$33,142 in purchases from about $12,747 of ads, as a US telehealth brand scaled up

A telehealth brand in the United States asked us to do two jobs at once: build its website, and run the performance ad campaigns that send people to it. This story covers the first two months of scaling those campaigns, from August to 24 September 2026.

Over that period, about $12,747 of ad spend brought in $33,142.20 in purchases. That is a return of 2.6x on ad spend, earned in one of the most crowded corners of US healthcare. Below we explain the market, the approach and what other health brands selling online can learn from it.

At a glance

The client

Our client is a US telehealth brand. Telehealth means healthcare delivered online. The patient finds a provider, pays and speaks with a clinician, all without visiting a clinic in person.

We handled both sides of the brand's growth. We built its website from start to finish, and we rolled out its performance ad campaigns. Performance ads are bought and judged on the sales they bring in, rather than on how many people see them.

The way people buy telehealth is worth understanding. A typical patient starts with a need and a search. They see an ad or a result, land on a website and then decide, often within a few minutes, whether this provider looks credible enough to pay. There is no waiting room, no receptionist and no handshake. Everything that would normally reassure a patient in a clinic has to happen on a screen.

The challenge

The brand sells into digital healthcare in the United States, an intensely crowded market where each new customer is hard and expensive to win.

Two forces drive that cost up. First, many companies are trying to reach the same people, and ad space is sold by auction. More bidders means a higher price for every ad shown. Second, health is a careful purchase. People want to trust a provider before they hand over money, so a page that looks thin, confusing or unfinished loses them, no matter how good the ad that brought them there.

Put those together and a familiar problem appears. A brand can pay a high price to bring a visitor to its site, then lose the sale on the page. Many brands make this worse by splitting the work: one supplier builds the website, another runs the ads, and neither owns the full path from first click to purchase. For this brand, the ads and the website had to work as one.

What we did

One team for the website and the ads

We built the website and ran the campaigns that send people to it. That single decision shaped everything else.

When two suppliers divide this work, the ad can promise one thing while the page says another. Messages drift, offers do not match and a weak month turns into an argument about whose fault it was. With one team on both, the ad and the page are planned together as a single route to a purchase.

A website that does the front desk's job

We developed the site end to end. In a physical clinic, the front desk explains what is on offer, puts the patient at ease and books them in. Online, the website has to do all three by itself.

In a market this crowded, the website is where trust is won or lost. A visitor who arrives from an ad is still deciding. The page needs to answer their questions clearly and make the next step obvious, so that the money spent bringing them there is not wasted.

Two months of scaling

Scaling is the stage that follows set-up. The aim is to spend more on ads while keeping the return steady, which is harder than it sounds, because each extra dollar tends to reach people who are a little less ready to buy.

August to 24 September 2026 was the first two months of that stage. About $12,747 went into ads across the period, and the purchases they brought in came to $33,142.20.

The results

For every dollar spent on ads, roughly $2.60 came back in purchases. It is worth being precise about what that means. The revenue figure is gross, before the brand's own costs, so it is not profit. What it does show is that, in a market where customers are expensive to win, the ads earned back their cost with room to spare during the very stage when spend is growing.

A second US telehealth brand we worked with saw a similar pattern over a single month. You can read that story in our case on a second telehealth brand in the USA.

Why it worked

Fewer hand-offs meant fewer leaks. Every hand-off between suppliers is a point where a visitor can slip away: a slow page, an offer that does not match the ad, a broken link. With one team covering both sides, there were fewer of those points.

We owned the moment where doubt appears. In health, a visit that ends in doubt is wasted money. Because we built the website as well as running the ads, the page that had to earn the patient's trust was made by the same people who knew what the ad had promised.

The return held at real spend. A 2.6x return across about $12,747 and two months is not one lucky week on a tiny budget. It is a result the brand can plan its next stage around.

The ad pays for the visit; the page has to win the sale.

How to apply this to your business

• Treat your website and your ads as one job, planned together, rather than as two projects handled by different people.
• Read your landing page as a nervous first-time patient would. If anything is unclear, fix it before you raise your ad budget.
• Make sure every ad and the page it leads to tell the same story, with the same offer in the same words.
• Judge campaigns on purchases, not on clicks or visits, and keep gross revenue and profit clearly apart in your reports.
• Scale spend in steps, and check that the return holds at each new level before you go further.

Questions business owners ask

How much should a telehealth brand spend on ads?

There is no single right figure. It depends on what a customer is worth to you and how much you can afford to spend to win one. In this case, the brand spent about $12,747 across the first two months of scaling, and those ads brought in $33,142.20 in purchases. Start at a level you can sustain, measure purchases closely and raise spend only while the return holds.

What is a good return on ad spend for telehealth?

The first test is simple: purchases should come to more than the ads cost. Beyond that, a good return depends on your margins and on how often patients come back. Here, the brand saw a 2.6x return during its first two months of scaling. Remember that this kind of figure is gross revenue, not profit.

Should one agency build the website and run the ads?

It often helps, especially in health. When one team owns both, the ad and the page are planned as a single path, and there is nobody to blame but the people doing the work. That was the set-up for this brand: we developed the website and ran the campaigns that sent visitors to it.

Why do telehealth ads cost so much?

Two reasons. Many companies compete for the same people, and because ad space is sold by auction, more competition pushes the price up. And health is a careful purchase, so a visitor who is not reassured by the website leaves without buying, which makes each sale cost more.

Selling healthcare online? Book a 20-minute call.