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Customer story · Black Box Social Media, LLC

From Zero Leads to Hiring More Staff to Handle Record Lead Flow

Karl Krummenacher · Recorded 1/23/2026

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Share One · January 23, 2026
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Individual results vary. This is one customer's first-hand account of their own experience, recorded on camera and published unedited. It is not medical advice, and nothing here is intended to diagnose, treat, cure, or prevent any condition. Talk to a qualified healthcare professional before making decisions about your health.

Karl Krummenacher of Modern Thyroid Clinic reports that Black Box Social Media, LLC transformed his digital marketing from zero leads in 12 months with a prior agency to generating the lowest cost leads he has ever seen. Within weeks, Curt and Nick optimized copy and targeting, forcing the clinic to hire more staff to handle the volume.

At a glance

Primary Use Case
Replacing a failed healthcare-specialist agency to generate patient leads.
Reported Result
Lowest cost leads ever seen; lead flow exceeded current staffing capacity.
Time to Value
A matter of just a few weeks.
We had gone 12 months with a prior agency, not seeing a single customer and hardly any leads at all.
Now I have to tell Nick and Curt to tap the brakes a little bit because I need to hire more people in order to service all the leads that you're getting us.
We were able to dial in the exact copy, creative and targeting that started to generate... the lowest cost leads I've ever seen in any business that I've worked in.

The interview

What was your experience like before working with Black Box Social Media?

We had been working with a professional healthcare-related marketing agency for the better part of a year. We committed a significant investment—mid-five figures every single month—with the hope that we would grow and scale. Unfortunately, a year later, we had nothing to show for our time with that company. We hadn't seen a single customer and hardly any leads at all.

How did you first hear about Curt Malley and Black Box Social Media?

I had heard about Curt's reputation within the industry. I know a lot of people who do significant marketing with budgets in the millions of dollars. Every time I shared how frustrated I was with our healthcare agency, Curt's name would come up. People asked, 'Have you talked to Curt Malley? Do you know Curt and Nick?' It turned out we were both in a mastermind together.

What was the initial process like when you started working together?

We started by going over who our audience was and what our ideal customer looked like. They proposed a strategy and they executed. The first thing I noticed was that Curt listened and he didn't overcomplicate things. He suggested something no one else had: doing a whole lot of little tests to figure out what the audience would respond to.

What were the immediate results of the new strategy?

In a matter of just a few weeks of working with Curt and Nick, we were able to dial in the exact copy, creative, and targeting that started to generate not just leads, but the lowest cost leads I've ever seen in any business I've worked in. I was shocked.

How has the lead volume impacted your business operations?

It's kind of ridiculous. A year ago we were begging to fill the calendars of our providers. Now I have to tell Nick and Curt to tap the brakes a little bit because I need to hire more people in order to service all the leads they are getting us. I am now the constraint.

Would you recommend their services to others?

I'm thrilled to make any references to Curt and Nick because they've earned our trust. They overdeliver and I'm confident my referrals will get the same results. My reputation looks good every time I recommend them.

Frequently asked

Will a general marketing agency perform better than a healthcare-specific agency?

Karl Krummenacher found that despite spending mid-five figures monthly with a healthcare-specialist agency for a year, they saw zero customers. Switching to Curt and Nick at Black Box Social Media provided immediate results because they focused on testing and audience response rather than industry-specific assumptions.

How difficult is it to manage the ad campaigns once they are running?

Karl describes the ongoing relationship as 'fire and forget.' Once the initial cadence was established, the system provided dials and levers to ramp lead flow up or down as needed without constant oversight from his end.

Is the investment in Black Box Social Media worth the cost?

Karl stated that he believes Curt and Nick are likely underpaid for the work they do. He noted that they overdeliver on their promises and have earned his trust by providing a high return on investment that his previous agency could not match.

Full transcript

We started by going over who our audience was. They talked about what our ideal customer looked like. They proposed a strategy. They executed. Then the best part happened. We started to generate leads, crazy leads. I was shocked. We had gone 12 months with a prior agency, not seeing a single customer and hardly any leads at all. And in a matter of just a few weeks of working with Curt and Nick, we were able to dial in the exact copy, creative and targeting that started to generate not just leads, but the lowest cost leads I've ever seen in any business that I've worked in. Hey, I'm Karl Krummenacher with Modern Thyroid Clinic in Austin, Texas. We had been working with a professional healthcare-related marketing agency for the better part of a year. We had high hopes. There were specialists in health. That's what they do all day, every day. And we committed a significant investment. It was mid-five figures every single month, with the hope that we would grow and scale our business significantly. Unfortunately, that didn't work out. And a year later, We had nothing to show for our time with that company. I had heard about Curt's reputation within the industry. I know a lot of people who do pretty significant marketing, budgets in the millions of dollars. And every time I started to share how frustrated I was with the results we weren't getting with our agency that specialized in healthcare, Curt's name would come up. Have you talked to Curt Malley? Do you know Curt and Nick? Have you worked with Black Box? Turns out that we were both in a mastermind. And I took the time to say, Curt, maybe you can help. And at that point we got together and started talking about working with each other. When we started working with Curt, the first thing that I noticed was Curt listened. The second thing that I noticed was that Curt didn't overcomplicate things. He and Nick did exactly what they said they were going to do. But what I really appreciated was they didn't overcomplicate what we needed to do. They got to know our business, our brand, our audience. And Curt suggested something no one else had suggested up until this point. Let's do a whole lot of little tests and figure out what your audience is going to respond to. It's unbelievable how effective they've been in how little time. And I honestly think they're probably underpaid for the amazing work that they do. What I like most about working with Curt and Nick is it's pretty much fire and forget once it gets going. Now that we're in a cadence, we're getting leads cheaper than we've ever gotten. We've literally got dials and levers that we can push and pull to ramp up whatever lead flow we want. I am now the constraint. It's kind of ridiculous that a year ago, working with our old agency, we were begging to fill the calendars of our providers. Now I have to tell Nick and Curt to tap the brakes a little bit because I need to hire more people in order to service all the leads that you're getting us. It's really the best problem to have. People ask me all the time now, do you know somebody that I can talk to about running some paid media or paid traffic? And I used to struggle with the answer. Now I say, you need to talk to Curt and Nick. Let me connect you. right away. Thrilled to make any references to Curt and Nick because they've earned our trust. They overdeliver and I'm confident that my referrals will get the same kind of results that I've gotten. And that's hard these days when people ask you for a referral, you don't want to damage or sell your reputation. My reputation looks good every time I recommend Curt and Nick.

About Black Box Social Media, LLC

Black Box Social Media, LLC logo

Black Box Social Media, LLC

Official site: yourad.coach

Black Box Social Media, LLC, operating through the Your Ad Coach platform, is an award-winning digital marketing agency specializing in Facebook and Meta advertising. They serve businesses of all sizes, from individual entrepreneurs to large corporations, by providing expert strategy and precision targeting. For clients like Karl Krummenacher, they transform stagnant marketing efforts into high-ROI engines capable of scaling lead flow to the point of requiring organizational expansion.

Industry
Digital Marketing Agency

Topics

  • lead generation
  • healthcare
  • facebook ads
  • roi scaling
  • business owner
  • paid media

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