The front-end operating system for fertility and specialty clinics

    Your clinic leaks patients at eight stages. GrowthOS closes every one.

    From the first search to years after treatment. One system runs your ads, answers every inquiry, keeps patients moving through consult and treatment, and brings them back for the eggs and embryos they already stored.

    See where your clinic leaks, benchmarked against the clinics we run. Your report arrives in your inbox in a few minutes.

    The GrowthOS Map

    8 stages · 10 leaks

    1. Stage 1: Get foundThe Invisible Clinic
    2. Stage 2: First responseThe Form That Kills
    3. Stage 3: Nurture and qualifyThe Silent Middle
    4. Stage 4: Book and show upThe Empty Chair
    5. Stage 5: Consult to commitmentThe Consult Cliff
    6. Stage 6: In treatmentThe Mid-Journey Walkaway
    7. Stage 7: After the cycleThe Full Tank
    8. Stage 8: Advocate and returnThe Forgotten Graduate
    median first reply to a patient message
    2 sec
    of patient messages answered in under 60 seconds
    94%
    patient conversations handled in the last 90 days
    16,900+
    clinic accounts live in 5 countries
    90+

    Live GrowthOS figures, active clinic accounts only, last 90 days. First reply measured on text, WhatsApp, web chat and social messages.

    The GrowthOS Map

    One map, from the first search to the last stored embryo.

    Every stage has a leak. Every leak has a module that closes it. Your onboarding, your reports and your audit all follow the same map.

    Stage 1 · Get found

    The leak · The Invisible Clinic

    You never show up at the search. The right patients never find you, and the ads meant to reach them run unwatched.

    HOW GROWTHOS CLOSES IT

    Campaigns drafts the landing page, emails, texts and ads together. Ads Manager watches spend against booked consults, not clicks, without sending health data to an ad platform. Outreach reaches referring doctors and partner practices.

    • Campaign engine
    • Ads Manager and AI Ad Optimizer
    • Landing pages
    • Quiz funnels
    • Events
    • Website management and SEO
    • Doctor referral campaigns
    • Server-side conversion tracking

    What the patient is thinking

    “I'm comparing clinics at 11pm and reading everything.”

    Stage 2 · First response

    The leak · The Form That Kills and The 13-Hour Patient

    An inquiry lands at 9pm and waits until morning. By then the patient has booked with the clinic that answered first.

    HOW GROWTHOS CLOSES IT

    The AI front desk answers every message in seconds, on text, WhatsApp, web chat, email and social, in your voice. The forms already on your website feed straight in. It qualifies, books on your real calendar and hands off with the full history.

    • Website lead sources
    • AI front desk
    • Voice AIADD-ON
    • Phone trees
    • Call intelligence
    • Forms and lead scoring
    • AI lead discovery

    2 sec

    median GrowthOS first reply to a patient message. About 94% are answered in under a minute.

    Live GrowthOS data, active clinic accounts, last 90 days

    Stage 3 · Nurture and qualify

    The leak · The Silent Middle

    Patients who are not ready today never hear from you again.

    HOW GROWTHOS CLOSES IT

    Sequences follow up over days and weeks on every channel. The Qualification Agent checks fit with your own questions, on forms and in chat. Reactivation works the dormant list instead of deleting it.

    • Email and SMS sequences
    • Qualification Agent
    • Unified inbox with contact owners
    • Follow-up reminders
    • Reactivation campaigns
    • Newsletters
    • Workflows and automations

    What the patient is thinking

    “I'm not ready yet. Don't forget me, and don't spam me.”

    Stage 4 · Book and show up

    The leak · The Empty Chair

    The consult is booked, then missed, and nobody follows up.

    HOW GROWTHOS CLOSES IT

    Appointments syncs every booking and sends reminders on the channel the patient chose. AI Staff hands your team a written briefing before each consult. The Waiting Room and Telehealth run the visit itself.

    • Booking and appointment automations
    • Consult Booking Agent
    • Patient Onboarding Agent
    • Patient Waiting RoomADD-ON
    • Telehealth and virtual visitsADD-ON
    • Cross-location recognition

    34%

    average relative drop in missed appointments when phone or SMS reminders are sent (29 studies).

    Hasvold and Wootton, J Telemed Telecare, 2011.

    Stage 5 · Consult to commitment

    The leak · The Consult Cliff and The Money Stall

    The consult happens, the commitment does not. Paperwork, records and cost stall the yes.

    HOW GROWTHOS CLOSES IT

    Pipeline flags a stalled decision before it goes cold. ChartAI requests outside records for you. Consent sends documents and education before the visit. Invoicing sends a payment link.

    • Pipelines with leak stages
    • Leak Stages
    • Consent and educationADD-ON
    • ChartAI records retrieval
    • Billing automation
    • Stage-to-stage timing

    39%

    of the reasons patients give for stopping fertility treatment are postponement (22 studies, 21,453 patients).

    Gameiro et al., Hum Reprod Update, 2012.

    Stage 6 · In treatment

    The leak · The Mid-Journey Walkaway

    A cycle-timed test is missed, the cycle slips a month, or the patient quietly stops.

    HOW GROWTHOS CLOSES IT

    Cycle Coordinator works out when each patient is due, books the test in the right window and checks in until it is done. Escalations reach a person with context in minutes.

    • Cycle and Treatment Coordinator
    • Crisis Triage Agent
    • EHR integrations
    • GrowthOS mobile app

    19%

    of the reasons patients give for stopping are organizational or clinic problems.

    Gameiro et al., Hum Reprod Update, 2012.

    Stage 7 · After the cycle

    The leak · The Full Tank

    Eggs and embryos sit in your tanks for years while the patient goes quiet.

    HOW GROWTHOS CLOSES IT

    Keep records what each patient has stored, reaches out on anniversaries and renewal dates, and gives patients a secure link to decide what comes next. It pauses after a loss and logs every touch.

    • What each patient has with you
    • Storage and return outreach
    • A private link for every patient
    • Results you can publish

    52.5%

    of US fresh IVF cycles that froze embryos never had a later frozen transfer.

    Christianson et al., F&S Reports, 2020.

    Stage 8 · Advocate and return

    The leak · The Forgotten Graduate

    Happy patients are never asked for a review, a referral or a return visit.

    HOW GROWTHOS CLOSES IT

    Reviews brings your Google reviews into one place with AI-drafted replies and asks for new ones at the right pipeline stage. Referral Accounts tracks and thanks the doctors who send you patients.

    • Google reviews and replies
    • Review requests from pipeline stages
    • Referral asks and doctor thank-yous
    • Alumni journeys and retargeting
    • Newsletters to alumni

    What the patient is thinking

    “They were there for me. I'll tell people.”

    Two layers sit around the journey: the Basics (domains, email, texting registration, integrations, team), set up and verified before anything else, and Measure (reports, funnel stages, goals), which times every stage. See how setup works.

    Stages 4 to 8

    Everyone else stops at the booking. That is where most of the value is.

    A chatbot can answer a lead. A CRM can hold a record. Neither notices the patient who froze eggs in 2021 and never came back, or the family with two embryos left in storage. GrowthOS does.

    52.5%

    of US fresh IVF cycles that froze embryos never had a later frozen transfer.

    Christianson et al., F&S Reports, 2020.

    5.7%

    of egg-freezing patients came back to use their eggs within 5 to 7 years.

    Lee et al., Am J Obstet Gynecol, 2025.

    39%

    of patients with stored embryos report high conflict over what to do with them.

    Lyerly et al., Human Reproduction, 2011.

    NEW · STAGE 7 · THE FULL TANK

    INCLUDED IN EVERY PLAN

    Keep. For every egg, embryo and sample still in your tanks.

    Keep records what each patient has stored, reaches out on storage anniversaries and renewal dates, and gives patients a secure link to see what they have and decide what comes next. It pauses automatically after a loss. Every touch is logged, so you can measure who returns.

    How Keep works
    PATIENT RECORD · KEEP (illustrative)
    Embryos stored[#]
    Eggs stored[#]
    In storage since[DATE]
    Anniversary check-inScheduled
    Consent renewalDue in [N] days
    Patient decision linkOpened

    What the research says

    Patients rarely leave because of the medicine. They leave in the gaps.

    Every number here comes from published research, cited in full. Your own numbers come in your Leak Map.

    39%

    of the reasons patients give for stopping fertility treatment are postponement (22 studies, 21,453 patients).

    Gameiro et al., Hum Reprod Update, 2012.

    19%

    of the reasons patients give for stopping are organizational or clinic problems.

    Gameiro et al., Hum Reprod Update, 2012.

    34%

    average relative drop in missed appointments when phone or SMS reminders are sent (29 studies).

    Hasvold and Wootton, J Telemed Telecare, 2011.

    Your AI team

    You are not buying software to run. You are staffing every stage.

    • STAGE 1 · GET FOUND

      AI Media Buyer

      Builds, launches and optimizes your Google and Meta ads with healthcare-compliant copy.

    • STAGE 2 · FIRST RESPONSE

      AI Front Desk

      Answers every inquiry in seconds on every channel, qualifies, books and knows when to hand off.

    • STAGE 3 · NURTURE

      AI Nurture Rep

      Follows up across days and weeks, adapting tone to where the patient is emotionally.

    • STAGE 4 · BOOK AND SHOW UP

      AI Staff

      Reads the full history before a consult, a crisis or a hot lead, and hands your team a written briefing.

    • STAGE 7 · AFTER THE CYCLE

      Keep

      Checks in with every patient who has eggs, embryos or samples in storage, for as long as they are stored.

    • STAGE 8 · ADVOCATE

      AI Reputation Manager

      Asks happy patients for reviews at the right moment and drafts your replies.

    The Basics · Setup

    We connect the plumbing first, and prove it works.

    Your existing website forms start sending leads in on day one. Your domain, sending email, texting registration and EHR are checked against the live systems, not a checkbox. Then we walk your team through the Map, stage by stage.

    1. Connect the forms and campaigns you already run
    2. Verify domains, email and texting registration
    3. Train the AI on your clinic, services and voice
    4. Turn on each stage of the Map, in order

    Works with what you run today

    CRM

    • Salesforce
    • HubSpot
    • GoHighLevel
    • Zoho
    • Keap

    EHR AND PRACTICE SYSTEMS

    • ModMed
    • Bloomic
    • Artisan
    • VRepro
    • SIGHA
    • MedITEX
    • Veracity
    • Tebra
    • IMS
    • nAble
    • OptiMantra
    • Solux

    Don't see yours? We build the interface to any EHR.

    Replace your CRM, migrate at your own pace, or run GrowthOS alongside it. The AI works inside Salesforce, HubSpot and GoHighLevel conversations either way.

    Built for healthcare from day one, not a generic tool in a lab coat.

    • HIPAA and BAA

      Patient data handled to clinical standard, with a signed BAA.

    • Consent built in

      Texting registration and consent language designed for clinics.

    • Clinical guardrails

      The AI knows what your specialty must never say.

    • Grief-aware

      Outreach pauses after a loss, and tone follows the patient.

    • Research-grade data

      Every stage change is timestamped, so you can measure and publish.

    One plan

    GrowthOS Growth. The whole Map.

    Every stage, the full AI team and Keep, included. Pricing is tailored to your clinic and number of locations, and shared in your demo. Monthly, six-month and annual terms.

    Book a demo

    ADD WHERE YOU NEED MORE

    • STAGE 2Voice AI
    • STAGE 4Patient Waiting Room
    • STAGE 4Telehealth
    • STAGE 4Custom AI Agent
    • STAGE 5Consent & Education
    • ANY STAGEWebsite Management
    Brandon Hensinger, founder of Cima Growth Solutions

    Why I built this

    “AI transformed the lab side of fertility medicine. Nobody modernized the front end. After 15 years in this industry, I watched clinics spend real money to find patients and then lose them in the gaps between one stage and the next. The Map is how we close every one of those gaps.”

    Brandon Hensinger · Founder, Cima Growth SolutionsLinkedInYouTube

    Where does your clinic leak?

    Get your free Leak Map: where your clinic loses patients, scored against the clinics we run, your 90-day recovery number, and the fixes in order. Your report arrives in your inbox in a few minutes.

    Sources

    1. Hasvold PE, Wootton R. Use of telephone and SMS reminders to improve attendance at hospital appointments: a systematic review. J Telemed Telecare 2011;17(7):358-64. doi:10.1258/jtt.2011.110707
    2. Gameiro S, Boivin J, Peronace L, Verhaak CM. Why do patients discontinue fertility treatment? A systematic review. Hum Reprod Update 2012;18(6):652-69. doi:10.1093/humupd/dms031
    3. Christianson MS, Stern JE, Sun F, et al. Embryo cryopreservation and utilization in the United States from 2004-2013. F&S Reports 2020;1(2):71-77. doi:10.1016/j.xfre.2020.05.010
    4. Lee MB, Siavoshi M, Kwan L, Kroener L. Elective fertility preservation: a national database study on trends in oocyte cryopreservation and oocyte utilization. Am J Obstet Gynecol 2025;234(2):432-439. doi:10.1016/j.ajog.2025.08.032
    5. Lyerly AD, Nakagawa S, Kuppermann M. Decisional conflict and the disposition of frozen embryos: implications for informed consent. Hum Reprod 2011;26(3):646-54. doi:10.1093/humrep/deq368
    6. Platform figures: live GrowthOS data for active clinic accounts, last 90 days, refreshed daily.

    Every day without GrowthOS is another day of patients choosing the clinic that responded first.

    Median first reply in 2 seconds across every live clinic, measured, not promised. Your existing forms start sending leads in on day one.