Results / Case Study / DTC Telehealth
AlgoRX
In 14 months - in DTC telehealth, one of the hardest categories to run compliant paid ads for.
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 ~$1M/month in 14 months - funded by paid acquisition
- ~6X blended ROAS sustained while spend scaled
- ~30% margins held while scaling - growth that shows up in the bank account, not just the dashboard
"We're profitable on first purchase, which is unheard of in this space."
Adam HotchkissFounder, AlgoRX · client interview
"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.'"
Adam HotchkissFounder, AlgoRX · client interview
Hear it from Adam
Recorded mid-journey - the video's own title marks the moment: "$70K to $260K Monthly in 6 Months." The account kept climbing to ~$1M/month by month 14.
Verify this case study
- Watch the full recorded interview above - unscripted, on camera
- Read Adam's unprompted review on Trustpilot: "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
Run the same math on your own account
Every HoloGrowth engagement starts with the same five numbers: CM3, nCAC, 90-day LTGP:CAC, payback, and new-vs-returning split. The free Scaling Scorecard gives you those five metrics with the exact scale/hold/fix/kill thresholds we use on managed accounts - so you can see what Adam saw before you ever talk to us.
Get the Free Scaling ScorecardYour numbers can look like this too - if the constraint gets named first.
It starts with a free 30-minute Strategy Call - we clarify your numbers, name your most likely constraint live, and decide together what makes sense next.