The studio
We do the right thing, in order. Strategy, creative, growth and technology, practiced together by one small senior team.
Chapter 01For things that don’t exist yet, or haven’t been introduced properly. Positioning, naming, brand identity, website, go-to-market and product launch — shaped as one arc, because launching something nobody has searched for yet is a different sport.
Chapter 02For businesses that moved faster than their brand. Brand strategy, rebranding, messaging and website redesign that close the gap between what the business became and what the market still thinks it is — without starting from zero.
Chapter 03Growth marketing with an owner. Paid media, SEO and AI search, ecommerce and Shopify growth, lifecycle and creator channels — run as one system against revenue, not separate campaigns reporting vanity numbers.
Chapter 04Fractional CMO leadership for businesses that need a senior marketing brain without another permanent executive seat. Plus executive and personal branding for the founders and physicians leading them.
Chapter 05AI consulting, AI agents and automation that connect how a company actually operates — not another unused tool. Applied AI across marketing, reporting, creative development and workflow, wired into the business instead of demoed at it.
Chapter 06Podcasts, events and experiential marketing — the things people are still talking about a year later. Strategy and production for shows and moments that build a reputation, not just reach.
How engagements work
You tell us what’s going on. We ask questions. We figure out whether we can actually help. If we can, we tell you what the right engagement looks like. If we can’t, we tell you that too.
Senior marketing leadership, embedded, without adding a permanent executive seat. For founder-led and high-growth companies.
A defined problem, launch or build with a clear beginning and end — scoped after the first conversation, priced with a clear range.
Continuous senior thinking and execution around growth, brand and performance. One owner, one system.
Full capability list: brand strategy · rebranding · growth marketing · fractional CMO · website design & development · ecommerce & Shopify · paid media · SEO & AI search · AI consulting, agents & automation · go-to-market · product launches · executive branding · podcasts · experiential.
Studio questions
It depends on the shape. Fractional leadership is a monthly engagement, projects are scoped with a clear price range after the first conversation, and ongoing growth work is a monthly system with one owner. We do not publish a rate card because the honest price follows the actual problem — the first conversation is free and specific.
Focused launches and rebrands typically run in weeks, not quarters, because one senior team owns strategy, creative and build together with no handoffs. Exact timing is set in the first conversation once the destination is clear.
No. Extra Medium is headquartered in Virginia Beach, Virginia, with presence in Chicago and London, and clients across the US and UK. Most engagements run remotely with in-person time when it matters.
Three things: every engagement is led personally by the founder; the team is senior-only with no account-manager telephone game; and the studio builds its own products in Extra Medium Labs — led by SIGNL — so its advice is tested on its own money first.
Let’s talk
Don’t know exactly what you need? Good. That’s our job. Tell us where the business is headed and we’ll tell you honestly whether we can help — and if we can’t, who might.
Usually replies within one business day.
