From 3 to 6 Clinics in 14 Months Fractional COO in Healthcare
A fertility clinic network scaled from 3 to 6 locations through fractional COO leadership — establishing operational standardization, governance, and investor-grade reporting while maintaining clinical excellence.
Doubled clinic footprintClinical quality maintainedSeries B-ready governanceZero compliance violations
What they came to us with.
A fertility clinic network with three successful locations had attracted growth capital and planned to expand to six clinics within 14 months. Clinical operations were excellent — 65%+ success rates and strong patient satisfaction — but the organization ran in founder-led mode without professional operational infrastructure. The three clinics operated independently with inconsistent protocols, ad-hoc financial reporting, and no formal governance. Leadership couldn't articulate which clinics were profitable or why patient acquisition costs varied by location. The new investor capital came with accountability: quarterly reporting, governance expectations, and financial discipline. The founders needed experienced operational leadership to build systems in parallel with growth — not a permanent COO, but a fractional executive who could install the infrastructure and then transition cleanly to internal ownership.
How the work actually ran.
- 01
Operational diagnostic
Conducted a comprehensive assessment across all three locations, documenting process inconsistencies, critical risk areas, and the gap between clinical excellence and operational maturity.
- 02
SOP standardization
Developed and implemented 60+ standard operating procedures covering clinical protocols, patient intake, financial processes, and compliance — with 98% staff adherence within 60 days.
- 03
Governance + compliance
Built a PIPEDA-compliant data privacy framework, clinical governance protocols, and risk management controls suitable for institutional investor scrutiny.
- 04
Financial visibility
Created clinic-level P&L accounting and a KPI dashboard tracking volume, success rates, acquisition cost, profitability, and NPS by location.
- 05
Scaled launch
Recruited a 4-member advisory board, established quarterly investor reporting, and managed a standardized launch process for three new clinics with operational consistency from day one.
The fractional COO was transformational. Within 14 months, the company went from operationally fragmented to a professionally managed network with governance discipline and proven ability to scale without losing clinical quality. That operational maturity was the prerequisite for Series B funding.
Selected. Closed.
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Tell us what you’re facing. We operate from there.
Most first conversations happen on a call within the week. We respond personally within one business day.