AlgoRX

Where they started

AlgoRX is a founder-led DTC telehealth brand: physician-prescribed treatments with a real medical team behind them. When Adam Hotchkiss came to us, the brand was doing around $70K/month - and the agency market had already told him he was too small to matter.

"Somebody literally told us: we won't even consider working with you unless you're spending 50,000 a month. And we just made 70,000."

The creative situation was worse than the media buying. Adam - a doctor - was outperforming the professionals he was paying.

"They were just putting out such generic stuff that I felt ashamed to even have my name behind it. I'm a doctor. I shouldn't be better than my graphic designer at creating creative."

What the audit changed

The engagement started the way every HoloGrowth engagement starts: with the diagnostic. We tied ad spend to unit economics and the P&L, rebuilt the numbers outside the platforms, and named the real constraint - then took over creative production and media buying end to end against that plan.

In a category where most agencies won't even take the account - medication content gets flagged, ad accounts get banned, compliance is unforgiving - the operating discipline mattered as much as the creative. Scale decisions were made on real contribution margin, not platform ROAS.

What happened

• ✓$70K/month to $1.7M/month in 17 months - funded by paid acquisition
• ✓~6X blended ROAS sustained while spend scaled
• ✓30%+ net margins held while scaling - growth that shows up in the bank account, not just the dashboard
• ✓35% net margin in June 2026 - roughly $600K in net profit in a single month

That last line is the one worth sitting with. Most agency case studies stop at the revenue number, because revenue is the number that survives any amount of inefficiency underneath it. A brand can triple its top line and make less money than it did before. AlgoRX held net margin above 30% the entire way up, and finished June 2026 at 35% - roughly $600K of net profit in one month, on $1.7M of revenue.

That only happens when scale decisions run on contribution margin rather than platform ROAS. It is the same discipline the Scaling Scorecard encodes, and the reason the Profit Clarity Audit rebuilds the numbers outside the ad platforms before a single budget decision gets made.

★★★★★

"We're profitable on first purchase, which is unheard of in this space."

★★★★★

"Every time we would get on a meeting with you, you were able to summarize exactly what we wanted. I distinctively remember my partner texting me during our meeting saying, 'Wow, it's nice to be listened to.'"

Hear it from Adam

The full interview, recorded at month 17: Adam walks through the whole climb - $70K to $1.7M/month at 30%+ net margins - on camera, unscripted, in one of the hardest categories to run compliant ads for.

AlgoRX client interview - $70K to $1.7M/month in 17 months

And the receipt that this story wasn't written after the fact: a second interview, recorded mid-journey, whose own title marks the moment - "$70K to $260K Monthly in 6 Months." The account kept climbing for another 11 months.

AlgoRX client interview - recorded mid-journey at $260K/month

Verify this case study

• ✓Watch the full recorded interview above - unscripted, on camera
• ✓Read Adam's unprompted review on Trustpilot, written in January 2026 with months of the climb still ahead: "They helped us increase revenue by roughly 6x, while also driving CAC down and pushing LTV up. They handle everything end to end."
• ✓Ask about references on your Strategy Call - we'll tell you exactly what's verifiable and how