One perfect ad rarely exists. A handful of solid variations, each testing one idea, tells you much more within a few weeks of spend.
We design for each placement, from feed squares to vertical stories. Every version is labeled so the results are easy to read.
What we track
- Which concepts earn attention
- Which versions lead to inquiries
- Creative fatigue over time
- Consistency with the brand guide
What we need from you
- Your logo files and any existing guide
- Photos or footage you own, with consent where people appear
- A decision maker for approvals
- Access to campaign results
How we approach it
Start from the brand
Anyone can make content. Not everyone can cast it. We begin with who you are and who you are talking to.
Make variations, not one hero piece
Several versions, each testing one idea, so the results teach you something.
Write for the question already in the reader's head
Price, time, how to book. Then everything else.
Refresh on evidence
We make more of what earns attention and retire the rest.
How it usually unfolds
- Setup
Brand review, guide and first concepts.
- Production
Variations built for each placement.
- Ongoing
New rounds based on what performs.
Every practice moves at its own pace, so we do not attach dates to these phases.
A common mistake
Running the same ad until it stops working, then starting from scratch.
How we compare
Monarchy vs a standard agency
| Topic | Monarchy | Standard agency |
|---|---|---|
| Speed to launch | Agents and playbooks are already built, so setup is short and work starts on what you have. | Long discovery and onboarding before anything goes live. |
| Cost structure | Specialist agents handle the repeatable work. You pay for senior attention and outcomes, not hours. | Billed by hours and headcount, so cost grows with every task. |
| Integrated team | Marketing, creative and a call center staffed by people, working with our agentic systems in one team. | Usually one discipline. Calls, creative and automation go to other vendors. |
| Results tracking | Booked and attended appointments, counted in your own system. | Clicks, impressions and leads. |
| Track record | A long record of booked and attended appointments, reported in our clients’ own systems. | Often reported as reach or traffic. |
| Phones | Calls are answered by people today. Voice agents are coming as an option. | Calls often go to voicemail or an outside answering service. |
| Supervision and guardrails | Agentic systems follow the rules and guardrails we set. We supervise production in many areas, and you supervise the areas you manage. | AI use is often ad hoc or not disclosed. |
What Monarchy can do
- We run thousands of AI agents across many functions.
- A fully equipped call center, integrated with AI and run in a compliant way.
- Our staff are trained on HIPAA requirements, and our systems are built to meet HIPAA requirements.
- Marketing, lead generation and B2B strategy projects that perform.
- We run major surveys and develop acquisition strategies.
Questions we hear
How many versions do you make?
Enough to test and replace the tired ones.
Do you use stock photos of patients?
We prefer your own approved material. When stock is used, it is never presented as your patient.
Who owns the files?
You do, once delivered.
Tell us what you are building.
Pricing and scope are set on the first call.