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
About Black Box Social Media, LLC

Black Box Social Media, LLC
Official site: yourad.coachBlack 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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