Most of this work is done remotely and always has been. What being local changes is the parts that go better in person: the board meeting, the week you take over a failing system, and the first day with a new team.
A named Northeast Ohio engagement, the sectors you actually serve here, where the team is based, any local affiliations. City pages built from a template and a swapped place name do not rank and do not convert.
Every engagement starts with an assessment, whatever the sector. You keep the document either way.