The logo for renovation chiropractic is green and gray with a tree in the middle.

Turn $2.5K Into $93.7K in 2 Weeks: 37.5× ROAS from a turnkey TV commercial campaign you don’t have to touch.

How we launched a TV commercial campaign in mid‑July (just two weeks of flight time) and proved the unit economics FAST.

How We Did It

Who is Renovation Chiropractic?

Renovation Chiropractic, founded by Dr. John Pettygrove, is a chiropractic healthcare clinic with locations in Macon and Warner Robins, GA. The practice focuses on holistic, patient-centered care, helping individuals improve mobility, reduce pain, and enhance overall well-being. Their mission is to help patients achieve their full God-given health potential without relying on the use of drugs, injections, and surguries.

Where We Started

Digital ads were chewing time and under-delivering. Renovation Chiropractic needed higher return with less internal lift. 

Picturesque PR launched a done-for-you Neuropathy TV campaign mid-July—owning creative, buys, vendor management, and tracking end-to-end.


  • A single owner for the entire funnel—no juggling vendors
  • Faster proof of unit economics to justify scale
  • Clear CAC/ROAS math, not anecdotes

What Wasn't Working

The clinic was spending hours inside ad platforms without the payoff. Attribution was fuzzy and leadership couldn’t defend budget asks.


  • Thin ROI from digital relative to time invested
  • Fragmented ops: too many hands, inconsistent tracking
  • No CAC/ROAS clarity: hard to decide what to scale or cut
  • Bandwith gap: team couldn’t absorb another channel

Our Plan

Stand up TV like a product: tight scope, tight tracking, clear success metrics - and prove it fast.


  • Turnkey launch: mid-month start, 2-week flight to validate economics
  • Owned execution: creative trafficking, station/daypart mix, vendor wrangling
  • Measurement first: CPL, CAC, ROAS, and conversion all captured
  • Scale plan: expand winning stations/dayparts; keep an efficiency anchor

The Payoff

Higher return, zero lift for the client.

  • Spend → Revenue: $2,496.58 → $93,658 = ~37.5× ROAS
  • Lead volume: 66 leads → CPL $37.83
  • Patient acquisition: 9 enrollments → CAC $277.40
  • Quality: 13.64% lead→enrollment; ~$10,406 revenue per enrollment