Ready for a Different Kind of Marketing Partner?
If you're looking for a team that works like it's in-house—because it is—we should talk.
We're Not an Agency. We're Your Marketing Team.
Strategy and execution, fully in-house and built around your business.
We don't operate like a traditional agency—and that's intentional. 121GM embeds directly into your business, working alongside your leadership and teams as your marketing department.
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About Us
More Than a Vendor. A True Extension of Your Team.
Traditional agencies work on the outside. We work from within. At 121GM, everything we do is built around your goals, your people, and your realities. We don't sell packages or push templated solutions. We build marketing strategies and systems that fit your organization— and then we execute them. The result? Marketing that feels aligned, accountable, and actually effective.
Why This Isn't an Agency Relationship
We Work Inside Your Business
We embed with your team to understand your priorities, challenges, and opportunities. No surface-level strategy. No guessing.
Strategy and Execution, Together
Senior-led strategy paired with hands-on execution—all under one roof. No handoffs. No layers. No disconnect.
100% In-House Team
Our strategists, creatives, and marketers are part of one team. We don't outsource, and we don't disappear after launch.
Transparent and Trust-Based
Clear communication, honest reporting, and no hidden fees. You'll always know what's happening and why.
Built for Your Reality
Every engagement is custom—designed around your goals, resources, and market. No one-size-fits-all plans.
Who We Partner With
B2B & B2C Organizations
From service-based businesses to growth-stage brands, we help companies clarify their message, reach the right audience, and turn marketing into a true growth engine.
How we help:
- Brand positioning and messaging that cuts through noise
- Demand generation and lead-driven digital campaigns
- Content and websites designed to convert, not just look good
- Clear reporting tied to real business outcomes
Best for organizations ready to move beyond one-off tactics and into sustainable growth.
Rural & Community Hospitals
We specialize in rural healthcare marketing because we understand the realities—tight budgets, lean teams, growing service lines, and the need to build trust locally.
How we help:
- Act as your embedded marketing department or fractional CMO
- Grow awareness and utilization of key service lines
- Strengthen community connection and patient engagement
- Replace fragmented vendor work with a unified, data-driven strategy
Proven experience helping rural hospitals modernize marketing without hiring a full in-house team.
Small & Mid-Sized Businesses
SMBs are often stuck between DIY marketing and expensive agencies. We bridge that gap with senior-level strategy and hands-on execution—fully in-house.
How we help:
- Build a clear marketing foundation that scales with your business
- Execute quickly without long contracts or bloated retainers
- Focus spend on what actually drives growth
- Bring structure, consistency, and accountability to marketing
Ideal for businesses that want results—not fluff.
Healthcare IT & Health Tech
We work with healthcare IT, SaaS, and health tech companies that need to communicate complex solutions clearly and build credibility with buyers.
How we help:
- Translate complex technology into compelling value propositions
- Support go-to-market strategy and pipeline growth
- Align brand, product, and sales messaging
- Create marketing systems that scale as you grow
Built for companies operating at the intersection of healthcare, technology, and growth.
Full-Service Thinking. Embedded Execution.
Our services flex to meet you where you are—whether you're building from the ground up or refining an existing marketing function.
Clarity First. Momentum Always.
We start by listening—learning your business, your challenges, and your goals. From there, we create a clear roadmap that aligns strategy, messaging, and execution. You'll gain:
Testimonials
What Our Customers Are Saying
121GM is super to work with, they always go the extra mile and they make it their mission to understand your business! The best at what they do!
The 121GM team brought a great new website design that is more modern, engaging, and sleek. They really went the extra mile to be sure we were at a good starting point for social media campaigns and had a framework to grow the website as we added services and content!John Ayers of Huntpro
We wanted sharper direction and focus - and to do things differently in a data-driven way. 121GM gave us the opportunity to do more with a leaner budget, which was intriguing. The creative capability and hands-on partnership were exactly what we were looking for.Jim Peace, CEO, Russell Medical
121G Marketing has never felt like an outside agency. They're part of our team. They took the time to understand our hospital, our people, and our community. They established our strategy and put the right initiatives in place to achieve our goals.Mabry Cook, Executive Director of Outreach & Strategic Branding, Russell Medical
If you are looking to invest in a digital marketing company I highly recommend 121GM. We begin looking at 121GM for the Foundation’s new website but quickly realized they had so much more to offer and have now engaged 121GM for a full digital marketing campaign for our hospitalAlex and his team have been so easy to work with and bring a wide array of specialized experts to the table. They have been consistent, with our brand and our message, allowing us to reach beyond what we had initially anticipated. Tammy Jackson, Executive Director of Russell Medical Foundation