1nessAgency is a mission-driven collective of strategists, clinicians, operators, and entrepreneurs dedicated to helping mental health, wellness, and retail healthcare providers connect with the patients they’re uniquely equipped to serve. Founded by James Tannahill as a calling (not just a business), we deliver ethical, compliant, high-performance digital marketing — combining strategy, brand, and execution to reduce barriers, build trust, and drive sustainable growth in regulated sectors.

1nessAgency is a full-service, strategy-first digital marketing agency specializing in ethical, compliant, high-performance solutions for regulated, reputation-sensitive, and competitive markets. We combine precision execution with purpose-driven strategy to help organizations connect authentically with the audiences they’re built to serve — driving qualified leads, predictable revenue, and sustainable growth.

Core Digital Marketing Services

We offer end-to-end capabilities tailored for trust, compliance, and measurable ROI:

• Precision SEM (Google Ads & Paid Search) High-intent targeting, HIPAA-conscious funnels, rapid launch (3–5 days), LegitScript-compliant campaigns, geo-fencing/retargeting, and optimized storefronts (Google Business, Meta Shops, Amazon, etc.).

• Ethical SEO & Generative Engine Optimization (GEO) In-depth keyword mapping, structured content for traditional and AI-powered search (ChatGPT, Gemini, etc.), technical SEO (speed, schema, Core Web Vitals), and continuous optimization for organic visibility and regional rankings.

• Brand Architecture & Narrative Strategy Heart-centered storytelling, trust-focused branding, and strategic positioning that builds long-term patient/provider relationships and elevates credibility.

• Website & Digital Front Door Design/Optimization Mobile-first, fast-loading, ADA/WCAG-accessible websites with patient-centered navigation, encrypted forms, and UX refinement to reduce friction and boost conversions.

• Patient/Lead Acquisition & Nurturing Ethical copywriting, high-converting landing pages, automated intake flows, CRM/EMR integrations, reputation/review management, and follow-up sequences to minimize no-shows.

• Performance Analytics, Growth Engine Model & Sales Playbook Real-time dashboards, LTV/CAC/ROAS tracking, proprietary benchmarking (via HealthVerse), A/B testing, and customized playbooks for revenue predictability and pre-transaction value engineering.

• Compliance-First Systems HIPAA-aware infrastructure, privacy-first data handling, ethical AI for signal mapping/behavioral analytics, and audit-ready documentation across all channels.

• Reputation & Review Management Automated review requests, monitoring (Google, Healthgrades, Psychology Today), and HIPAA-compliant response support to enhance trust and local SEO.

All services emphasize compliance (HIPAA, LegitScript, SOC 2-aligned), ethical practices, and data-driven precision — no intrusive tactics, no shortcuts.

Industries & Sectors We Serve

We specialize in regulated, high-stakes verticals where compliance, trust, and reputation are non-negotiable, while extending our expertise to broader markets:

• Mental Health & Wellness — Psychiatry, therapy clinics, regenerative health, retreats, and wellness centers.

• Retail Healthcare — Dermatology, dentistry, fertility, integrated practices, and patient-centered providers.

• Healthcare & Life Sciences — Broader clinical and service organizations requiring compliant patient acquisition.

• Finance — Financial institutions, private equity funds, portfolio companies, wealth managers, and investment platforms.

• Industrial & Advanced Manufacturing — Precision engineering, automation, and industrial innovation enterprises.

• Technology & Security — Cybersecurity firms, data intelligence platforms, and enterprise tech companies.

• Consumer, Retail & Ecommerce — Purpose-driven brands and scaling organizations across sectors.

• Institutions & Growth Organizations — Universities, public health initiatives, fast-scaling startups, and PE-backed operators.

From solo practices to national/multi-location brands, we serve clients who value intentional, compliant growth — especially in NYC and beyond, where regulatory complexity meets high competition.

If your organization operates in one of these spaces and needs marketing that honors both performance and integrity, we’re built to deliver. Schedule a discovery call to see how we can align with your mission.

At 1nessAgency, compliance and ethics are not checkboxes — they are our competitive advantage and foundational to every strategy we build. We specialize in regulated, reputation-sensitive sectors where trust and integrity directly impact patient relationships, lead quality, and long-term business value.

Here’s how we maintain the highest standards:

• HIPAA-Aware & Privacy-First Systems All communication funnels, data handling, and marketing infrastructure are designed with HIPAA compliance in mind. We implement privacy-first architectures that safeguard protected health information (PHI), ensuring growth never compromises patient trust or regulatory requirements.

• LegitScript-Compliant Language & Advertising We use carefully crafted, LegitScript-approved messaging and funnels that align with Google Ads, Meta, and other platform policies for healthcare advertising. This includes stigma-sensitive, ethical copy that avoids misleading claims while fostering authentic patient/provider connections.

• Ethical AI Use & Transparent Practices Every AI-driven tool (signal mapping, behavioral analytics, GEO optimization) operates within strict ethical boundaries — no intrusive tactics, no shortcuts, no manipulation. We prioritize bias mitigation, data transparency, and long-term trust over short-term gains.

• Regulatory Alignment Across Verticals Beyond healthcare and mental health, our frameworks extend to finance and other regulated industries, ensuring all campaigns meet applicable privacy laws, advertising guidelines, and platform certifications while delivering measurable results.

• Client Transparency & Accountability Through our Client Portal, partners receive compliance reports, performance dashboards, and full visibility into how data is handled. Our all-senior, NYC-based team maintains ongoing training and accountability to uphold these standards.

In short: We treat compliance as a strategic asset that enhances lead quality, builds deeper trust, and de-risks your brand in high-stakes markets. For mission-driven providers, this means scaling with conviction — never at the expense of your values, your patients, or your regulatory obligations.

If your organization operates in a regulated space and needs digital marketing that honors both performance and integrity, we’re built for exactly that.

We’re not a typical agency — we’re a movement at the intersection of finance, marketing, and purpose. Unlike vanity-metric-focused firms, we engineer predictable revenue, de-risk for exits, co-create Sales Playbooks, and deliver heart-centered, compliance-first strategies. All-Ivy-League, NYC-based senior team (no juniors) ensures precision and accountability.

What is the engagement process like when partnering with 1nessAgency?

1. Discovery & Diagnostic: Audit current systems, market positioning, and goals (via call or intake).

2. Co-Creation: Build Sales Playbook and Growth Engine Model tailored to your mission.

3. Execution: Rapid campaign launch, weekly management, real-time Client Portal dashboards.

4. Ongoing Optimization: Weekly/bi-weekly reporting, adjustments, and performance tracking (average 12–24 months). Engagements are retainer- or project-based, with transparent pricing.

Engaging 1nessAgency first is critical for maximizing enterprise valuation. We function as Pre-Transaction Value Engineers, systematically building, validating, and documenting the predictable revenue systems and compelling investment thesis that can add $10M–$50M+ to the final sale price. Our work ensures the asset is marketed at its maximum potential, not just its status quo.

Clients achieve predictable revenue systems, measurable growth (e.g., qualified leads, booked appointments), and pre-transaction value engineering that can add $10M–$50M+ to enterprise sale price. We focus on LTV/CAC/ROAS optimization, diversified demand channels, and reduced buyer risk for M&A readiness — all while honoring purpose and impact.

We leverage Generative Engine Optimization (GEO) for visibility in AI-powered search (e.g., ChatGPT, Gemini), ethical AI for signal mapping/behavioral analytics, and data-driven precision to optimize high-intent keywords in competitive markets. This drives sustainable growth with smaller budgets ($500–$5,000/month) while maintaining compliance and authenticity.

At 1nessAgency, we move beyond vanity metrics (impressions, clicks) to deliver financially meaningful outcomes — predictable revenue, high-quality leads, optimized efficiency, and tangible business value. Our focus is on building compliant, ethical systems that scale sustainably while honoring your mission in regulated sectors like mental health, healthcare, wellness, retail healthcare, finance, and beyond.

Clients typically see the following results through our Growth Engine Model (LTV/CAC/ROAS tracking), Sales Playbook creation, and precision execution:

• Return on Ad Spend (ROAS) We prioritize sustainable, high ROAS through hyper-targeted, high-intent campaigns and ethical keyword/GEO strategies. Clients achieve strong, consistent ROAS (often in the 4x–8x+ range for optimized programs), with rapid improvements from initial launches. Success is defined by profitable, compounding returns — not short-term spikes — while maintaining compliance and trust.

• Lead Quality & Conversion Improvements Qualified leads that convert: high-intent patients/providers who book appointments, complete intake forms, or engage deeply. Expect significant reductions in no-shows, better patient/provider match, and higher lifetime value through stigma-sensitive messaging and streamlined digital front doors. Many clients report substantial lifts in booked appointments and conversion rates within the first 3–6 months.

• Customer Acquisition Cost (CAC) Reduction Through precision targeting, conversion rate optimization, and diversified channels, clients see meaningful CAC decreases — often 30–50%+ over time — while maintaining or improving lead quality. This efficiency frees up budget for reinvestment and supports long-term scalability.

• Enterprise Value Impact & Pre-Transaction Uplift For growth-stage or PE-backed clients, we engineer pre-transaction value by documenting predictable revenue streams, diversifying demand channels, and reducing buyer risk (e.g., customer concentration). This can contribute $10M–$50M+ in added enterprise sale price through enhanced multiples, stronger financial predictability, and compelling investment narratives — positioning businesses for premium exits or funding rounds.

These outcomes are achieved with weekly/bi-weekly reporting, real-time Client Portal access, and senior-level oversight — ensuring transparency and alignment every step of the way. Results vary based on starting point, budget, market, and commitment, but our track record shows rapid momentum (early wins in 90 days) and compounding growth over 12–24 months.

If you're seeking marketing that delivers measurable financial impact alongside purpose and compliance, our clients experience exactly that. Schedule a discovery call to discuss what realistic, tailored results could look like for your organization. We're ready when you are.

Through hyper-focused high-intent targeting, conversion rate optimization, ethical keyword strategy, and diversified channels, we deliver outsized results even on modest spends. Emphasis on quality over quantity ensures qualified leads, higher ROAS, and long-term trust — ideal for regulated, reputation-sensitive industries.

Ideal: Purpose-driven providers/practices in mental health, wellness, retail healthcare, or regulated sectors ready for intentional growth (solo to multi-location/national). Success requires C-suite alignment, data sharing, and collaborative implementation (3-6 months minimum for rapid wins, 12-24 months average for full transformation).

Compliance is our competitive advantage: HIPAA-aware funnels, LegitScript-compliant language, stigma-sensitive messaging, and privacy-first systems. We prioritize integrity, ethical AI use, and long-term trust — avoiding intrusive tactics. Every campaign aligns with regulatory standards while delivering authentic patient/provider connections.

How long does a typical engagement last, and what are your pricing/engagement models?

At 1nessAgency, engagement length and pricing are intentionally flexible to match the unique needs, growth stage, and goals of each partner — whether you're a solo mental health practice scaling quickly or a multi-location retail healthcare brand preparing for exit. We don't force-fit clients into rigid packages; instead, we design the relationship around measurable outcomes, compliance, and long-term alignment.

Typical Engagement Duration

• Rapid Launch Phase: 3–6 months Most clients see significant early wins (qualified leads, booked appointments, ROAS improvements) within the first 90 days. This phase focuses on campaign deployment, Sales Playbook creation, and foundational Growth Engine Model setup. Ideal for testing fit and generating momentum.

• Standard Growth Partnership: 12–24 months (most common) This is where sustained, compounding results emerge — predictable revenue systems, CAC reduction, LTV optimization, and enterprise value uplift. Clients often renew beyond 12 months as they scale nationally or prepare for strategic events (funding rounds, acquisitions).

• Pre-Transaction / Exit-Focused: 6–18 months For PE-backed or pre-sale businesses, we accelerate value engineering: diversifying demand channels, documenting revenue predictability, and de-risking customer concentration. Many exit within this window with measurable multiple expansion.

Engagements are month-to-month after any initial commitment, with 30-day notice for termination — giving you full flexibility and control.

No Surprises

• All pricing is discussed upfront during the discovery call.

• No setup fees, no long-term contracts required beyond agreed terms.

• Senior-only team — your dedicated strategist is always a high-level expert, never a junior or outsourced resource.

In short: We structure engagements to deliver fast traction and sustained compounding, with pricing that scales with your ambition and results. Clients appreciate the flexibility — you can start small, prove value, and grow together, or go all-in for accelerated transformation.

If you're ready to discuss what model fits your goals, the first step is a no-pressure discovery call. We're here when you're ready.

Onboarding with 1nessAgency is designed to be efficient, collaborative, and purpose-aligned — getting you from initial conversation to active campaigns in as little as 3–5 days while ensuring every step honors your mission and regulatory requirements.

The Onboarding Process (Step-by-Step)

1. Initial Discovery Call (30–45 minutes) We start with a focused conversation to understand your goals, current performance, patient/provider audience, compliance constraints, and growth priorities. This is led by a senior strategist (no sales reps).

2. Diagnostic Audit & Alignment We review your existing digital presence, marketing data, website, compliance posture, and business objectives. You receive a concise diagnostic summary identifying immediate opportunities and risks — often within 48 hours.

3. Co-Creation of Sales Playbook & Growth Engine Model Together we build your customized Sales Playbook (messaging, funnel architecture, objection handling) and Growth Engine Model (LTV/CAC/ROAS targets, revenue predictability framework). This ensures everything is mission-aligned and exit-ready.

4. Rapid Campaign Setup & Launch Within 3–5 business days of agreement, we deploy initial campaigns (SEM, SEO foundations, GEO/AIO optimizations) with full compliance checks. You approve creative and targeting before go-live.

5. Kickoff & Training A dedicated senior strategist walks you through the Client Portal, reporting cadence, communication protocols, and performance benchmarks. Quarterly leadership check-ins with James Tannahill are scheduled from day one.

The 1nessAgency Client Portal Our secure, real-time dashboard is your single source of truth — no more waiting for emailed reports or chasing updates. Key features include:

• Live Performance Tracking — Real-time views of impressions, clicks, conversions, booked appointments, ROAS, CAC trends, and budget pacing.

• Compliance & Audit Logs — Full visibility into HIPAA-aware data handling, LegitScript status, and ethical AI usage.

• Historical Trends & Insights — Compare week-over-week/month-over-month performance, attribution models, and LTV/CAC ratios.

• Document Repository — Access to your Sales Playbook, creative approvals, strategy decks, and meeting notes.

• Custom Alerts — Instant notifications for budget thresholds, performance anomalies, or compliance flags.

The Portal is mobile-friendly, password-secure, and updated continuously — giving you the same level of transparency and control as our internal team.

This streamlined, senior-led onboarding combined with always-on portal access eliminates friction and builds immediate trust. Clients often tell us: “It feels like you’re an extension of our team from day one.”

If you’re ready to scale with clarity, compliance, and measurable momentum, the process starts with a simple conversation.

At 1nessAgency, transparency and accountability are built into every partnership. We provide clear, actionable visibility so you always know exactly how your campaigns are performing and can make informed decisions.

Performance Reporting Frequency We deliver weekly and bi-weekly reporting as standard — tailored to your needs and campaign velocity:

• Weekly reports (most clients): Detailed snapshots including key metrics (impressions, clicks, conversions, booked appointments, ROAS, CAC trends), budget pacing, top-performing keywords/ads, and any immediate optimizations or alerts.

• Bi-weekly deep-dive reports (for steady-state campaigns): Comprehensive analysis with trend tracking, LTV/CAC comparisons, attribution insights, and strategic recommendations.

• Real-time access via the 1nessAgency Client Portal — a secure dashboard where you can log in anytime to view live performance data, campaign status, compliance logs, and historical trends. No waiting for emails; everything is at your fingertips.

  Who Manages Your Account? Every account is handled by a senior-level team member — never junior staff or outsourced contractors. Our structure ensures consistency, expertise, and direct accountability:

  • Dedicated Senior Strategist — Your primary point of contact, an experienced operator with deep knowledge of regulated industries (mental health, healthcare, finance, etc.). They own strategy, optimization, and relationship management.

  • All-Ivy-League, NYC-based team — Backed by cross-functional support from clinicians, data analysts, and compliance specialists. No handoffs; you work with the same senior expert throughout the engagement.

  • Direct access — Phone, Slack, or email communication with your strategist, plus quarterly strategy reviews with leadership for high-level alignment.

  This model — frequent, transparent reporting + dedicated senior management — eliminates surprises, accelerates results, and keeps your growth aligned with your mission. Clients tell us it’s one of the biggest differences from traditional agencies: you’re never left wondering what’s happening or who’s in charge.

  If performance transparency and senior-level ownership are priorities for you, we’re aligned from day one.

Yes, a major component of our pre-transaction strategy is de-risking the asset. We systematically mitigate customer concentration by introducing strategic market segmentation and developing new, diversified demand generation channels, thus reducing reliance on a few key accounts and improving the stability and valuation multiple of the business.