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Outbound marketing
We call the list nobody calls. Cold, lapsed, and unworked leads worked by people who know the language of the practice.
One Month Case Study
Call Center · Sales Division
The people come first, and then the AI is layered on top. That is what keeps the story AI powered and undeniably human.
One Month Case Study
A worked example · multi-location dental
The floor is vertical-agnostic — it books appointments for any business that runs on them. This is one worked example: four cohorts of dental groups, every column, highest return to lowest.
| Partner & region | Appts booked | Patients showed | Show rate | Cash collected | Insurance collected | Total revenue | Client ROI |
|---|---|---|---|---|---|---|---|
| Georgia & Florida36 locations | 6,491 | 3,370 | 51.9% | $1.29M | $842K | $2.13M | 60.8× |
| California86 locations | 2,415 | 1,371 | 56.8% | $668K | $453K | $1.12M | 40.0× |
| California20 locations | 726 | 356 | 49.0% | $181K | $125K | $306K | 21.8× |
| Texas4 locations | 235 | 115 | 49.0% | $55K | $35K | $90K | 8.5× |
The four services
We call the list nobody calls. Cold, lapsed, and unworked leads worked by people who know the language of the practice.
Every campaign lead answered live. No voicemail, no callback queue, no lead dying in a form.
The booking is not the outcome — the visit is. Recall and confirmation campaigns lifted the strongest cohort to a 56.8% show rate.
Financial qualification before the appointment. The location sees customers who can actually proceed.
How it holds up
Compliance, staffing and infrastructure are what let a multi-location operator hand a stranger their patient list. We lead with them rather than burying them.
Every call, every record, every hand-off. Compliance is not a footnote on this floor — it is the reason a multi-location operator can hand us their patient list at all.
Former patient coordinators and office managers who speak the lingo. Humans make the calls; AI grades every one of them.
English and Spanish on the same floor, not a transfer queue. The patient hears their own language on the first call.
No robocalls. No predictive dialing. Number hygiene reported weekly, dashboards built the way you want to read them.
In one paragraph
The Floor is Monarchy's 100% HIPAA-compliant call center division. It runs four services for multi-location operators: outbound marketing, inbound campaign management, appointment confirmations, and pre-qualification.
In one month our floor booked 8,867 appointments across 146 offices in Georgia, Florida, California and Texas, for groups ranging from four locations to eighty-six. Every appointment was counted in the location's own system, not Monarchy's.
What we are actually selling
Producing a message became free. Producing the right message, to a specific person, at the moment they are deciding, did not. That gap is the whole business.
Every company can now generate more outreach than it can handle. Volume stopped being an advantage the moment it stopped being difficult. What stayed hard is what was always hard: knowing what to say to someone who is hesitating, hearing the objection they did not voice, and holding a conversation long enough for a decision to become possible.
That is the discipline this division is built on. The AI makes every agent faster, better briefed, and consistent across ten thousand calls. It does not make the call. A person does — and the quality of that person’s communication is the product.
The measurable version of that claim is the show rate. Anyone can book an appointment. Getting the person to walk through the door weeks later is a test of whether the conversation actually worked. In June 2026, across 146 locations, 5,212 of 8,867 booked appointments were kept. That number is a communication metric before it is a sales one.
The complaint ladder
Not a service menu. An escalation — each rung is a place patients fall out of the cycle.
Every bucket is an attrition point. We govern the whole cycle — the cost of the lead, how fast it is contacted, and who is responsible for it.
Your dedicated team
We get your dedicated team set up, trained and ready to roll. Our clients see a dramatic improvement in revenue, in conversion, and in the quality of every customer interaction. We make every phone call count.
The structure and the strategy behind it were devised by master communicator and international speaker Andrea d’Agostini.
We don’t build your call center. We absorb it.
Questions
In June 2026, 8,867 appointments across 146 locations in Georgia, Florida, California and Texas — for groups ranging from four locations to eighty-six. Every appointment was counted in the location's own system, not ours.
The portfolio average is 41.6× monthly. By cohort it runs from 60.8× for a 36-office group in Georgia and Florida down to 8.5× for a four-office group in Texas. We publish the lowest number as well as the highest, because a range you can inspect is worth more than an average you have to trust.
100%. No robocalls, no predictive dialing — humans make every call and AI governs and grades them. Number hygiene is reported weekly and dashboards are built the way you want to read them.
More than 50 dedicated agents, many of them former patient coordinators and office managers who already speak the language of the front desk. The floor is bilingual in English and Spanish by default, not by transfer queue.
One calendar month of production across the named cohorts, counted in each location's own system. Figures are for general practices with an average ticket around $250. Results vary with category, offer, in-office service quality and lead volume — each figure is a historical result over a stated period, not a projection and not a guarantee.
Highest ever, on whatever statistic you're pointed at.
Bring your numbers. We'll do the math in front of you.
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