01 / SECTOR
Healthcare
Multi-location practices, specialty clinics, telehealth. HIPAA-aware funnel design and per-location ad accounts.
For seventeen years we've been the people brands hire when they're done with vendor cycles, vanity metrics, and quarterly agency turnover. $50M+ generated, 500+ clients, one philosophy: spend that doesn't pay back doesn't ship.
SHAL Media was founded in 2008 — when "social media marketing" was a job title that didn't exist yet, before iOS 14, before tracking storms, before AI ad copy, before half the agencies you've met. The reason we're still here is the boring one: we never stopped doing the actual work.
Most agencies are three months old in a trench coat. They sell strategy decks, hand the account to a junior, and rotate clients faster than they rotate creative. We took the opposite trade: a small senior team, a hard cap on accounts, and a thesis that the only thing worth being known for is performance that survives a Q4.
That thesis has been tested in seventeen years of platform changes — Facebook before the algorithm, Google when search was 60% of the funnel, the ATT/IDFA collapse, the great cookie deprecation that's somehow still happening. Every time the rules change, the same pattern wins: senior practitioners, real testing, honest reporting. No farm-out, no media-buying middleware, no commission-on-spend incentives that quietly pull against you.
What we sell hasn't changed. Brands hire us because they want a partner that thinks about their P&L the way they do — and reports on the part that pays back the engagement, not the part that fills the slide deck.
The person who sold you the engagement is the person managing your account. No junior hand-offs, no offshore staff augmentation, no "associate planner" you've never met running the budget.
We never take a percentage of ad spend. The conflict of interest writes itself: agencies on % models always recommend more spend. We charge for the work; the spend is yours, billed direct by the platforms.
Accounts, creative, pixels, audiences, tracking. The Slack channel is yours. The decks are yours. If we part ways, nothing leaves with us — that's a feature, not a concession.
Impressions don't pay rent. Every report ends with revenue and CAC, traced through GA4 + your platform of record — never modeled, never blended away from inconvenient truth.
Tracked through client GA4 properties + the platform of record at the time. Every figure is auditable inside the engagement.
We turn down work outside these sectors. Depth beats breadth — patterns that move conversion in healthcare don't transfer to ecom, and vice versa.
Multi-location practices, specialty clinics, telehealth. HIPAA-aware funnel design and per-location ad accounts.
DTC and Shopify brands $1M–$50M. Creative-first paid social, lifecycle email, and AOV/LTV optimization.
Series A through C. Pipeline-led marketing — LinkedIn, Google, intent data, and sales-aligned funnel design.
Professional services, agencies, consultancies. Lead-gen funnels with proper qualification and CRM hand-off.
Top 3% of US agencies by performance, spend, and certification depth. Renewed annually since 2014.
Not values posters. The behaviors that show up in the actual engagement.
Slack channel, not ticket queues. Median first-touch reply is under 2 hours during business days.
30 minutes, Monday at 10. Last week's hypotheses, this week's tests, next week's creative. No status decks.
To bad campaigns, bigger spend, scope creep, and engagements we can't run well. Hard cap of 18 active accounts.
No pitch deck, no SDR. You'll talk to one of the senior practitioners who'd actually run your account. Bring the question you're worried we won't answer well.