A custom AI marketing operating system, a clinic-ready EHR ported from a working practice, and a $50,000 build fee paid only when the system is operational and profitable for Ketamine Uplift.
They sign a $5K to $15K monthly retainer. The agency runs ads, posts a few tiles, sends a newsletter. The clinic never owns the campaigns, the funnels, the email list, the testing infrastructure, or the dashboards. Stop paying and the lights go out.
This proposal asks you to do something else.
I build Ketamine Uplift a complete AI-native marketing operating system using Claude Code and agentic AI.
It runs Meta and Google paid ads autonomously, generates and tests dozens of creative variants per concept, and ships continuous CRO experiments against your funnels.
It captures email and SMS through custom popups and sequences, deploys structured schema across every condition and service page, and reports the whole pipeline through a single dashboard.
When the build is delivered you own the source code in your GitHub, the infrastructure in your hosting accounts, and a system Dr. O'Neill himself can extend through natural-language vibe coding.
No monthly retainer to me. No agency holding the keys. No third-party stack with a thousand dollars per month in seat licenses. You buy it once, you own it forever.
One non-cancellable line. One pay-per-deliverable line. One outcome fee paid only when the system has earned it.
Medplum-based, FHIR-native, ported from the architecture already operational at Dr. Jennifer Berman's practice. Adapted to ketamine therapy specifics: IV, IM, intranasal, and oral protocol templating, infusion charting, integrated patient comms, and the Uplift Momentum Protocol as a structured care pathway. Source code in your GitHub on delivery.
Social is the only fixed monthly line — the channel that consistently generates revenue. YouTube and articles are blasted hard for the first three months to build domain authority fast, then reassessed every month against the dashboard. You are never locked into a fixed YouTube or blog budget. If month one already produces the lift, month two dials back. Per video, per article, your call.
The build fee for the AI marketing operating system itself. Paid to me only when both conditions are true: the system is operational, and Ketamine Uplift is generating profits from it.
Lump sum if the clinic is cash-rich at delivery. Installments scaled to actual cash flow if it is still scaling — $10K/mo over five months, $5K/mo over ten months, whatever the financials support. No floor. No ceiling. No clawback.
You sign for the EHR upfront because that is fixed scope at fixed price. Everything else is pay-for-deliverables and pay-for-results. The bet on the $50,000 is mine to make.
Hard-cost deliverables billed per piece. Cancel any month with one email.
Zero monthly ad management fee. Zero markup on any pass-through expense.
The single largest line item is paid only when the system is operational and Ketamine Uplift is making money from it.
Ten findings on the live site. Receipts in the body of the audit.
The site has competent design and a clear brand voice. The technical and architectural gaps are large, and they are exactly the kind of gaps a system build solves.
DataForSEO Labs, US, English, audit-date pull. Volume is conservative clickstream-measured monthly searches. Google Ads-reported volume runs roughly 3 to 7x higher across this category. KD is keyword difficulty 0 to 100; lower is easier.
what is ketamine therapy · 18,100 vol · KD 13 · | treatments for treatment resistant depression · 14,800 · KD 12 · | how many ketamine treatments · 2,900 · KD 9 · | spravato side effects · 2,400 · KD 3 · | how long does ketamine work for depression · 1,900 · KD 1
Commercial-intent national-reach terms that are essentially uncontested. 15 to 25 percent top-3 CTR, 1 percent conversion to consult, every consult feeding a multi-session ketamine therapy revenue line. The win is owning these condition pages while difficulty is still in single digits.
Conservative model. Clickstream volume runs 3 to 7x lower than Google Ads-reported volume on the same keywords.
A closed-loop conversion-rate-optimization framework that turns landing-page, ad-creative, and copy decisions into a continuous experimentation system rather than a quarterly redesign exercise.
Audience, condition, mechanism of action, proof points within HIPAA, transformation framing. Locked before generation.
Hooks, visuals, captions, CTAs. Where a copywriter produces three, the system produces fifty.
Variants go live as A/B tests through the website's section APIs. The same harness ships ad variants into Meta and Google.
Cost-per-consult-booking at the top. Show rate, consult-to-treatment, LTV beneath. Click-through is an early indicator only.
Statistical-significance gate. Losers killed. Winners advance and become the new control. 6 to 12 tests per month.
The testing harness is part of the $50K system. It is not a subscription. It is custom code Dr. O'Neill owns when the engagement ends.
Dr. O'Neill publishes thought-leadership on Medium and on high-DA mental-health-vertical outlets. Each placement is a high-DA backlink AND a credibility marker. Anchor text is engineered. Cross-links route domain authority back to the priority condition page or service page. Placements are not random press releases — each one is mapped to a keyword cluster and a target ranking page. Quarterly review against the keyword priority list, rebalanced.
The centerpiece of the engagement. This is what the $50,000 backend pays for. Source code in your GitHub. Infrastructure in your hosting accounts. Documentation in a runbook. Handoff session with Dr. O'Neill and any clinic staff who will run it.
Autonomous campaign builds, audience segmentation by condition + intent, budget pacing, optimization loops promoting winners and demoting losers. Approval gates on creative variants and major budget shifts.
Continuous variant generation, live tests through the site's section APIs, KPI-tree scoring, kills losers in 72 hours, 6 to 12 tests per month at steady state.
30 to 50 variants per concept across hooks, scripts, image, and short-form video. Solves creative fatigue through volume. Weekly review pass before ship.
Built end-to-end. No Klaviyo, no Mailchimp, no per-contact monthly fee. Welcome, consult-booking, post-consult, treatment-cycle nurture, re-engagement. List health automated.
Exit intent, scroll depth, time on page, return visitor. SMS opt-in where the brand voice and HIPAA framing support it.
Intake routing by condition + treatment modality + urgency, consult scheduling, pre-visit comms, reminders. Wired into the EHR — full data trail.
Single-pane view. Bookings, cost-per-consult by channel and condition, show rate, ROAS, organic by page, email and SMS performance, active CRO tests, backlinks acquired. Read on your phone in 90 seconds.
LocalBusiness + MedicalClinic + Physician + MedicalCondition + Service + FAQPage + Article. Auto-populated at render time, audited on every deploy — a future page that omits schema fails the build.
Brief templates, pillar logic, variant scoring, brand-voice configuration, publishing pipeline, asset library, production calendar. Owned by the clinic at handoff.
No recurring software fees. No agency to keep paying. You can operate it yourself, hire whoever you want to operate it, or come back to me on per-deliverable rates if you want me to keep producing content.
The build is done by one operator using Claude Code and agentic AI to ship custom software at the speed and cost that previously required an in-house engineering team.
A custom Medplum-based EHR built using the same Claude Code + agentic AI workflow. Operational in clinic today. Replaced a Nextech setup. Runs the practice. The architecture is what gets ported into Ketamine Uplift's clinical layer.
Marketing systems split cleanly into fast-moving components and compounding components. The fast-moving components produce results in weeks. The compounding components produce results in quarters and accelerate from there.
There is no rank-based multiplier in this engagement. The $50,000 backend is paid only when the system is delivering profits. That is the only success metric attached to my pay.
$15,000, 30 days, fixed. The single non-cancellable line. Paid upfront because the cost to build is real and the architecture is proven.
Social, YouTube, articles, and Borrowed Authority placements on per-deliverable pricing. Cancel any month with one email if I am not earning my keep.
Paid only when the system is operational and Ketamine Uplift is generating profits from it. Lump sum or installments scaled to cash flow. No floor, no ceiling, no clawback.
I clear week-one inside seven days of green light. The EHR ships in 30. The marketing OS compounds from week 2.
I build, you own, you operate. I get paid when the system has paid you back.