I Am Boundless (SEO)

Industry:
Healthcare, Nonprofit
Strategies:
SEO, AEO, GEO

Results Worth Bragging About

301%

Increase in appointment requests

+70%

Increase in organic keywords ranked

+175%

Increase in search impressions

Who is I Am Boundless & Why Did They Come to PBJ for Help?

Boundless, also known as I Am Boundless, is a nonprofit organization that provides person-centered health and community care to people with intellectual and developmental disabilities (I/DD), autism, and other behavioral health needs. The organization has served Ohioans for more than 40 years, since 1980, and describes itself as the state's largest nonprofit provider of these services.

This nonprofit specializes in whole-person care, supporting a person's full set of needs, including physical and mental health, daily living, housing, food access, and support systems, across multiple Ohio locations including Worthington, Perrysburg, Medina, and Newark. Boundless was the first provider in Ohio to receive CQL (Council on Quality and Leadership) accreditation and also holds CARF (Commission on Accreditation of Rehabilitation Facilities) accreditation.

Boundless came to PBJ looking to increase their patient acquisition in their primary care, dental, and behavioral health programs by 10%. They were also interested in increasing their thought-leadership and positioning themselves as an authoritative figure in the autism care community in Ohio. 

Our Strategy

We ran a comprehensive SEO strategy built around the way families search for care  not just around rankings. Here's what that looked like:

Technical SEO Foundations

  • Improved site speed and rebuilt the heading hierarchy to a single, logical H1 per page, removing menu and toolbar elements that had been incorrectly marked as headings.
  • Implemented structured data so Boundless, its services, and its locations could be understood as entities by search engines.
  • Corrected the robots.txt file to reference the sitemap and welcome AI crawlers, and added an llms.txt file to guide AI systems toward the most useful content.

Keyword and Content Strategy

  • Organized content around high-intent terms tied to both audience and service — for example, specialized primary care for autism and I/DD.
  • Built topic clusters around Boundless's priority categories: autism care, dental care, primary care, and psychiatry for autism and I/DD.
  • Paired practical, intent-driven pieces (how to support and work with adults with autism) with thought-leadership content (what causes I/DD, the challenges of dental care for people with I/DD) to capture families at both the urgent and researching stages.

On-Page Optimization

  • Rewrote titles and metadata with intent-based keywords while preserving Boundless's compassionate brand voice.
  • Ran an internal linking audit using Screaming Frog and connected related service pages and articles back to their pillar pages.
  • Structured content to win featured snippets and answer-style results.

Authority and Link Building

  • Built a targeted backlink campaign to earn high domain-authority links to the priority service pages: dental, primary care, and autism care.
  • Complemented link building with brand and reputation work in partnership with Engaged Strategies.

Local SEO

  • Optimized the primary Google Business Profile for the Worthington campus: added categories, services, logo, and interior and exterior photography, and posted regularly.
  • Created hyper-local pages for each office location tailored to the services offered there, guided by a service-by-location matrix.
  • Worked with admin staff to develop a review solicitation process, including a QR-code prompt at the point of care.

Massive Increases in Organic Keyword Trends

Total keyword rankings grew 70% in a 9 month period (766 to 1,303), with SERP feature appearances nearly tripling (58 to169). Boundless isn't just ranking more, it's showing up in richer, more prominent ways across the search experience. And positioning didn't just grow, keywords in the top 3 jumped from 40 to 66, and other page one placements (4-10) more than doubled (83 to 168).

From Zero AI Visibility to Appearing in AI Overviews

Boundless went from zero AI Overview appearances to 51 from September 2025 to June 2026 for thought leadership queries like: undiagnosed autism in adults, how does autism affect the body physically, what is a dsp caregiver, differences between learning disabilities and intellectual disabilities, and developmental delays, directly from our evergreen content strategy implemented around common query searches.

Appointment Requests Grew 301% in 9 Months

Appointment request clicks jumped 301% year-over-year, from 192 in September 2025 to 770 in June 2026

Search Impressions Increased 176%, Clicks Improved by 44%

Impressions nearly tripled (from 71.8K to 198K) and clicks jumped 44% in 9 months, while average position climbed from 10.5 to 7.7, proof that  visibility is turning into real search presence for I Am Boundless.

The Full Picture

175%

Increase in Organic Impressions

0 to 51

AI Overview Appearances

44%

Increase in Organic Clicks

70%

Increase in Page One Keywords

301%

Increase in Appointment Requests

90%

Increase in Page One Keywords

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