sales team stopped guessing who was researching.
Visitor Intelligence combined third-party identity resolution with LSEO's own intelligence layer. Qualifying visits could be associated with a professional's name, title, company and contact data, while behavioral signals helped prioritize who deserved outreach first.
More than 50 named decision makers in roughly two months.
From April through May 2026, LSEO identified and profiled more than 50 B2B healthcare decision makers, including visitors from UnitedHealthcare, Cigna, HCA Healthcare and numerous FQHCs and covered entities.
Behavior revealed buying-stage movement.
UnitedHealthcare returned for five consecutive weeks, moving from educational content to case studies and ultimately the contact page. Other visitors moved from a “Best 340B Firms 2026” rankings article directly to the contact page.
06 / Acquisition Spotlight
Visitor Intelligence surfaced the eventual acquirer during diligence — without claiming marketing caused the deal.
The acquirer appeared in the data.
A Pillr Health vice president and implementation lead visited on consecutive days in early May 2026 and were flagged in the weekly report as coordinated activity. Later that month, a partner at Water Street Healthcare Partners — the healthcare investor behind Pillr — also moved into the Cooper research path.
The acquisition was publicly announced June 9, 2026.
Pillr Health announced its acquisition of Cooper Strategy, combining Cooper's 340B expertise with Pillr's broader pharmacy technology and services platform.
LSEO does not claim the SEO, AI search or Visitor Intelligence program caused the acquisition. The narrower, supportable conclusion is that the program identified strategically important visitors — including the eventual acquirer — during a critical period of the company's buyer and diligence journey.
07 / Why It Worked
The strategy matched the reality of a long, quiet B2B healthcare buying cycle.
Search created durable discovery.
Instead of paying for every visit, Cooper built a library of 340B content capable of attracting relevant research traffic through traditional organic search.
GEO expanded where discovery happened.
The same authority-building work made Cooper findable inside AI-assisted research experiences where B2B healthcare buyers were increasingly asking detailed questions.
Visitor Intelligence connected visibility to sales.
Instead of measuring success only through anonymous sessions or low-quality forms, LSEO helped Cooper identify the people, companies and behaviors behind the traffic.
Industry Recognition
2026 US Search Awards Finalist
The Cooper Strategy engagement was named a finalist for Best Use of Search: B2B (SEO) at the 2026 US Search Awards under the entry title “LSEO & Cooper Strategy: From Unindexed to Acquired in 8 Months.”
Measurement & Data Integrity
Every major claim is tied to the supplied reporting or a public acquisition announcement.
This case study keeps organic search performance, Visitor Intelligence outputs, paid-search quality findings and acquisition context separate rather than blending them into one attribution claim.
Baseline and growth metrics include 0 clicks / 0 impressions in August 2025, 97 clicks / 15,600 impressions in May 2026, 751 clicks across the engagement and roughly 85,900 total impressions.
Named-account and professional-level findings cover April–May 2026 and include more than 50 identified decision makers plus repeat-visit and page-sequence behavior.
The supplied case-study overview reports 108 paid contact leads, of which 62% were vendor pitches or spam, supporting the decision to replace Google Ads with Visitor Intelligence.
Named visitors were recorded arriving through ChatGPT, Microsoft Copilot and Google Vertex AI, in addition to traditional visibility across Google, Bing and Yahoo.
Total program cost declined approximately 35% after paid media spend was removed while agency fees remained flat.
Pillr Health publicly announced its acquisition of Cooper Strategy on June 9, 2026. LSEO makes no claim that its marketing work caused the transaction.
Case Study FAQs
Questions about the Cooper Strategy engagement.
What problem did Cooper Strategy have?
What did LSEO do for Cooper Strategy?
What organic search results did the program produce?
How did AI search contribute?
What did Visitor Intelligence identify?
Did LSEO's work cause Cooper Strategy to be acquired?
Related LSEO Capabilities
The services behind the work.
Make Visibility Useful
Can you see which companies are finding your brand through search and AI?
LSEO combines SEO, GEO and Visitor Intelligence to help B2B organizations earn discovery and connect that visibility to the buyers actually researching their market.