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  • The brief
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  • This week · 6
  • This quarter · 11
  • Big bets · 3
  • Wildcards · 2
  • How we can help
Generated Oct 22, 2026
  1. Programmable
  2. Playbooks
  3. Spring Fertility
Spring Fertility logo

growth playbook · Oct 22, 2026

springfertility.com (opens in a new tab)

Spring Fertility growth playbook

Diagnosis

Spring Fertility is ten years old, has over 10,000 pregnancies and calls itself the fastest-growing fertility group in the country, with new clinics in Denver, Long Island and Sacramento. Its hiring shows the next step: a Physician Liaison in New York to grow referral volume, plus navigators, nurses and a financial counsellor across five markets.

The website has not caught up with the expansion: referral tools and the referral form miss the newest clinics, Spanish pages send Denver, Long Island and Portland patients to other cities, test pages are public and the homepage is slow on mobile.

This playbook fixes the referral path and those gaps first, then builds lunch-and-learns, employer sessions, a cost estimator and reviews, and finally a referral status portal and a full Long Island network.

Growth Score

6/10

Biggest Opportunity

Physician referrals in New York and Long Island, now that a dedicated liaison is joining and Long Island has its own IVF lab.

Biggest Risk

Kindbody, CCRM and well-known local clinics compete in every Spring market, and new clinics can stay under-used if referrers and patients cannot find a clear path to them.

01

Start here

The three moves to make first. Each one is written up in full below.

  1. 1

    Give referring doctors a referral path for every Spring clinic, starting with Long Island and Sacramento

    Add Long Island and Sacramento to the form's location list today.

    High impact First result in 1 month
  2. 2

    Point the Spanish Long Island, Denver and Portland pages at the right clinic

    List every location page and the Spanish page its hreflang points to.

    High impact First result in 1 month
  3. 3

    Take the test and staging pages out of the sitemap and search results

    Export the sitemap and mark every test URL.

    Medium impact First result in 2 weeks

02

Your idea portfolio

22 ideas, grouped by when to run them. Open any idea for how to run it: the steps, who to approach, copy you can use, and how to measure it.

  • 6 ideas are marked Unexpected: plays you are unlikely to have tried.

    1 of these are things Programmable can build and run for you.

Every idea placed by the effort it takes against the impact it could have. Quick wins sit top left; select a number to open that idea. The filters below narrow the list by status, timing, category and what Programmable can build.

Effort vs impactEach number is an idea. Select one to open it.
Impact →
Quick wins · 2Big bets · 6Fill-ins · 7Reconsider · 7
Effort →

Showing 22 of 22 ideas

This week 6

Quick wins with a clear first action.

  • 01

    Spring has just hired a Physician Liaison in New York to grow referral volume and report it weekly by channel. But the referral tools stop short of the newest markets: the downloadable referral pads cover six markets and not Long Island, Sacramento or Danville, and the Refer a Patient form cannot send a patient to Long Island or Sacramento at all. An OB-GYN in Garden City who wants to send a patient to the Long Island clinic, with its own IVF lab, has to pick "New York" and hope it reaches the right team. The form also never asks how the provider heard of Spring, so the weekly report by channel has nothing to count.

    High impactLow effort First result in 1 month Physician Liaison and Communi…

    First action

    Add Long Island and Sacramento to the form's location list today.

    How to measure it

    Provider referrals from New York and Long Island

    Now
    –
    Target
    +30%
    By
    90 days

    Steps

    1. 1

      Fix the form

      Every clinic in the location list, plus channel and practice fields.

      Website Manager 1 day

    2. 2

      Make the pads

      Long Island, Sacramento and Danville pads in the current design.

      Marketing Manager 1 week

    3. 3

      Add QR links

      Each pad opens the form with its clinic preselected.

      Website Manager 2 days

    4. 4

      Route to Salesforce

      Clinic, channel and practice on every referral record.

      Director of Operations 1 week

    5. 5

      Confirm receipt

      Email to the referring office within one business day.

      Front Desk Coordinator ongoing

    6. 6

      Deliver in person

      New pads handed out on the first Long Island visits.

      Physician Liaison and Community Manager 2 weeks

    7. 7

      Report weekly

      Referrals by clinic and channel, as the role requires.

      Physician Liaison and Community Manager weekly

    First result
    1 month
    Cost
    Staff time and printing
    Owner
    Physician Liaison and Community Manager

    Smallest test

    Add Long Island to the form and hand 20 Garden City offices a pad with a QR code.

    Why it works

    Add Long Island, Sacramento and every clinic to the referral form, publish referral pads for Long Island, Sacramento and Danville, and give each pad a short web address and QR code that open the form with the clinic already chosen. Add two fields: "How did you hear about Spring?" (liaison visit, lunch-and-learn, webinar, colleague, search) and "Referring practice". Send every referral into Salesforce with the clinic and channel, and confirm receipt to the referring office by email within one business day.

    Referring offices send patients where referring is easiest, and a referral the liaison can trace to a visit is one the liaison can repeat. It turns the new hire's first weeks into measurable referrals instead of a spreadsheet of visits.

    Ready to use

    ChecklistReferral path for every clinic

    [ ] Long Island and Sacramento in the Refer a Patient location list
    [ ] Referral pads for Long Island, Sacramento and Danville
    [ ] QR code and short link per pad, clinic preselected
    [ ] "How did you hear about Spring?" and "Referring practice" fields
    [ ] Every referral in Salesforce with clinic and channel
    [ ] Receipt email to the referring office within one business day
    [ ] Weekly referral report by clinic and channel

    Risks and how to handle them

    • Referrals still arrive by fax

      Give faxed pads the same QR code and log them in Salesforce by hand.

    • Too many fields put offices off

      Keep the two new fields short and optional.

    Evidence

    • HiringPhysician Liaison and Community Manager (New York, posted October 1, 2026): builds relationships with "referring physicians, medical practice groups, supplementary wellness providers, and community partners in order to increase referral volume"; duties include "Introducing new Spring physicians to the market", "Report weekly on referral volume by channel, tracking activity and effectiveness of outreach", coordinating "in-house informational sessions, community events" and working "closely with Marketing to develop collateral to support outreach". Salesforce or CRM experience is a plus; $90,000-$110,000 plus bonus.Source
    • Your websiteFor Referring Providers page: downloadable referral pads for San Francisco, Oakland, Silicon Valley, NYC, Portland and Denver only (none for Long Island, Sacramento or Danville); a Physician Resource Library of webinars (Recurrent Pregnancy Loss, Unexplained Infertility, Endometriosis, Clomid vs. Letrozole, Egg Freezing); in-office education ("We're happy to bring breakfast or lunch for your team"); visits are requested by email.Source
    • Your websiteRefer a Patient form: the Preferred Location list offers San Francisco, San Francisco - SOMA, Oakland, Redwood City, Sunnyvale, Danville, New York, Portland and Denver, with no Long Island or Sacramento; "Interested in" offers only "Initial Consult: Fertility" or "Initial Consult: Egg Freezing"; there is no field for how the provider heard of Spring, and procedures such as HSG and semen analysis need "a signed order to be faxed".Source
    • Your websiteLong Island page: "Personalized fertility care in Garden City, with an on-site IVF lab". The sitemap holds 111 Long Island URLs, mostly neighbourhood pages ("garden-city-fertility-clinic", "hempstead-egg-freezing" and so on, one slug spelled "yosset"), and 131 New York City URLs including a duplicate "downtown-brooklyn-fertility-doctor-2".Source
    • Your websiteSacramento page: care starts with "a virtual initial consult", monitoring happens at a partner clinic in Roseville, and egg retrieval or embryo transfer at Spring's Oakland or Sunnyvale labs; "Spring Fertility Sacramento is in-network with Progyny".Source
  • 02

    Spanish speakers who switch language on the Long Island or Denver page land on the Bryant Park (New York City) page, and Portland's Spanish link opens the Oakland page. The same wrong links are in the hreflang tags, so search engines show Spanish searchers in Denver or Portland a clinic in another state.

    High impactLow effort First result in 1 month Marketing Manager

    First action

    List every location page and the Spanish page its hreflang points to.

    How to measure it

    Consult bookings from Spanish pages

    Now
    –
    Target
    +25%
    By
    90 days

    Steps

    1. 1

      Audit the pairs

      Every English page and its Spanish link.

      Website Manager 1 day

    2. 2

      Translate

      Long Island, Denver, Portland and Sacramento pages.

      Marketing Manager 1 week

    3. 3

      Fix hreflang

      Correct pairs in the translation plugin.

      Website Manager 1 day

    4. 4

      Redirect

      Old mislabelled URLs to the right pages.

      Website Manager 1 day

    5. 5

      Review

      A Spanish-speaking team member checks each page.

      Patient Navigator 2 days

    6. 6

      Monitor

      Search Console by language.

      Website Manager monthly

    First result
    1 month
    Cost
    Translation time
    Owner
    Marketing Manager

    Smallest test

    Fix the Denver language switch first.

    Why it works

    Create Spanish pages for Long Island, Denver, Portland and Sacramento from the English versions, set each hreflang pair correctly, and redirect the mislabelled URLs (new-york-city-3, east-bay-2) to the right pages. Check every location page's language switch afterwards.

    A patient who sees the wrong city leaves, and correct hreflang lets Spanish searches in Denver and Portland find the local clinic.

    Risks and how to handle them

    • Machine translation errors in medical terms

      Have a Spanish-speaking clinician review.

    Evidence

    • Your websiteSpanish versions point to the wrong clinic (checked October 21, 2026): the Long Island page's hreflang "es" link is /es/new-york-city/ and Denver's is /es/new-york-city-3/, both showing "Spring Fertility Ciudad de New York" (Bryant Park); Portland's Spanish link is /es/east-bay-2/, the Oakland page. Sacramento and the referring-provider pages have no Spanish version.Source
    • Your websiteHomepage: "Spring Fertility is celebrating 10 years and 10,000 Futures!", "OVER 10,032 SPRING PREGNANCIES", eleven locations across California (San Francisco Pacific Heights and SOMA, Redwood City, Sunnyvale, Oakland, Danville, Sacramento), New York (Manhattan-Bryant Park, Long Island), Portland and Denver ("NEW"); an English/Español switch; one quoted patient testimonial and no review count.Source
    • Your websiteContent: the RSS feed's latest post is dated August 7, 2026 (a patient story, the IVF calculator and the 10th anniversary note); the egg retrieval guide series dates from September 2025. YouTube channel: 1,150 subscribers, 45 videos, 540,483 views. Pages exist in Spanish and Traditional Chinese.Source
  • 03

    About 40 test pages sit in the public sitemap with no noindex tag: dev-test, several "demotest" consult flows, sandboxes for the donor egg and egg calculator pages, and demo pages. Thank-you pages for forms are listed too. Search engines can index them, and a patient can land on an unfinished booking flow.

    Medium impactLow effort First result in 2 weeks Website Manager

    First action

    Export the sitemap and mark every test URL.

    How to measure it

    Test pages in the index

    Now
    –
    Target
    0
    By
    30 days

    Steps

    1. 1

      List pages

      Test, demo, sandbox, success, duplicates.

      Website Manager 2 hours

    2. 2

      Decide

      Delete or noindex each.

      Marketing Manager 2 hours

    3. 3

      Apply

      Noindex and sitemap exclusion in Yoast.

      Website Manager 2 hours

    4. 4

      Redirect duplicates

      To the main page.

      Website Manager 2 hours

    5. 5

      Fix Spanish URLs

      Clean slugs instead of page_id.

      Website Manager 1 day

    6. 6

      Check

      Search Console removals.

      Website Manager 2 weeks

    First result
    2 weeks
    Cost
    $0
    Owner
    Website Manager

    Smallest test

    Noindex the dev-test and demotest pages today.

    Why it works

    Noindex or delete every test, demo, sandbox and thank-you page, drop them from the sitemap, fix the "?page_id=" Spanish URLs, and merge duplicates such as "downtown-brooklyn-fertility-doctor-2".

    A clean sitemap concentrates search signals on the real pages and stops broken journeys.

    Risks and how to handle them

    • Removing a page still in use

      Check form flows with operations first.

    Evidence

    • Your websiteSitemap (1,014 URLs, October 21, 2026) lists about 40 test and staging pages with no noindex tag, such as "dev-test", "book-a-consult-202210-demotest-5-partner", "donor-eggs-sandbox", "egg-calculator-sandbox", "provider-select-demo" and "research-library-demo", plus form thank-you pages ("contact-us-success", "provider-referral-success") and Spanish URLs containing "?page_id=".Source
    • Your websiteLong Island page: "Personalized fertility care in Garden City, with an on-site IVF lab". The sitemap holds 111 Long Island URLs, mostly neighbourhood pages ("garden-city-fertility-clinic", "hempstead-egg-freezing" and so on, one slug spelled "yosset"), and 131 New York City URLs including a duplicate "downtown-brooklyn-fertility-doctor-2".Source
  • 04

    The virtual Egg Freezing Info Session shows "12 AM PST (3 AM EST)", a time almost nobody would join, and the event filters and footer sign-up leave out Long Island and Sacramento (and spell "Slicon Valley").

    Medium impactLow effort First result in 1 week Marketing Manager

    First action

    Check the time zone setting on the events plugin.

    How to measure it

    Registrations per virtual session

    Now
    –
    Target
    +20%
    By
    60 days

    Steps

    1. 1

      Fix time

      Event and plugin time zone.

      Website Manager 1 hour

    2. 2

      Add locations

      Event filter and footer list.

      Website Manager 2 hours

    3. 3

      Fix spelling

      Silicon Valley.

      Website Manager 10 minutes

    4. 4

      Add calendar link

      In confirmations.

      Website Manager 2 hours

    5. 5

      Check all events

      Times shown in Pacific and Eastern.

      Marketing Manager 1 hour

    6. 6

      Track

      Registrations per session.

      Marketing Manager monthly

    First result
    1 week
    Cost
    $0
    Owner
    Marketing Manager

    Smallest test

    Correct the time on the November session.

    Why it works

    Correct the event time and the time zone setting, add Long Island and Sacramento to the event filter and sign-up list, fix the spelling, and add a calendar link to every event confirmation.

    A wrong time loses registrations, and missing locations stop patients in the newest markets from finding events or subscribing.

    Risks and how to handle them

    • Other events affected

      Review every listed event.

    Evidence

    • Your websiteEvents page: a virtual "Egg Freezing Info Session" listed at "11/03 | 12 AM PST (3 AM EST)"; in-person events only in Denver and Portland, including a "Free AMH Test & Info Session for Athletes in Portland, OR"; location filters Bay Area, New York, Portland and Denver; a host-an-event form with "Corporate Info Session", "Friends Dinner" and "Brand Partner Event"; a recorded Egg Freezing 101 webinar.Source
    • Your websiteThe newsletter sign-up in every footer asks for a location from New York, Portland, San Francisco, East Bay, "Slicon Valley", Denver or Other, with no Long Island or Sacramento. Live chat runs on Salesforce.Source
  • 05

    The footer "Success Rates" link opens a page that explains why Spring's SART rates look lower but shows no numbers, while the IVF Outcomes Calculator sits on another page. CCRM puts success rates in its main menu. Patients comparing clinics click this link first.

    Medium impactLow effort First result in 2 weeks Marketing Manager

    First action

    Change the footer link today.

    How to measure it

    Calculator sessions

    Now
    –
    Target
    +50%
    By
    60 days

    Steps

    1. 1

      Repoint link

      To the outcomes page.

      Website Manager 10 minutes

    2. 2

      Rework the page

      Calculator first.

      Marketing Manager 3 days

    3. 3

      Explain banking

      Two plain sentences.

      Medical Director 1 day

    4. 4

      Link SART

      Spring's published results.

      Marketing Manager 1 hour

    5. 5

      Add consult button

      Next to the result.

      Website Manager 1 hour

    6. 6

      Track

      Calculator to consult rate.

      Marketing Manager monthly

    First result
    2 weeks
    Cost
    $0
    Owner
    Marketing Manager

    Smallest test

    Repoint the link and watch calculator use for two weeks.

    Why it works

    Point the link to the Clinical Outcomes page, put the calculator at the top, explain banking cycles in two sentences, and link to Spring's results in the national SART report so patients can check them.

    Patients trust a clinic that answers the success-rate question directly, and the calculator is a strong differentiator.

    Risks and how to handle them

    • Numbers out of context

      Keep the per-egg explanation next to them.

    Evidence

    • Your websiteThe footer's "Success Rates" link opens /difference/, which says banking cycles are "not effectively captured in our SART success rates" but shows no rates; the Clinical Outcomes page offers an "IVF Outcomes Calculator" for "likelihood of success per egg". Kindbody and CCRM both put "Pricing" or "Fertility Success Rates" in their main menus.Source
    • Competitor researchRivals' own sites: Kindbody runs clinics in New York, San Francisco, Walnut Creek and Denver among others and has "For Employers" and "Health Plans" sections; CCRM Fertility is "a leading fertility clinic network" across the US and Canada with "Affording Care" and "Fertility Success Rates" pages; Pacific Fertility Center sells "Award-Winning IVF in the SF Bay Area".Source
  • 06

    On mobile the homepage scores 32 for performance and the largest element is the cookie notice, painted after 19 seconds in the lab. Real visitors' load time (2.3 s for the site, 3.0 s for the homepage) is getting slower, while responsiveness and layout stability pass.

    Medium impactMedium effort First result in 1 month Website Manager

    First action

    Test the homepage with the consent banner deferred.

    How to measure it

    Homepage LCP p75

    Now
    –
    Target
    under 2.5 s
    By
    60 days

    Steps

    1. 1

      Profile

      Scripts and banner cost.

      Website Manager 1 day

    2. 2

      Lighten banner

      Inline, no web fonts.

      Website Manager 2 days

    3. 3

      Defer scripts

      Chat and tracking after load.

      Website Manager 2 days

    4. 4

      Compress images

      Hero and location images.

      Website Manager 1 day

    5. 5

      Fix accessibility

      Zoom, alt text, contrast.

      Website Manager 2 days

    6. 6

      Measure

      Chrome field data monthly.

      Website Manager monthly

    First result
    1 month
    Cost
    Developer time
    Owner
    Website Manager

    Smallest test

    Defer the chat widget on the homepage.

    Why it works

    Load the consent banner as light HTML with system fonts, defer chat and other scripts until after the hero, compress the hero image, and remove the zoom block (user-scalable=no) and missing alt text.

    Faster pages convert more mobile visitors into consult bookings and help search rankings.

    Risks and how to handle them

    • Consent compliance

      Keep the same choices, only faster.

    Evidence

    • Google PageSpeedMobile performance 32 and desktop 48; lab Largest Contentful Paint 19.1 s on mobile, where the largest element is the cookie notice text ("This website uses cookies..."). Real Chrome visitors: LCP p75 2.3 s for the site and 3.0 s for the homepage, 13% slower than before; INP 85 ms and CLS 0.02 pass. Accessibility 78 (images without alt text, zoom disabled with user-scalable=no, low contrast).Source

This quarter 11

The core plays for the next three months.

  • 07

    Spring already offers to bring breakfast or lunch to referring offices and has webinars on recurrent pregnancy loss, unexplained infertility, endometriosis and egg freezing. The new liaison is asked to position Spring as a leader and introduce new physicians to the market.

    High impactMedium effort First result in 1 quarter Physician Liaison and Communi…

    First action

    List 50 practices within 10 miles of Garden City.

    How to measure it

    Referrals from visited practices

    Now
    –
    Target
    2 per practice per quarter
    By
    2 quarters

    Steps

    1. 1

      Build the list

      OB-GYN, primary care, wellness.

      Physician Liaison and Community Manager 1 week

    2. 2

      Pick topics

      From the existing webinars.

      Medical Director 1 week

    3. 3

      Make the guide

      One-page when to refer.

      Marketing Manager 1 week

    4. 4

      Book visits

      Four a week.

      Physician Liaison and Community Manager weekly

    5. 5

      Follow up

      Recording and pads.

      Physician Liaison and Community Manager weekly

    6. 6

      Measure

      Referrals per visited practice.

      Physician Liaison and Community Manager monthly

    First result
    1 quarter
    Cost
    Catering and staff time
    Owner
    Physician Liaison and Community Manager

    Smallest test

    Run four lunch talks in Garden City.

    Build the prospect list. The list compiled from public sources, verified, deduplicated and delivered to your CRM. Usually live within days.

    Book a working session

    Why it works

    Build a target list of OB-GYN, primary care and wellness practices near Bryant Park and Garden City, offer a 30-minute lunch talk by a Spring physician from the existing topics, leave pads and a one-page "when to refer" guide, and follow up with the webinar recording.

    Referring physicians refer to doctors they have met, and education visits are the strongest channel in fertility referrals.

    Risks and how to handle them

    • Physician time is scarce

      Rotate speakers and keep talks to 30 minutes.

    Evidence

    • HiringPhysician Liaison and Community Manager (New York, posted October 1, 2026): builds relationships with "referring physicians, medical practice groups, supplementary wellness providers, and community partners in order to increase referral volume"; duties include "Introducing new Spring physicians to the market", "Report weekly on referral volume by channel, tracking activity and effectiveness of outreach", coordinating "in-house informational sessions, community events" and working "closely with Marketing to develop collateral to support outreach". Salesforce or CRM experience is a plus; $90,000-$110,000 plus bonus.Source
    • Your websiteFor Referring Providers page: downloadable referral pads for San Francisco, Oakland, Silicon Valley, NYC, Portland and Denver only (none for Long Island, Sacramento or Danville); a Physician Resource Library of webinars (Recurrent Pregnancy Loss, Unexplained Infertility, Endometriosis, Clomid vs. Letrozole, Egg Freezing); in-office education ("We're happy to bring breakfast or lunch for your team"); visits are requested by email.Source
    • Your websiteLong Island page: "Personalized fertility care in Garden City, with an on-site IVF lab". The sitemap holds 111 Long Island URLs, mostly neighbourhood pages ("garden-city-fertility-clinic", "hempstead-egg-freezing" and so on, one slug spelled "yosset"), and 131 New York City URLs including a duplicate "downtown-brooklyn-fertility-doctor-2".Source
  • 08

    Introducing new Spring physicians to the market is in the liaison's job, and Spring keeps opening clinics (Denver, Long Island, Sacramento). Referring offices want to know who the doctor is and what they treat.

    Medium impactLow effort First result in 1 month Physician Liaison and Communi…

    First action

    Draft profiles for the Long Island and Denver physicians.

    How to measure it

    Named-physician referrals

    Now
    –
    Target
    +25%
    By
    2 quarters

    Steps

    1. 1

      Design template

      One page.

      Marketing Manager 1 week

    2. 2

      Write profiles

      With each physician.

      Marketing Manager 2 weeks

    3. 3

      Add new-patient wait

      Updated monthly.

      Director of Operations monthly

    4. 4

      Send

      To nearby practices.

      Physician Liaison and Community Manager 1 week

    5. 5

      Publish

      On the provider page.

      Website Manager 1 day

    6. 6

      Measure

      Named referrals.

      Physician Liaison and Community Manager monthly

    First result
    1 month
    Cost
    Design time
    Owner
    Physician Liaison and Community Manager

    Smallest test

    Send two profiles to 30 practices.

    Why it works

    Create a one-page profile per physician (training, special interests, clinic, how to refer, how quickly new patients are seen), send it to nearby practices when a doctor joins or a clinic opens, and add it to the Referring Providers page.

    A named doctor with clear interests gets referrals faster than a clinic brand.

    Risks and how to handle them

    • Profiles go stale

      Review quarterly.

    Evidence

    • HiringPhysician Liaison and Community Manager (New York, posted October 1, 2026): builds relationships with "referring physicians, medical practice groups, supplementary wellness providers, and community partners in order to increase referral volume"; duties include "Introducing new Spring physicians to the market", "Report weekly on referral volume by channel, tracking activity and effectiveness of outreach", coordinating "in-house informational sessions, community events" and working "closely with Marketing to develop collateral to support outreach". Salesforce or CRM experience is a plus; $90,000-$110,000 plus bonus.Source
    • Your websiteFor Referring Providers page: downloadable referral pads for San Francisco, Oakland, Silicon Valley, NYC, Portland and Denver only (none for Long Island, Sacramento or Danville); a Physician Resource Library of webinars (Recurrent Pregnancy Loss, Unexplained Infertility, Endometriosis, Clomid vs. Letrozole, Egg Freezing); in-office education ("We're happy to bring breakfast or lunch for your team"); visits are requested by email.Source
    • Your websiteHomepage: "Spring Fertility is celebrating 10 years and 10,000 Futures!", "OVER 10,032 SPRING PREGNANCIES", eleven locations across California (San Francisco Pacific Heights and SOMA, Redwood City, Sunnyvale, Oakland, Danville, Sacramento), New York (Manhattan-Bryant Park, Long Island), Portland and Denver ("NEW"); an English/Español switch; one quoted patient testimonial and no review count.Source
  • 09

    Spring's finance page notes that egg freezing is rarely covered unless patients have fertility benefits such as Carrot or Progyny, and Sacramento is in-network with Progyny. The event form already offers "Corporate Info Session". Kindbody has a full "For Employers" section. Spring has no page for employers.

    High impactMedium effort First result in 2 quarters Marketing Manager

    First action

    Confirm which benefit networks each clinic is in.

    How to measure it

    Corporate info sessions

    Now
    –
    Target
    4 a month
    By
    2 quarters

    Steps

    1. 1

      Confirm networks

      By clinic.

      Financial Counselor 1 week

    2. 2

      Write page

      Benefits, sessions, contact.

      Marketing Manager 2 weeks

    3. 3

      List employers

      Near each clinic.

      Physician Liaison and Community Manager 2 weeks

    4. 4

      Offer sessions

      Lunch talks for employees.

      Physician Liaison and Community Manager ongoing

    5. 5

      Track

      Consults by employer.

      Director of Operations monthly

    6. 6

      Report

      Quarterly to leadership.

      Marketing Manager quarterly

    First result
    2 quarters
    Cost
    Staff time
    Owner
    Marketing Manager

    Smallest test

    Run one corporate session in Manhattan.

    Why it works

    Publish a "For employers and benefits teams" page listing benefit networks Spring works with by clinic, offer free lunchtime info sessions for employees, and target large employers near Bryant Park, SOMA, Sunnyvale and Denver.

    Employees with fertility benefits are high-intent patients, and HR teams look for clinics to recommend.

    Risks and how to handle them

    • Network status changes

      Check quarterly with the finance team.

    Evidence

    • Your websiteFinance page: cash-pay estimates by state, for example initial consult $450, IUI $2,898-$4,334 total, egg freezing $13,500-$15,500 ("Very rarely covered, unless you have fertility-specific benefits (e.g. Carrot or Progyny)"), IVF with ICSI $27,378-$29,378 including medication; "our finance team will provide a personalized cost breakdown" after the consult.Source
    • Your websiteSacramento page: care starts with "a virtual initial consult", monitoring happens at a partner clinic in Roseville, and egg retrieval or embryo transfer at Spring's Oakland or Sunnyvale labs; "Spring Fertility Sacramento is in-network with Progyny".Source
    • Your websiteEvents page: a virtual "Egg Freezing Info Session" listed at "11/03 | 12 AM PST (3 AM EST)"; in-person events only in Denver and Portland, including a "Free AMH Test & Info Session for Athletes in Portland, OR"; location filters Bay Area, New York, Portland and Denver; a host-an-event form with "Corporate Info Session", "Friends Dinner" and "Brand Partner Event"; a recorded Egg Freezing 101 webinar.Source
    • Competitor researchRivals' own sites: Kindbody runs clinics in New York, San Francisco, Walnut Creek and Denver among others and has "For Employers" and "Health Plans" sections; CCRM Fertility is "a leading fertility clinic network" across the US and Canada with "Affording Care" and "Fertility Success Rates" pages; Pacific Fertility Center sells "Award-Winning IVF in the SF Bay Area".Source
  • 10

    The finance page lists cash prices by state and treatment, but patients still need a counsellor for their number. Spring is hiring a Financial Counselor in New York to explain estimates and coverage.

    High impactMedium effort First result in 1 quarter Financial Counselor

    First action

    Build a spreadsheet version from the table.

    How to measure it

    Finance page to consult rate

    Now
    –
    Target
    +20%
    By
    2 quarters

    Steps

    1. 1

      Agree ranges

      From the price table.

      Financial Counselor 1 week

    2. 2

      Design

      Three questions.

      Marketing Manager 1 week

    3. 3

      Build

      On the finance page.

      Website Manager 2 weeks

    4. 4

      Route requests

      To the finance team.

      Director of Operations 1 week

    5. 5

      Test

      With recent patients.

      Financial Counselor 2 weeks

    6. 6

      Measure

      Bookings and requests.

      Marketing Manager monthly

    First result
    1 quarter
    Cost
    Developer time
    Owner
    Financial Counselor

    Smallest test

    Add an estimate request button first.

    Why it works

    Add a short estimator: state, treatment, and whether the patient has insurance or a fertility benefit, giving the cash-pay range from the table and a button to request a personalised estimate from the finance team.

    Cost is the top worry in fertility care, and an estimate before the consult cuts drop-off and counsellor time.

    Risks and how to handle them

    • Estimates read as quotes

      Label them as estimates, as the table does.

    Evidence

    • Your websiteFinance page: cash-pay estimates by state, for example initial consult $450, IUI $2,898-$4,334 total, egg freezing $13,500-$15,500 ("Very rarely covered, unless you have fertility-specific benefits (e.g. Carrot or Progyny)"), IVF with ICSI $27,378-$29,378 including medication; "our finance team will provide a personalized cost breakdown" after the consult.Source
    • HiringFinancial Counselor (New York, posted October 20, 2026): "assists patients with treatment estimates", determines insurance coverage, initiates "prior authorization requests" and must be able to "simplify complex concepts to patients". Every post describes Spring as "building the fastest-growing fertility group in the country".Source
  • 11

    Front desk and patient navigator posts both stress monitoring "readiness for their initial visit" and treatment, and Spring is hiring navigators in five markets. A shared checklist cuts calls and missed steps.

    Medium impactMedium effort First result in 1 quarter Patient Navigator

    First action

    List the five most common reasons a first visit is delayed.

    How to measure it

    On-time first visits

    Now
    –
    Target
    +15%
    By
    2 quarters

    Steps

    1. 1

      List items

      From front desk experience.

      Front Desk Coordinator 1 week

    2. 2

      Write messages

      Email and text.

      Patient Navigator 1 week

    3. 3

      Automate

      In Salesforce.

      Director of Operations 2 weeks

    4. 4

      Dashboard

      Who is behind.

      Director of Operations 2 weeks

    5. 5

      Train

      Navigators and front desk.

      Patient Navigator 1 week

    6. 6

      Measure

      Delays and no-shows.

      Director of Operations monthly

    First result
    1 quarter
    Cost
    Staff time
    Owner
    Patient Navigator

    Smallest test

    Pilot the checklist in Portland.

    Why it works

    Send every new patient an email and text checklist (forms, tests, insurance details, what to bring) with reminders, and show navigators who is behind before the visit.

    Prepared patients start treatment sooner and need fewer calls.

    Risks and how to handle them

    • Too many reminders

      Cap at three before the visit.

    Evidence

    • HiringThe board lists 24 open roles (October 21, 2026), most posted in October: Patient Navigators in Portland, San Francisco, Sunnyvale, Oakland and Danville ("Generate journey maps and calendars based on treatments plans", "Monitor patient compliance and readiness for treatment"), Front Desk Coordinators in New York and Portland ("Monitors and facilitates patient compliance and readiness for their initial visit"), Medical Assistants, RNs and IVF Nurse Coordinators across New York, Oakland, Portland and Denver, an Embryologist and an Andrologist.Source
    • HiringFinancial Counselor (New York, posted October 20, 2026): "assists patients with treatment estimates", determines insurance coverage, initiates "prior authorization requests" and must be able to "simplify complex concepts to patients". Every post describes Spring as "building the fastest-growing fertility group in the country".Source
  • 12

    Spring has 111 Long Island and 131 New York City URLs, mostly near-identical neighbourhood pages, with a misspelled slug ("yosset") and a duplicate Brooklyn page. Thin pages can drag down the main location pages.

    Medium impactMedium effort First result in 1 quarter Marketing Manager

    First action

    Pull traffic for every neighbourhood page.

    How to measure it

    Organic consult bookings

    Now
    –
    Target
    +15%
    By
    2 quarters

    Steps

    1. 1

      Pull data

      Traffic per page.

      Website Manager 1 week

    2. 2

      Decide

      Keep, merge or redirect.

      Marketing Manager 1 week

    3. 3

      Write area pages

      Directions and local detail.

      Marketing Manager 1 month

    4. 4

      Redirect

      Merged pages.

      Website Manager 1 week

    5. 5

      Fix typo

      Syosset.

      Website Manager 1 hour

    6. 6

      Monitor

      Rankings monthly.

      Website Manager monthly

    First result
    1 quarter
    Cost
    Writing time
    Owner
    Marketing Manager

    Smallest test

    Merge ten low-traffic pages.

    Why it works

    Merge neighbourhood pages into one strong page per area with real directions, travel times, parking and local referring partners, fix the typo, and redirect duplicates.

    Search engines reward useful local pages over many thin ones.

    Risks and how to handle them

    • Short-term ranking dip

      Merge in batches and monitor.

    Evidence

    • Your websiteLong Island page: "Personalized fertility care in Garden City, with an on-site IVF lab". The sitemap holds 111 Long Island URLs, mostly neighbourhood pages ("garden-city-fertility-clinic", "hempstead-egg-freezing" and so on, one slug spelled "yosset"), and 131 New York City URLs including a duplicate "downtown-brooklyn-fertility-doctor-2".Source
    • Your websiteSitemap (1,014 URLs, October 21, 2026) lists about 40 test and staging pages with no noindex tag, such as "dev-test", "book-a-consult-202210-demotest-5-partner", "donor-eggs-sandbox", "egg-calculator-sandbox", "provider-select-demo" and "research-library-demo", plus form thank-you pages ("contact-us-success", "provider-referral-success") and Spanish URLs containing "?page_id=".Source
  • 13

    The homepage has one quoted testimonial and no review count, and the footer links to a single San Francisco Yelp listing. With eleven clinics, each needs its own reviews to show in local search.

    Medium impactLow effort First result in 1 quarter Director of Operations

    First action

    Check every clinic has a verified Google listing.

    How to measure it

    Reviews per clinic

    Now
    –
    Target
    +20 a quarter
    By
    2 quarters

    Steps

    1. 1

      Check listings

      All eleven clinics.

      Marketing Manager 1 week

    2. 2

      Write survey

      Two questions.

      Marketing Manager 1 week

    3. 3

      Automate

      After consult.

      Director of Operations 2 weeks

    4. 4

      Respond

      To every review.

      Marketing Manager weekly

    5. 5

      Show ratings

      On location pages.

      Website Manager 2 weeks

    6. 6

      Measure

      Reviews per clinic.

      Marketing Manager monthly

    First result
    1 quarter
    Cost
    $0
    Owner
    Director of Operations

    Smallest test

    Pilot in Denver.

    Why it works

    After the first consult, send a short survey; patients who rate it highly get a link to that clinic's Google listing. Show recent ratings on each location page.

    Local reviews decide which clinic appears first in maps and AI answers.

    Risks and how to handle them

    • Privacy in reviews

      Never reply with medical details.

    Evidence

    • Your websiteHomepage: "Spring Fertility is celebrating 10 years and 10,000 Futures!", "OVER 10,032 SPRING PREGNANCIES", eleven locations across California (San Francisco Pacific Heights and SOMA, Redwood City, Sunnyvale, Oakland, Danville, Sacramento), New York (Manhattan-Bryant Park, Long Island), Portland and Denver ("NEW"); an English/Español switch; one quoted patient testimonial and no review count.Source
    • Your websiteThe newsletter sign-up in every footer asks for a location from New York, Portland, San Francisco, East Bay, "Slicon Valley", Denver or Other, with no Long Island or Sacramento. Live chat runs on Salesforce.Source
  • 14

    Sacramento patients start with a virtual consult, monitor locally in Roseville and travel to Oakland or Sunnyvale for procedures. Without a local building, referrals from local OB-GYNs are the main way in, and Sacramento has no referral pad.

    Medium impactMedium effort First result in 2 quarters Physician Liaison and Communi…

    First action

    List 30 Sacramento and Roseville practices.

    How to measure it

    Sacramento provider referrals

    Now
    –
    Target
    15 a month
    By
    2 quarters

    Steps

    1. 1

      List practices

      Sacramento and Roseville.

      Physician Liaison and Community Manager 1 week

    2. 2

      Make pad

      Sacramento version.

      Marketing Manager 1 week

    3. 3

      Visit

      Monthly trip.

      Physician Liaison and Community Manager monthly

    4. 4

      Virtual talk

      Quarterly.

      Medical Director quarterly

    5. 5

      Track

      Referrals in Salesforce.

      Director of Operations monthly

    6. 6

      Review

      Results after two quarters.

      Physician Liaison and Community Manager 2 quarters

    First result
    2 quarters
    Cost
    Travel and staff time
    Owner
    Physician Liaison and Community Manager

    Smallest test

    Visit ten practices in one trip.

    Why it works

    Visit Sacramento OB-GYN and primary care offices, explain the virtual-first path and Progyny network status, leave a Sacramento pad, and run a quarterly virtual talk for local clinicians.

    Local referrers reassure patients about a clinic with a different model.

    Risks and how to handle them

    • Liaison is based in New York

      Share a Bay Area resource for visits.

    Evidence

    • Your websiteSacramento page: care starts with "a virtual initial consult", monitoring happens at a partner clinic in Roseville, and egg retrieval or embryo transfer at Spring's Oakland or Sunnyvale labs; "Spring Fertility Sacramento is in-network with Progyny".Source
    • Your websiteFor Referring Providers page: downloadable referral pads for San Francisco, Oakland, Silicon Valley, NYC, Portland and Denver only (none for Long Island, Sacramento or Danville); a Physician Resource Library of webinars (Recurrent Pregnancy Loss, Unexplained Infertility, Endometriosis, Clomid vs. Letrozole, Egg Freezing); in-office education ("We're happy to bring breakfast or lunch for your team"); visits are requested by email.Source
    • Your websiteRefer a Patient form: the Preferred Location list offers San Francisco, San Francisco - SOMA, Oakland, Redwood City, Sunnyvale, Danville, New York, Portland and Denver, with no Long Island or Sacramento; "Interested in" offers only "Initial Consult: Fertility" or "Initial Consult: Egg Freezing"; there is no field for how the provider heard of Spring, and procedures such as HSG and semen analysis need "a signed order to be faxed".Source
  • 15

    Spring runs virtual info sessions and keeps a recorded Egg Freezing 101 webinar, but registrants have no visible next step beyond booking a consult.

    Medium impactMedium effort First result in 1 quarter Marketing Manager

    First action

    Write the first two emails.

    How to measure it

    Attendee consult rate

    Now
    –
    Target
    +20%
    By
    2 quarters

    Steps

    1. 1

      Write series

      Five emails.

      Marketing Manager 1 week

    2. 2

      Automate

      From registration list.

      Director of Operations 1 week

    3. 3

      Add calculator

      In email two.

      Marketing Manager 1 day

    4. 4

      Add costs

      In email three.

      Financial Counselor 1 day

    5. 5

      Send

      After each session.

      Marketing Manager ongoing

    6. 6

      Measure

      Consults per session.

      Marketing Manager monthly

    First result
    1 quarter
    Cost
    $0
    Owner
    Marketing Manager

    Smallest test

    Send the series after the next session.

    Why it works

    Send attendees and no-shows the recording, answers to common questions, the egg freezing calculator, cost ranges and a consult link over two weeks.

    Most egg freezing patients decide over weeks, and a short series keeps Spring top of mind.

    Risks and how to handle them

    • Too many emails

      Let readers choose fewer.

    Evidence

    • Your websiteEvents page: a virtual "Egg Freezing Info Session" listed at "11/03 | 12 AM PST (3 AM EST)"; in-person events only in Denver and Portland, including a "Free AMH Test & Info Session for Athletes in Portland, OR"; location filters Bay Area, New York, Portland and Denver; a host-an-event form with "Corporate Info Session", "Friends Dinner" and "Brand Partner Event"; a recorded Egg Freezing 101 webinar.Source
    • Your websiteFinance page: cash-pay estimates by state, for example initial consult $450, IUI $2,898-$4,334 total, egg freezing $13,500-$15,500 ("Very rarely covered, unless you have fertility-specific benefits (e.g. Carrot or Progyny)"), IVF with ICSI $27,378-$29,378 including medication; "our finance team will provide a personalized cost breakdown" after the consult.Source
    • Your websiteThe footer's "Success Rates" link opens /difference/, which says banking cycles are "not effectively captured in our SART success rates" but shows no rates; the Clinical Outcomes page offers an "IVF Outcomes Calculator" for "likelihood of success per egg". Kindbody and CCRM both put "Pricing" or "Fertility Success Rates" in their main menus.Source
  • 16

    The blog's latest post is from August, and the YouTube channel has 45 videos and 540,000 views. Patients search for answers to specific questions about AMH, egg freezing age and IVF steps.

    Medium impactMedium effort First result in 1 quarter Marketing Manager

    First action

    Pick next month's five questions from chat logs.

    How to measure it

    Blog sessions

    Now
    –
    Target
    +30%
    By
    2 quarters

    Steps

    1. 1

      Collect questions

      From chat and navigators.

      Patient Navigator monthly

    2. 2

      Record

      One physician.

      Medical Director monthly

    3. 3

      Publish

      Post and video.

      Marketing Manager monthly

    4. 4

      Cut clips

      For social.

      Marketing Manager monthly

    5. 5

      Email

      Newsletter.

      Marketing Manager monthly

    6. 6

      Measure

      Visits and consults.

      Marketing Manager monthly

    First result
    1 quarter
    Cost
    Video editing
    Owner
    Marketing Manager

    Smallest test

    Record one Q&A.

    Why it works

    Each month a Spring physician answers five patient questions on video; publish it as a post, a short clip and an email.

    Regular expert answers build search traffic and trust.

    Risks and how to handle them

    • Medical accuracy

      Physician reviews every post.

    Evidence

    • Your websiteContent: the RSS feed's latest post is dated August 7, 2026 (a patient story, the IVF calculator and the 10th anniversary note); the egg retrieval guide series dates from September 2025. YouTube channel: 1,150 subscribers, 45 videos, 540,483 views. Pages exist in Spanish and Traditional Chinese.Source
    • Your websiteFor Referring Providers page: downloadable referral pads for San Francisco, Oakland, Silicon Valley, NYC, Portland and Denver only (none for Long Island, Sacramento or Danville); a Physician Resource Library of webinars (Recurrent Pregnancy Loss, Unexplained Infertility, Endometriosis, Clomid vs. Letrozole, Egg Freezing); in-office education ("We're happy to bring breakfast or lunch for your team"); visits are requested by email.Source
  • 17

    Portland hosts a "Free AMH Test & Info Session for Athletes". It is a distinctive way to reach a specific community, and Spring has running and fertility content already.

    Medium impactMedium effort First result in 1 quarter Marketing Manager

    First action

    Ask Portland for attendance and consult numbers.

    How to measure it

    Event consults

    Now
    –
    Target
    10 per event
    By
    2 quarters

    Steps

    1. 1

      Review Portland

      Attendance and results.

      Marketing Manager 1 week

    2. 2

      Find partners

      Clubs and gyms.

      Physician Liaison and Community Manager 2 weeks

    3. 3

      Plan events

      One per market.

      Marketing Manager 1 month

    4. 4

      Run

      With a physician.

      Medical Director quarterly

    5. 5

      Follow up

      Email series.

      Marketing Manager ongoing

    6. 6

      Measure

      Consults per event.

      Marketing Manager quarterly

    First result
    1 quarter
    Cost
    Test kits and events
    Owner
    Marketing Manager

    Smallest test

    Run one event in Denver.

    Why it works

    Repeat the format with running clubs, gyms and sports teams in New York, Denver and the Bay Area, with a free AMH test and a short talk.

    Community events reach people early, before they search for a clinic.

    Risks and how to handle them

    • Low turnout

      Co-host with a club that promotes it.

    Evidence

    • Your websiteEvents page: a virtual "Egg Freezing Info Session" listed at "11/03 | 12 AM PST (3 AM EST)"; in-person events only in Denver and Portland, including a "Free AMH Test & Info Session for Athletes in Portland, OR"; location filters Bay Area, New York, Portland and Denver; a host-an-event form with "Corporate Info Session", "Friends Dinner" and "Brand Partner Event"; a recorded Egg Freezing 101 webinar.Source
    • Your websiteContent: the RSS feed's latest post is dated August 7, 2026 (a patient story, the IVF calculator and the 10th anniversary note); the egg retrieval guide series dates from September 2025. YouTube channel: 1,150 subscribers, 45 videos, 540,483 views. Pages exist in Spanish and Traditional Chinese.Source

Big bets 3

Larger plays that can change the trajectory.

  • 18

    Referrals arrive by form and fax, and the referring office hears little after. The liaison is measured on referral volume, and offices refer more when they know their patient was seen.

    High impactHigh effort First result in 3 quarters Physician Liaison and Communi…

    First action

    Ask ten referring offices what updates they want.

    How to measure it

    Practices referring 3+ a quarter

    Now
    –
    Target
    +40%
    By
    3 quarters

    Steps

    1. 1

      Interview offices

      Ten practices.

      Physician Liaison and Community Manager 2 weeks

    2. 2

      Define updates

      Three statuses.

      Director of Operations 1 week

    3. 3

      Consent wording

      In intake forms.

      Director of Operations 2 weeks

    4. 4

      Build

      Salesforce updates.

      Director of Operations 1 quarter

    5. 5

      Pilot

      New York offices.

      Physician Liaison and Community Manager 1 quarter

    6. 6

      Measure

      Repeat referrals.

      Physician Liaison and Community Manager quarterly

    First result
    3 quarters
    Cost
    CRM build
    Owner
    Physician Liaison and Community Manager

    Smallest test

    Email status updates by hand to five offices.

    Why it works

    Give referring offices a simple portal or email updates: referral received, consult booked, consult held, with the patient's consent, plus a direct line to the liaison.

    Closing the loop is what referring doctors complain about most, and it makes Spring the easy choice.

    Risks and how to handle them

    • Patient privacy

      Share only with consent and minimum details.

    Evidence

    • Your websiteRefer a Patient form: the Preferred Location list offers San Francisco, San Francisco - SOMA, Oakland, Redwood City, Sunnyvale, Danville, New York, Portland and Denver, with no Long Island or Sacramento; "Interested in" offers only "Initial Consult: Fertility" or "Initial Consult: Egg Freezing"; there is no field for how the provider heard of Spring, and procedures such as HSG and semen analysis need "a signed order to be faxed".Source
    • HiringPhysician Liaison and Community Manager (New York, posted October 1, 2026): builds relationships with "referring physicians, medical practice groups, supplementary wellness providers, and community partners in order to increase referral volume"; duties include "Introducing new Spring physicians to the market", "Report weekly on referral volume by channel, tracking activity and effectiveness of outreach", coordinating "in-house informational sessions, community events" and working "closely with Marketing to develop collateral to support outreach". Salesforce or CRM experience is a plus; $90,000-$110,000 plus bonus.Source
    • Your websiteThe newsletter sign-up in every footer asks for a location from New York, Portland, San Francisco, East Bay, "Slicon Valley", Denver or Other, with no Long Island or Sacramento. Live chat runs on Salesforce.Source
  • 19

    Spring has Spanish and Traditional Chinese pages, but some point to the wrong clinic, and forms, events and finance pages are English only.

    High impactHigh effort First result in 4 quarters Marketing Manager

    First action

    Count current patients who prefer each language.

    How to measure it

    Non-English consults

    Now
    –
    Target
    +50%
    By
    4 quarters

    Steps

    1. 1

      Size demand

      By clinic.

      Director of Operations 1 month

    2. 2

      Translate

      Full path.

      Marketing Manager 1 quarter

    3. 3

      Staff

      Speakers on the schedule.

      Director of Operations 1 quarter

    4. 4

      Run sessions

      In each language.

      Marketing Manager quarterly

    5. 5

      Promote

      Community partners.

      Physician Liaison and Community Manager ongoing

    6. 6

      Measure

      Consults by language.

      Marketing Manager quarterly

    First result
    4 quarters
    Cost
    Translation and staff time
    Owner
    Marketing Manager

    Smallest test

    Run one Spanish info session.

    Why it works

    Translate the full path (location pages, consult booking, finance, info sessions) and offer consults with Spanish- and Chinese-speaking staff where available.

    Patients choose clinics where they can understand costs and treatment in their language.

    Risks and how to handle them

    • Clinical language accuracy

      Native-speaking clinician review.

    Evidence

    • Your websiteSpanish versions point to the wrong clinic (checked October 21, 2026): the Long Island page's hreflang "es" link is /es/new-york-city/ and Denver's is /es/new-york-city-3/, both showing "Spring Fertility Ciudad de New York" (Bryant Park); Portland's Spanish link is /es/east-bay-2/, the Oakland page. Sacramento and the referring-provider pages have no Spanish version.Source
    • Your websiteContent: the RSS feed's latest post is dated August 7, 2026 (a patient story, the IVF calculator and the 10th anniversary note); the egg retrieval guide series dates from September 2025. YouTube channel: 1,150 subscribers, 45 videos, 540,483 views. Pages exist in Spanish and Traditional Chinese.Source
    • Your websiteFinance page: cash-pay estimates by state, for example initial consult $450, IUI $2,898-$4,334 total, egg freezing $13,500-$15,500 ("Very rarely covered, unless you have fertility-specific benefits (e.g. Carrot or Progyny)"), IVF with ICSI $27,378-$29,378 including medication; "our finance team will provide a personalized cost breakdown" after the consult.Source
  • 20

    Long Island has an on-site IVF lab in Garden City and many neighbourhood pages, while referral tools there are only starting. It is Spring's biggest new market near its New York base.

    High impactHigh effort First result in 4 quarters Director of Operations

    First action

    Map referrals by Long Island town today.

    How to measure it

    Long Island new patient consults

    Now
    –
    Target
    +50%
    By
    4 quarters

    Steps

    1. 1

      Map demand

      By town.

      Director of Operations 1 month

    2. 2

      Set targets

      By town.

      Physician Liaison and Community Manager 2 weeks

    3. 3

      Find partners

      Monitoring farther east.

      Director of Operations 1 quarter

    4. 4

      Run events

      Local employers.

      Marketing Manager quarterly

    5. 5

      Scorecard

      Quarterly.

      Director of Operations quarterly

    6. 6

      Review

      Expand or adjust.

      Director of Operations 4 quarters

    First result
    4 quarters
    Cost
    Staff and partner costs
    Owner
    Director of Operations

    Smallest test

    Set town targets for one quarter.

    Why it works

    Set a Long Island growth plan: referral targets by town, monitoring partners farther east, events with local employers, and a quarterly scorecard.

    A lab is a fixed cost; filling it with referrals is the fastest path to return on it.

    Risks and how to handle them

    • Spreading the liaison thin

      Split New York City and Long Island targets.

    Evidence

    • Your websiteLong Island page: "Personalized fertility care in Garden City, with an on-site IVF lab". The sitemap holds 111 Long Island URLs, mostly neighbourhood pages ("garden-city-fertility-clinic", "hempstead-egg-freezing" and so on, one slug spelled "yosset"), and 131 New York City URLs including a duplicate "downtown-brooklyn-fertility-doctor-2".Source
    • HiringPhysician Liaison and Community Manager (New York, posted October 1, 2026): builds relationships with "referring physicians, medical practice groups, supplementary wellness providers, and community partners in order to increase referral volume"; duties include "Introducing new Spring physicians to the market", "Report weekly on referral volume by channel, tracking activity and effectiveness of outreach", coordinating "in-house informational sessions, community events" and working "closely with Marketing to develop collateral to support outreach". Salesforce or CRM experience is a plus; $90,000-$110,000 plus bonus.Source
    • Your websiteFor Referring Providers page: downloadable referral pads for San Francisco, Oakland, Silicon Valley, NYC, Portland and Denver only (none for Long Island, Sacramento or Danville); a Physician Resource Library of webinars (Recurrent Pregnancy Loss, Unexplained Infertility, Endometriosis, Clomid vs. Letrozole, Egg Freezing); in-office education ("We're happy to bring breakfast or lunch for your team"); visits are requested by email.Source

Wildcards 2

Unexpected experiments, each with a cheap way to test it.

  • 21

    Spring is celebrating 10 years and over 10,000 pregnancies. The anniversary note is already published, but patient stories are few.

    Medium impactLow effort First result in 1 quarter Marketing Manager

    First action

    Ask navigators for five patients willing to share.

    How to measure it

    Stories

    Now
    –
    Target
    1 per clinic a month
    By
    2 quarters

    Steps

    1. 1

      Consent form

      Clear and simple.

      Director of Operations 1 week

    2. 2

      Invite

      Through navigators.

      Patient Navigator ongoing

    3. 3

      Write

      With the patient.

      Marketing Manager monthly

    4. 4

      Publish

      By clinic.

      Website Manager monthly

    5. 5

      Use

      Ads and pads.

      Marketing Manager monthly

    6. 6

      Measure

      Engagement.

      Marketing Manager monthly

    First result
    1 quarter
    Cost
    Staff time
    Owner
    Marketing Manager

    Smallest test

    Publish one story.

    Why it works

    Invite patients to share their stories with consent, publish one per clinic each month, and use them in local ads and referral materials.

    Real stories from a patient's own clinic are more persuasive than statistics.

    Risks and how to handle them

    • Privacy

      First names only, by choice.

    Evidence

    • Your websiteHomepage: "Spring Fertility is celebrating 10 years and 10,000 Futures!", "OVER 10,032 SPRING PREGNANCIES", eleven locations across California (San Francisco Pacific Heights and SOMA, Redwood City, Sunnyvale, Oakland, Danville, Sacramento), New York (Manhattan-Bryant Park, Long Island), Portland and Denver ("NEW"); an English/Español switch; one quoted patient testimonial and no review count.Source
    • Your websiteContent: the RSS feed's latest post is dated August 7, 2026 (a patient story, the IVF calculator and the 10th anniversary note); the egg retrieval guide series dates from September 2025. YouTube channel: 1,150 subscribers, 45 videos, 540,483 views. Pages exist in Spanish and Traditional Chinese.Source
  • 22

    Spring published an update on medication costs and savings in January, and medication adds $3,000-$5,000 to egg freezing and IVF.

    Medium impactLow effort First result in 1 quarter Financial Counselor

    First action

    Update the January post.

    How to measure it

    Medication cost calls

    Now
    –
    Target
    -15%
    By
    2 quarters

    Steps

    1. 1

      Collect options

      Current programs.

      Financial Counselor 1 week

    2. 2

      Write guide

      Plain language.

      Marketing Manager 1 week

    3. 3

      Publish

      Page and PDF.

      Website Manager 1 day

    4. 4

      Share

      In onboarding.

      Patient Navigator ongoing

    5. 5

      Update

      Quarterly.

      Financial Counselor quarterly

    6. 6

      Measure

      Finance calls.

      Financial Counselor monthly

    First result
    1 quarter
    Cost
    $0
    Owner
    Financial Counselor

    Smallest test

    Publish the guide page.

    Why it works

    Turn it into a page and printable guide: savings programs, pharmacy options, timing, and who to ask, updated every quarter.

    Medication cost is a surprise for many patients, and a clear guide builds trust.

    Risks and how to handle them

    • Out-of-date prices

      Date every update.

    Evidence

    • Your websiteNews page: an "Important Update on Medication Costs & Savings Opportunities" (January 2026), the Oakland opening that expanded services in the Bay Area (August 2025), Portland (2024), and a significant growth investment from Wildcat Capital Management (August 2023).Source
    • Your websiteFinance page: cash-pay estimates by state, for example initial consult $450, IUI $2,898-$4,334 total, egg freezing $13,500-$15,500 ("Very rarely covered, unless you have fertility-specific benefits (e.g. Carrot or Progyny)"), IVF with ICSI $27,378-$29,378 including medication; "our finance team will provide a personalized cost breakdown" after the consult.Source
    • HiringFinancial Counselor (New York, posted October 20, 2026): "assists patients with treatment estimates", determines insurance coverage, initiates "prior authorization requests" and must be able to "simplify complex concepts to patients". Every post describes Spring as "building the fastest-growing fertility group in the country".Source

03

How Programmable can help

Where an idea in this playbook is something Programmable builds or runs, it's listed here with what we'd do. Everything else is yours to run.

Have it built

ProgrammableAgency

1 of the 22 ideas are things Programmable builds and runs for its customers: pages, outreach, prospect lists, booking flows and monitors. Pick one, or send the whole list.

Prospect lists1The list compiled from public sources, verified, deduplicated and delivered to your CRM.

A 30-minute session with the engineer who would build it, not a sales call. You leave with a plan whether or not you hire us.

Book a working session

Usually live within days.

More example playbooks and reviews

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Other companies we have researched, each read from what they are hiring for.

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See every playbook and website review

Independent research. Programmable wrote this playbook from public sources, as they stood on October 22, 2026, and cites them throughout. Spring Fertility did not commission, review or endorse it, and Programmable is not affiliated with Spring Fertility. Company and product names are trademarks of their owners, used only to identify them. The ideas are suggestions and opinion, not professional, legal or financial advice, and not statements about how Spring Fertility runs its business.

Something wrong, or do you represent Spring Fertility? Email [email protected] and we will correct it or take it down.

30/60/90 roadmap

What to focus on in each month, and the ideas that carry it.

  1. Days 1 to 306 ideas

    Referral path for every clinic, Spanish page fixes, sitemap clean-up, event times, success-rate link and homepage speed.

  2. Days 31 to 6011 ideas

    Lunch-and-learns, physician profiles, employers, cost estimator, readiness checklist, local pages, reviews, Sacramento referrers, info session follow-up, The Blast and community events.

  3. Days 61 to 905 ideas

    Referral status portal, full Spanish and Chinese journey, the Long Island network, patient stories and the medication guide.

The research behind the plan

3 research areas, each summarised in a few lines. Open any of them for the full detail.

Customers

What customers say

Customers value individual, creative care for hard cases. The most cited problem: cost and insurance uncertainty.

  • Seeing the same doctor at every visit
  • A confusing, step-heavy process
  • In their words: “egg freezing”

Market

Competitive landscape

3 competitors compared: Kindbody, CCRM Fertility and Pacific Fertility Center.

  • Gap to exploit: Referral tools for every new clinic
  • Kindbody: Less personal, network-led brand
  • CCRM Fertility: Large-network feel

Hiring signals

Spring is growing through referrals and patient operations.

  • Physician Liaison and Community Manager (New York): Grow and report referral volume by channel. Ideas 1, 7, 8, 14, 18.
  • Financial Counselor (New York): Treatment estimates and coverage. Ideas 10, 22.
  • Patient Navigator (Portland, San Francisco, Sunnyvale, Oakland, Danville): Journey maps and readiness for treatment. Idea 11.

From the team that wrote this playbook

All products
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  • ProgrammablePageText what you need, your customer gets a page that works (opens programmable.page in a new tab)
  • ProgrammableCommunityForums with labelled AI members, never empty (opens programmable.community in a new tab)
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