Best R.O.I.

Sebastian Mealer is the co-founder of BEST R.O.I., a digital marketing firm he started with his wife Giovanna in 2002. The agency began as a general-purpose shop serving small businesses, and over time narrowed its focus to chiropractic and other medical practices, a niche the team says it moved into because many generalist marketers failed to produce predictable returns for those operators. Mealer describes himself as a third-generation entrepreneur, which is the extent of the public biographical detail on the site; the agency does not publish a detailed resume, prior roles, or named industry credentials. The founder story is implied more than told — most of the About page is devoted to the firm's positioning rather than Mealer's personal trajectory.

The thesis guiding the firm is what it calls a Patient Generation System: a standardized set of marketing mechanics designed to give chiropractors a steady inbound flow of new patients without relying on in-person screenings or practice-owner-driven marketing. The company claims to serve practices across the U.S. and Canada and, beyond direct client work, consults with other marketers on underperforming chiropractic ad accounts and conversion optimization. The operating belief — stated plainly on the homepage — is that roughly 95% of businesses the team has audited were missing at least two of four core marketing systems, and that installing those systems is what separates practices that grow from those that stall. Team size, ownership structure, and office location are not disclosed publicly.