Paid media performance report

10X Health — Amazon Ads

Amazon US Marketplace · Sponsored Products, Sponsored Brands, Sponsored Display
Reporting period: May 2025 – Apr 2026 (trailing 12 months)

Ryan Tolentino Account manager of record
Full tenure: Jul 2024 – Apr 2026 (22 months)

Health and wellness supplements. Sponsored Products, Sponsored Brands and Sponsored Display, managed together as one profitability target rather than three separate reports.

Ad spend managed

$828,922

$69,077 per month average

Ad-attributed sales

$4,547,112

from $15,051,937 total account revenue

ROAS

5.49x

ad sales ÷ ad spend

ACoS

18.2%

ad spend as % of ad sales

TACoS

5.5%

ad spend as % of total sales

Units sold

352,217

average selling price $42.73

Monthly ad spend vs ad-attributed sales

Spend scaled against revenue it produced. The gap between the two bars is the account's contribution.

$0k$148k$296k$444k$592kMay 2025 — ad sales $528,424May 2025 — ad spend $68,997Jun 2025 — ad sales $404,628Jun 2025 — ad spend $67,380Jul 2025 — ad sales $401,243Jul 2025 — ad spend $74,609Aug 2025 — ad sales $426,035Aug 2025 — ad spend $70,116Sep 2025 — ad sales $420,325Sep 2025 — ad spend $64,374Oct 2025 — ad sales $499,568Oct 2025 — ad spend $82,117Nov 2025 — ad sales $448,363Nov 2025 — ad spend $80,252Dec 2025 — ad sales $401,223Dec 2025 — ad spend $64,054Jan 2026 — ad sales $222,292Jan 2026 — ad spend $57,683Feb 2026 — ad sales $297,750Feb 2026 — ad spend $75,607Mar 2026 — ad sales $268,027Mar 2026 — ad spend $75,302Apr 2026 — ad sales $229,235Apr 2026 — ad spend $48,432May 25Jun 25Jul 25Aug 25Sep 25Oct 25Nov 25Dec 25Jan 26Feb 26Mar 26Apr 26
Ad-attributed salesAd spend

ACoS by month

Advertising cost of sale — Amazon's equivalent of cost per acquisition, expressed as a percentage. Lower is more efficient. Holding this flat while spend scales is the harder half of the job.

11%16%22%27%32%May 2025 — 13%Jun 2025 — 17%Jul 2025 — 19%Aug 2025 — 16%Sep 2025 — 15%Oct 2025 — 16%Nov 2025 — 18%Dec 2025 — 16%Jan 2026 — 26%Feb 2026 — 25%Mar 2026 — 28%Apr 2026 — 21%May 25Jun 25Jul 25Aug 25Sep 25Oct 25Nov 25Dec 25Jan 26Feb 26Mar 26Apr 26

ROAS by month

Return on ad spend. Every $1.00 of media returned this much in ad-attributed revenue.

3.0x4.5x5.9x7.4x8.8xMay 2025 — 7.7xJun 2025 — 6.0xJul 2025 — 5.4xAug 2025 — 6.1xSep 2025 — 6.5xOct 2025 — 6.1xNov 2025 — 5.6xDec 2025 — 6.3xJan 2026 — 3.9xFeb 2026 — 3.9xMar 2026 — 3.6xApr 2026 — 4.7xMay 25Jun 25Jul 25Aug 25Sep 25Oct 25Nov 25Dec 25Jan 26Feb 26Mar 26Apr 26

Month-by-month detail

MonthAd spendAd salesROASACoSTotal salesTACoS
May 2025$68,997$528,4247.66x13.1%$1,286,4885.4%
Jun 2025$67,380$404,6286.01x16.7%$1,212,7835.6%
Jul 2025$74,609$401,2435.38x18.6%$1,261,2895.9%
Aug 2025$70,116$426,0356.08x16.5%$1,315,1785.3%
Sep 2025$64,374$420,3256.53x15.3%$1,283,2315.0%
Oct 2025$82,117$499,5686.08x16.4%$1,336,4856.1%
Nov 2025$80,252$448,3635.59x17.9%$1,314,9526.1%
Dec 2025$64,054$401,2236.26x16.0%$1,215,8745.3%
Jan 2026$57,683$222,2923.85x25.9%$1,268,0614.5%
Feb 2026$75,607$297,7503.94x25.4%$1,180,7786.4%
Mar 2026$75,302$268,0273.56x28.1%$1,250,4806.0%
Apr 2026$48,432$229,2354.73x21.1%$1,126,3404.3%
12-month total$828,922$4,547,1125.49x18.2%$15,051,9375.5%

Full tenure, for context

The 22 months I held the account, July 2024 through April 2026.

PeriodAd spendAvg / monthAd salesROASACoSTACoS
Trailing 12 months$828,922$69,077$4,547,1125.49x18.2%5.5%
Full 22 months$1,604,393$72,927$8,767,4085.46x18.3%6.4%
Source and method. Figures are taken from the monthly account monitoring report I maintained for this account and cover May 2025 – Apr 2026. Spend, ad-attributed sales, total sales and units are reported values; ROAS, ACoS, TACoS and average selling price are calculated from those columns. This is my own report of the account, presented in my own format — it is not a screenshot of the Amazon Ads console, and I have not reproduced the platform interface. Amazon reports efficiency as ACoS rather than cost per lead, so ACoS is the figure that corresponds to a cost-per-acquisition target. Prepared by Ryan Tolentino.