For med spa owners

Only Pay For Patients In Your Chair.

Monarch catches the patients who slip through the cracks and fills your chairs with new patients.

One time setup, then you pay per patient who shows. No monthly retainer. Month to month.

See If My Med Spa Qualifies →

No monthly retainer · Month to month

AnswerInside a minute

BookOn your calendar

CatchNo show, no fee

Ryan Chang, RN, on how you pay. Three and a half minutes.

See how you pay

A med spa owner at home holding her baby and smiling at her phone — Thirty days from nowA new patient shows while you’re home with your family.Every lead answered, booked and reminded without you.

A med spa owner at her desk in the evening reading a report — You might be thinking“Every agency promises patients.”Monarch bills after the patient shows, so you see the result before the fee.

Two people shaking hands over a signed one page agreement — Your riskOnly pay for patients in your chair.
*No retainerMonth to monthNo show, no feeYou own your data*

An empty treatment chair in a quiet room — 60When 100 patients book and 60 show, you pay for 60.No shows and cancellations are never billed.

An empty treatment chair in a quiet med spa room at the end of the day — Before and afterFrom an empty room to a patient in your chair.

The same room in daylight with a patient relaxing in the chair during a facial — Before and afterFrom an empty room to a patient in your chair.

Monarch catches the patients who slip through the cracks and fills your chairs with new patients.

One time setup, then you pay per patient who shows. No monthly retainer. Month to month.

AnswerInside a minute

BookOn your calendar

CatchNo show, no fee

See if you qualify

How billing works

You Pay When A Patient Shows.

One time setup, which includes your landing page and booking flow, then a fee per patient who shows. No monthly retainer. Month to month. You pay Meta directly for ad spend.

The math

When 100 patients book and 60 show, you pay for 60. The 40 who stayed home never reach your statement.

What countsBillable: a new patient who booked through a system we built or run and showed up for the first appointment, billed once. An existing patient counts only when Natalie books the visit and the patient shows. Reschedules of the same patient and service count once. You approve the qualification criteria in writing before launch.
What never countsNever billable: no shows, cancellations, duplicates, spam, staff, out of area, services you do not offer, appointments your front desk books, and anyone who fails the criteria we agreed.

What you ownYou own the ad account, the pixel, the data and the phone number. We work from partner access, and everything transfers back within 30 days if you leave.

The unfair agency dilemma

Retainers Don’t Care About Performance.

An agency paid on leads keeps sending leads, and an agency paid on patients who show has to send patients who show.

The Lead Who Never Picks Up

You paid for the form fill, the number rings out twice, and the monthly report still counts a result.

The Booking Who Never Shows

The calendar looked full on Monday morning, and at 2pm the chair sat empty while the room, the staff and the product waited.

The Invoice Due Either Way

The retainer arrives on the first of the month, and the amount is the same in a full month and a slow one.

A phone on a desk showing a stack of unanswered alerts — Paid either wayThe Lead Who Never Picks UpYou paid for the form fill, the number rings out twice, and the monthly report still counts a result.

A wall clock in a quiet, empty waiting room — Paid either wayThe Booking Who Never ShowsThe calendar looked full on Monday morning, and at 2pm the chair sat empty while the room, the staff and the product waited.

An owner reading an invoice at her desk — Paid either wayThe Invoice Due Either WayThe retainer arrives on the first of the month, and the amount is the same in a full month and a slow one.

A med spa owner at her desk late at night with her head in her hand — $2K–$5KWhat most med spa agencies bill every month, on 6 to 12 month terms.Paid whether or not a patient shows. Source: ClinicAds and Rank & Rejuvenate agency pricing guides.

Retainers, lead fees and dashboards all get paid the same whether your chair fills or stays empty.

Who this is for

Built For Owners Done Paying For Leads.

You’ve paid a retainer, and the reports showed leads while the chair sat empty.
Your team is in treatment rooms when new patients call or fill out the form.
You run paid ads, or you’re ready to, and you want the fee tied to patients who show.

How Monarch works

The Blackout Breaker.

You close the treatment room door and the practice goes dark. Calls hit voicemail and leads go cold while you work. The Blackout Breaker runs three moves between the first click and a patient in your chair, and your team keeps treating while they run.

Answer
Every call and every form gets a response inside a minute, around the clock. Natalie, our receptionist, follows your script, qualifies each lead against the criteria you approved, and hands anything clinical or upset to your team.
Book
The appointment lands on your real calendar during the first contact, while interest is fresh, with the treatment and the time the patient chose.
Catch
Confirmation, reminders and same day recovery run behind every booking, so the patient who booked is the patient who sits down. Natalie catches what your team physically cannot.

Real resultsFrom a med spa client

90Visits

27Leads

8Booked

14Days

Real results from a med spa client: 90 landing page visits, 27 leads, 8 booked appointments in 14 days on $723.48 of ad spend.

Next step

See If Your Med Spa Qualifies.

Tell us about your treatments, your market and your booking process, and we will tell you on a short call whether Monarch fits your med spa.

Pilot program

Monarch is taking three med spas as pilot clients, with priority onboarding and a target launch inside 14 days, in return for a written case study with your practice named. Pilot terms are covered on the call.

No monthly retainerPay per patient who showsMonth to month

Three short steps

Your details, your market, and two quick questions.

Step 1 of 3

Your name

Med spa name

Step 2 of 3

Mobile phone

City or metro area

Step 3 of 3

Primary treatment you want to fill

Are you the owner or the decision maker for marketing spend?

Yes No

Are you comfortable with $2,000 a month or more in ad spend, paid directly to Meta?

Yes No

By sending this form you agree to our Terms and Privacy Policy.

Your request is in.

We’ll review your market, treatments and booking flow and reply within one business day.

Before you ask

What Owners Ask First.

A front desk manager at reception — A new patient who booked through a system we built or run and showed up for the first appointment, billed once. You approve the criteria in writing before launch.

An empty treatment chair — You’re never billed for no shows or cancellations.

A front desk coordinator talking with a patient while the desk phone lights up — Natalie is trained on your script and your treatment menu, and she hands clinical questions and upset callers to your team.

A handshake over a one page agreement — The agreement runs month to month, and your ad account, pixel, data and phone number stay yours.

An owner reading at her desk in the evening — You pay Meta directly from your own ad account, so every dollar of spend stays visible to you.

A patient relaxed in a treatment chair — An existing patient counts only when Natalie books the visit and the patient shows. Appointments your front desk books are never billed.

After the switch

What Changes When You Pay Per Show.

A family walking on the beach at sunset with the phone left behind on a chair — Thirty days from nowEvenings off while new patients book.Natalie answers, books and reminds around the clock.

The same owner at home holding her baby — Before and afterFrom chasing leads at night to evenings at home.

A busy med spa front desk with a coordinator helping a patient — At the front deskYour front desk stays with the patient in front of her.Natalie takes the call while she checks a patient in.

A patient relaxed in a med spa treatment chair — On your statementYour statement lists the patients who showed.Every line carries the name, date, service and status, and you get five days to review before you pay.

A med spa owner standing in her treatment room — Yours from day oneYou own everything we build on.
*Ad accountPixelDataPhone number*

Ryan Chang, RN, founder of Monarch Marketing, in navy scrubs

Built By A Nurse, Priced Per Patient.

Ryan Chang, RN, spent five years on twelve hour night shifts, then watched great clinics lose patients to weaker practices over a two hour response window. He built Monarch to close the window, and he priced the work per patient who shows.

Ryan Chang, RN, founder

Questions

Three quick answers.

What do I pay for? +

A one time setup, then a fee per patient who shows. No monthly retainer, no minimum term. The numbers are walked through on the call.

What happens in a slow month? +

You pay Meta for your ads, and Monarch bills only the patients who showed. A month with fewer patients in the chair is a month with a smaller statement.

Who answers the phone? +

Natalie, an AI receptionist trained on your script and your treatment menu, around the clock. Clinical questions and upset callers go to your team.