TeleHealthLeads.com
Prepared by Ron for Cole · The $1M/Month Blueprint
The Landscape Right Now
The telehealth market is in chaos — and chaos is where empires get built.
- FDA crackdown on compounding pharmacies (503A/503B) is decimating the GLP-1 knock-off market
- Hims crashed 27% — Wall Street is spooked, but patient demand hasn't dropped one inch
- Patients are confused, scared, and actively searching for alternatives
- Telehealth clinics are popping up weekly but have ZERO marketing sophistication
- Nobody owns the demand layer between "patient wants GLP-1" and "clinic gets patient"
Cole's edge: He's run real ads, has real performance data, knows GHL inside out, and understands funnels at a level these telehealth operators never will. The question isn't whether there's opportunity. It's which play builds the biggest asset fastest.
The Patient Lead Engine
Own the Demand
Vision
TeleHealthLeads.com becomes the #1 patient acquisition machine for telehealth clinics. You don't serve clients — you generate patient leads and sell them. You own the demand. Clinics come to YOU.
Think QuinStreet for health insurance, but for telehealth. You run the ads, own the landing pages, capture the leads, and sell them to clinics on a per-lead or revenue-share basis.
Target Audience
- Buyers: Telehealth clinics, med spas, compounding pharmacies, DPC practices, men's health clinics
- End users (lead sources): Patients searching for GLP-1s, testosterone, peptides, hormone therapy, erectile dysfunction treatment
Revenue Model
| Channel | Volume (Mo 6) | Price/Lead | Monthly Revenue |
|---|---|---|---|
| GLP-1 / Weight Loss | 3,000 leads | $75-150 | $225K-$450K |
| Men's Health (TRT/ED) | 2,000 leads | $50-100 | $100K-$200K |
| Hormone Therapy (Women) | 1,000 leads | $60-120 | $60K-$120K |
| Peptides / Longevity | 500 leads | $80-150 | $40K-$75K |
| Total | 6,500 leads | $425K-$845K |
Economics that work:
- Average CPL (Meta/Google): $15-35
- Sell price: $50-150 depending on vertical
- Margin: 60-75%
- Exclusive leads command 2-3x premium
Revenue share alternative: Take $0 per lead but 10-15% of patient lifetime value. A GLP-1 patient is worth $3,000-6,000/year. 10% = $300-600 per converted lead. Convert 30% = $90-180 effective CPL to you on leads that cost $20 to generate.
Competitive Moat
- 1Data flywheel: Every dollar spent on ads generates conversion data. More data = better targeting = lower CPL = higher margins. Competitors start from zero.
- 2Clinic network lock-in: Once clinics depend on your leads for 30%+ of patients, switching cost is enormous.
- 3Brand/SEO: "TeleHealthLeads" is literally the keyword. Build SEO authority and organic leads become free.
- 4Quality scoring: Track which leads convert to paying patients, feed that back into ad targeting. Nobody else has this feedback loop.
Content / Lead Magnet Strategy
- Patient-facing: "Is Telehealth Right for You?" quiz funnels, "GLP-1 Comparison Guide," "What the FDA Crackdown Means for Your Weight Loss Treatment"
- Clinic-facing: "The True Cost of Patient Acquisition in Telehealth (2026 Data)" — positions you as the authority and generates clinic buyer leads
- SEO plays: "[City] telehealth clinic," "best online GLP-1 prescription," "telehealth testosterone therapy" — hundreds of long-tail keywords with buyer intent
Build Plan
Phase 1 (Week 1-2): Foundation
- Build 3 high-converting landing pages (GLP-1, Men's Health, HRT) in GHL
- Set up lead routing system (round-robin or auction-based)
- Create clinic onboarding deck: "We Send You Patients. You Pay Per Lead."
- Cold outreach to 50 telehealth clinics (use GHL sequences)
- Sign 3-5 pilot clinics at discounted rates ($40/lead)
Phase 2 (Month 1): Prove the Model
- Launch Meta ads ($3K-5K budget) targeting GLP-1 and men's health
- A/B test landing pages aggressively
- Track lead-to-patient conversion with clinic partners
- Optimize CPL below $25
- Target: 200-400 leads generated, $8K-16K revenue
Phase 3 (Month 2-3): Scale
- Increase ad spend to $15K-25K/month
- Add Google Ads (high-intent search)
- Launch TikTok/YouTube content for organic lead gen
- Build lead quality scoring system
- Introduce exclusive lead tier (2x price)
- Sign 15-25 clinics
- Target: 1,500-2,500 leads/month, $75K-150K revenue
Phase 4 (Month 3-6): Dominate
- Scale to $50K-100K/month ad spend
- Launch programmatic/native ads
- Build self-serve clinic portal
- Add new verticals (peptides, longevity, functional medicine)
- Hire media buyer + lead quality analyst
- Target: 5,000-8,000 leads/month, $300K-600K revenue
Revenue Timeline
| Month | Ad Spend | Leads | Revenue | Net Profit |
|---|---|---|---|---|
| 1 | $5K | 300 | $15K | $8K |
| 2 | $15K | 800 | $48K | $25K |
| 3 | $25K | 1,500 | $100K | $55K |
| 4 | $40K | 2,500 | $175K | $100K |
| 5 | $60K | 4,000 | $300K | $175K |
| 6 | $80K | 6,000 | $450K | $275K |
Risks & Downsides
- Regulatory: Healthcare lead gen has compliance requirements (TCPA, HIPAA-adjacent). Need proper consent flows and disclaimers.
- Ad account bans: Health/pharma ads get flagged. Need backup accounts and compliant creative.
- Clinic payment: Some clinics are slow/don't pay. Solution: prepaid lead packages or real-time billing.
- Quality control: Bad leads = churned clinics. Must invest in lead scoring early.
- Capital intensive: Need $5-15K upfront ad spend before revenue flows.
The Telehealth Intelligence Platform
Media + Data
Vision
TeleHealthLeads.com becomes the "Bloomberg Terminal meets Morning Brew" for the telehealth industry. The definitive source of market intelligence: which treatments are trending, what patients are searching for, regulatory changes, ad performance benchmarks, clinic growth data.
Think: CB Insights for telehealth. You become the information layer that every operator, investor, and vendor in the space relies on.
Target Audience
- Primary: Telehealth clinic owners and operators (5,000+ in the US)
- Secondary: Investors, PE firms, pharma companies evaluating telehealth
- Tertiary: Vendors selling to telehealth (EHR, payment processing, compliance)
Revenue Model
| Stream | Price | Subs (Mo 6) | Monthly Revenue |
|---|---|---|---|
| Free Newsletter | $0 | 15,000 | $0 (audience) |
| Premium Intel | $297/mo | 200 | $59K |
| Sponsored Content | $5K-15K/placement | 4/month | $30K |
| Annual Report | $2,500 one-time | 20/quarter | $17K/mo avg |
| Virtual Events | $500/ticket | 100/quarter | $17K/mo avg |
| Total | $123K/month |
The real play: The newsletter/media builds an audience that feeds Play #1 (lead gen) or Play #3 (marketplace). It's a trojan horse for owning attention.
Competitive Moat
- 1Proprietary data: Cole has real ad performance data. Nobody else is publishing "it costs $23 to acquire a GLP-1 patient on Meta in February 2026."
- 2First-mover: No one is doing this. The telehealth media landscape is blog posts from EHR companies. Zero independent intelligence.
- 3Network effects: As more people read, more people share data, making the intelligence better.
- 4Audience ownership: Email list is an asset no platform change can take away.
Content / Lead Magnet Strategy
- Weekly newsletter: "The Telehealth Pulse" — regulatory updates, market trends, ad benchmarks
- Lead magnets: "2026 Telehealth Patient Acquisition Benchmark Report" (gated), "FDA Compounding Pharmacy Impact Analysis"
- Viral content: "We Spent $50K on Telehealth Ads — Here's Every Number" (this would break the internet in this niche)
- LinkedIn thought leadership: Cole becomes THE voice of telehealth marketing
Build Plan
Phase 1 (Week 1-2): Launch the Newsletter
- Write first 4 newsletter editions (batch)
- Set up email system (GHL or ConvertKit)
- Create "2026 Telehealth Ad Benchmark Report" as lead magnet
- Build simple landing page on telehealthleads.com
- Post on LinkedIn, Reddit (r/telehealth, r/medicine), Twitter
Phase 2 (Month 1): Build Audience
- Publish weekly newsletter consistently
- Guest on 4-6 telehealth/healthcare podcasts
- Run $1K-2K in Meta ads for newsletter signups ($1-3/subscriber)
- Target: 2,000-3,000 subscribers
- Revenue: $0 (investment phase)
Phase 3 (Month 2-3): Monetize
- Launch premium tier ($297/mo) with deeper data
- Sell first sponsored placements
- Host first virtual roundtable (free, for list building)
- Start publishing monthly "Telehealth Market Report"
- Target: 8,000 subscribers, $20K-40K/month
Phase 4 (Month 3-6): Scale & Leverage
- Launch paid virtual events
- Sell annual intelligence subscriptions to PE/VC firms
- Use audience to cross-sell into lead gen (Play #1)
- Hire writer/analyst
- Target: 15,000+ subscribers, $80K-120K/month
Revenue Timeline
| Month | Subscribers | Revenue | Net Profit |
|---|---|---|---|
| 1 | 2,500 | $0 | -$3K |
| 2 | 5,000 | $8K | $3K |
| 3 | 8,000 | $25K | $15K |
| 4 | 10,000 | $50K | $35K |
| 5 | 12,000 | $80K | $60K |
| 6 | 15,000 | $120K | $90K |
Risks & Downsides
- Slow to revenue: Month 1-2 is pure investment with no income.
- Content treadmill: Must publish consistently. Miss a week, lose trust.
- Niche ceiling: Telehealth operators is a finite audience. $120K/month might be the ceiling as a standalone play.
- Cole's time: Writing + research is time-intensive until you can hire.
- Credibility gap: Cole needs to establish himself as a telehealth authority fast.
The Telehealth Marketplace
Aggregator Model
Vision
TeleHealthLeads.com becomes the "Zocdoc for Telehealth" — a patient-facing marketplace where consumers compare telehealth providers, read reviews, and book consultations. You own the transaction layer.
Patients come to YOU first, then choose a provider. This is the Kayak/Zillow model applied to telehealth.
Target Audience
- Patients: Anyone considering telehealth for GLP-1s, HRT, men's health, mental health, dermatology
- Providers: Telehealth clinics wanting visibility and patient flow
Revenue Model
| Stream | Unit Economics | Volume (Mo 6) | Monthly Revenue |
|---|---|---|---|
| Booking Fee | $25-50/booking | 2,000 | $50K-100K |
| Featured Listings | $500-2,000/mo | 30 clinics | $15K-60K |
| Subscription (clinics) | $299-999/mo | 50 clinics | $15K-50K |
| Affiliate (pharmacy) | $20-50/Rx | 500 | $10K-25K |
| Total | $90K-$235K |
Long-term: At scale (50K monthly visitors, 5,000 bookings), this is a $500K-1M/month business. The marketplace model compounds because supply attracts demand and demand attracts supply.
Competitive Moat
- 1Two-sided network effect: More providers = more choice for patients = more patients = more providers want to list.
- 2Reviews/trust: Once you have 1,000+ patient reviews, competitors can't replicate that overnight.
- 3SEO dominance: Marketplace pages rank for thousands of long-tail keywords.
- 4Data on provider quality: You know which clinics convert, retain, and satisfy patients. This data is priceless.
Content / Lead Magnet Strategy
- Comparison content: "Best Telehealth for GLP-1 in 2026," "Hims vs. Ro vs. [Clinic] — Honest Comparison"
- Reviews/testimonials: Build trust through real patient stories
- Educational guides: "Complete Guide to Starting GLP-1 Therapy Online"
- Tools: "Telehealth Cost Calculator," "Am I Eligible?" quiz
Build Plan
Phase 1 (Week 1-2): MVP
- Build simple directory/comparison site (WordPress + custom theme or Webflow)
- List top 20-30 telehealth providers with honest comparison data
- Create 5-10 comparison blog posts targeting "best telehealth for [treatment]"
- Set up affiliate links where available (Hims, Ro, etc. have programs)
Phase 2 (Month 1): Seed Supply
- Reach out to 100 telehealth clinics offering free listings
- Add review functionality
- Start Google Ads for high-intent searches ($2K budget)
- Launch 10-20 SEO-optimized city/treatment pages
- Target: 50 listed providers, 5,000 monthly visitors
Phase 3 (Month 2-3): Monetize
- Introduce premium listings ($500-1,500/month)
- Add booking functionality (integrate with clinic scheduling)
- Scale content to 50+ comparison/guide pages
- Target: 100 providers, 20K monthly visitors, $15K-30K/month
Phase 4 (Month 3-6): Scale
- Launch patient mobile experience
- Add treatment-specific verticals
- Build provider dashboard with analytics
- Introduce booking fees
- Target: 200+ providers, 50K monthly visitors, $80K-200K/month
Revenue Timeline
| Month | Visitors | Bookings | Revenue | Net Profit |
|---|---|---|---|---|
| 1 | 5,000 | 100 | $3K (affiliate) | -$2K |
| 2 | 12,000 | 300 | $12K | $4K |
| 3 | 20,000 | 600 | $30K | $15K |
| 4 | 30,000 | 1,000 | $60K | $35K |
| 5 | 40,000 | 1,500 | $100K | $60K |
| 6 | 50,000 | 2,000 | $150K | $90K |
Risks & Downsides
- Chicken-and-egg problem: Need providers to attract patients and patients to attract providers. Cold start is hard.
- Capital & time intensive: Building a real marketplace takes 6-12 months before meaningful revenue.
- Zocdoc competition: They could expand into telehealth-specific verticals anytime.
- Tech overhead: Booking systems, provider dashboards, review moderation — this is a real software build.
- Regulatory complexity: Patient data, reviews of medical providers — legal considerations are significant.
The Hybrid Domination Model
Lead Gen + Media + Marketplace Lite
Vision
Don't pick one — layer them strategically. TeleHealthLeads.com starts as a lead gen machine (cash flow), wraps it in media/content (authority + organic traffic), and evolves into a marketplace (long-term asset).
Phase by phase:
- Lead gen pays the bills immediately
- Newsletter/content builds the audience and organic pipeline
- Marketplace features emerge naturally as you have both supply (clinics) and demand (patients)
This is how the biggest platforms were built. Amazon started selling books. Facebook started at Harvard. You start selling leads.
Target Audience
- Month 1-3: Telehealth clinic owners (they buy leads)
- Month 2-6: Patients searching for telehealth options (they become leads AND marketplace users)
- Month 3+: Industry operators, investors, vendors (they consume intelligence and advertise)
Revenue Model (Blended at Month 6)
| Stream | Monthly Revenue |
|---|---|
| Patient Lead Sales | $300K |
| Newsletter Sponsorships | $20K |
| Premium Intelligence | $30K |
| Featured Provider Listings | $25K |
| Affiliate / Booking Fees | $25K |
| Total | $400K |
Month 12 target with compounding: $800K-$1.2M/month
Competitive Moat
Everything from Plays 1-3, but compounding:
- 1Leads fund content. Content drives organic leads. Organic leads reduce paid acquisition costs.
- 2Clinic relationships from lead gen become marketplace supply.
- 3Newsletter audience becomes both patient demand AND industry influence.
- 4Data from all three creates intelligence nobody else has.
- 5Brand: "TeleHealthLeads" becomes synonymous with the industry.
Content / Lead Magnet Strategy
All of the above, sequenced:
- Week 1-2: Clinic-facing content (get lead buyers)
- Month 1: Patient-facing ad funnels (generate leads to sell)
- Month 2: Launch newsletter with ad performance data (build authority)
- Month 3: Patient-facing comparison content (SEO + marketplace seeds)
- Month 4+: Full content engine across all three audiences
Build Plan
Phase 1 (Week 1-2): Lead Gen Foundation
- Build 3 patient-facing landing pages in GHL (GLP-1, TRT, HRT)
- Create clinic sales deck: "We Send You Patients"
- Cold email/call 50 telehealth clinics
- Sign 5 pilot clinics
- Set up lead routing and tracking
- Launch first newsletter issue to establish the brand
- Investment needed: $3K-5K (ad budget) + time
Phase 2 (Month 1): Revenue + Authority
- Run $5K in Meta/Google ads → generate 300+ leads
- Deliver leads to pilot clinics → collect $15K-25K
- Publish weekly "Telehealth Pulse" newsletter
- Share REAL ad data publicly (this is the hook nobody else has)
- Build email list to 1,000-2,000 subscribers
- Onboard 5-10 more clinics
- Target revenue: $15K-25K
Phase 3 (Month 2-3): Scale + Layer
- Scale ad spend to $20K-30K/month
- Generate 1,500-2,500 leads/month → $100K-175K revenue
- Grow newsletter to 5,000-8,000 subscribers
- Sell first sponsorships ($5K-10K/month)
- Launch premium intelligence tier ($297/mo)
- Begin building provider directory (marketplace seed)
- Publish 20+ SEO comparison articles
- Target revenue: $120K-200K/month
Phase 4 (Month 3-6): Compound
- Lead gen at $50K-80K ad spend → $250K-400K lead revenue
- Newsletter at 15,000 subscribers → $40K-50K sponsorship + premium
- Marketplace features live → $20K-30K listing fees + bookings
- Hire: 1 media buyer, 1 content writer, 1 sales rep
- Build self-serve clinic portal
- Launch telehealth provider scoring/ranking system (PR goldmine)
- Target revenue: $350K-500K/month
Revenue Timeline
| Month | Lead Gen | Media | Marketplace | Total | Net Profit |
|---|---|---|---|---|---|
| 1 | $20K | $0 | $0 | $20K | $10K |
| 2 | $60K | $3K | $0 | $63K | $30K |
| 3 | $120K | $15K | $5K | $140K | $75K |
| 4 | $200K | $30K | $15K | $245K | $140K |
| 5 | $275K | $40K | $20K | $335K | $195K |
| 6 | $350K | $50K | $25K | $425K | $250K |
Month 9-12 projection: $700K-$1M/month as organic traffic replaces paid, marketplace compounds, and brand value kicks in.
Risks & Downsides
- Complexity: Running three business models simultaneously is hard. Risk of doing all three poorly.
- Focus dilution: Especially in months 1-2, must resist the urge to build marketplace before lead gen is printing money.
- Hiring pressure: Can't do all three alone past month 3. Must hire or contract.
- Sequencing risk: If lead gen doesn't work in month 1, the whole cascade stalls.
Mitigation: Strict sequencing discipline. Lead gen is the ONLY priority until it's doing $50K+/month. Then layer. Not before.
Why This Wins (Ruthless Analysis)
Gets to revenue fastest but has a ceiling. You're a vendor. Clinics can replace you. No brand moat. At $500K/month you're running a great business but not "the most valuable website in healthcare."
Builds the best long-term asset but takes too long for real revenue. Cole can't wait 3-4 months when CRE is at $6.6K MRR. Also capped — media businesses rarely hit $1M/month without massive scale.
Biggest potential outcome ($1B+ company if it works) but cold-start problem and build time are brutal. 6-12 months minimum. Cole doesn't have that runway.
Cash flow from Day 30. Each layer strengthens the others. Multiple paths to $1M/month. Massive exit value. Matches Cole's skills perfectly.
Why Play #4 Wins
- Cash flow from Day 30. Lead gen starts paying immediately. This funds everything else. Cole doesn't need outside capital.
- Each layer strengthens the others. Leads fund content → content drives organic leads (lower CAC) → clinic relationships become marketplace supply → marketplace drives more demand → more leads → more data → better content. It's a flywheel, not three separate businesses.
- Multiple paths to $1M/month. If lead gen scales to $500K and media adds $200K and marketplace adds $300K, you're there. If one underperforms, the others compensate.
- Massive exit value. A lead gen company sells for 3-5x revenue. A media company sells for 5-8x. A marketplace sells for 10-20x. The hybrid is worth more than the sum of its parts.
- It matches Cole's skills perfectly. Month 1-2 is pure ad buying and funnel building — Cole's wheelhouse. The media/content layer uses his real data. The marketplace evolves naturally.
- Timing is perfect. The FDA crackdown means confused patients, struggling clinics, and a market in flux. Whoever captures attention and demand NOW wins for the next decade.
The Non-Negotiable Discipline
The hybrid only works with strict sequencing:
- Weeks 1-4: Lead gen ONLY. Nothing else matters until leads are flowing and clinics are paying.
- Week 3+: Start the newsletter (1-2 hours/week). Use real ad data as content.
- Month 2+: Scale lead gen AND newsletter. Start SEO content.
- Month 3+: Only now introduce marketplace elements.
If Cole tries to build the marketplace in week 1, he'll fail at everything. Lead gen first. Always lead gen first. It's the engine that makes everything else possible.
The $1M/Month Path
| Milestone | Timeline | Proof Point |
|---|---|---|
| First lead sold | Week 2-3 | Model validated |
| $20K month | Month 1 | Sustainable unit economics |
| $100K month | Month 3 | Scalable, hire first person |
| $250K month | Month 4-5 | Media + lead gen compounding |
| $500K month | Month 6-7 | Marketplace adding revenue |
| $1M month | Month 9-12 | Full flywheel spinning |
This is achievable. It's aggressive but grounded in real economics: if you can acquire patient leads for $20-30 and sell them for $75-150, the math works at every scale. The media and marketplace layers just pour gasoline on it.
Cole's Unfair Advantages
Next Steps (This Week)
The clock is ticking. The FDA crackdown has created a 6-month window where the entire telehealth market is reshuffling. Whoever captures the demand layer NOW owns it for the next decade.
Let's go build it.