You've built something exceptional.
Now let's build the infrastructure to match.

MC Fertility Strategies works with fertility clinics and women's health networks to standardize operations, integrate systems, and build the organizational infrastructure that lets you scale excellent clinical care without burning out the people delivering it.

Our Strat-Ops & Comms experts know how people, processes, technology, and fertility care work together, and build for that intersection: a better experience for your patients, and a sustainable one for your staff.

Staff
Defined roles, less burnout
Better
Operations &
Communications
Patients
Shorter waits, clearer guidance
Communities
Care that scales where it's needed
StaffDefined roles, less burnout
PatientsShorter waits, clearer guidance
CommunitiesCare that scales where it's needed

"MC Fertility Strategies was fantastic to work with. They brought clear strategic direction and creative ideas that helped us move forward with confidence."

— Clinical Chief Nursing Officer, Multi-Site Fertility Practice

The fertility space is evolving quickly. Networks are growing through acquisition. Clinic counts are climbing. Technology is multiplying.

And the gap between clinical vision and operational reality keeps widening — not because the leadership isn't sharp, but because the infrastructure underneath hasn't kept pace.

That gap shows up everywhere: in the intake workflow that's still a spreadsheet, in the role that three people think they own, in the new location that runs on completely different systems than the flagship. It costs you patients. It costs you staff. And it costs you time you don't have.

We close that gap.

Where We Focus

Start where you need us:

Patient Access & Experience

We streamline booking and scheduling, coordinate the right technology with outside vendors, and build the communications that guide patients from their first booking through their first visit.

  • Booking & Scheduling Systems
  • Patient Onboarding Communications
  • Video & Education Libraries
  • Vendor-Coordinated Tech Builds

Operational Infrastructure

The foundation that holds everything else together. We document how work actually gets done, clarify who owns what, and build the systems and processes that don’t live in one person’s head, including the interim leadership to run things while that structure gets built.

  • Org Design & Role Clarity
  • SOP & Process Documentation
  • Workflow & Efficiency Builds
  • Onboarding & Training Infrastructure

Multi-Site Integration & Technology

Growing through acquisition, adding locations, or just hitting the point where five sites do things five different ways: growth stalls without a plan. We build the integration playbook for people, process, and technology, and bring in the right systems to run it, from payroll and EHR platforms to custom-built payment infrastructure where off-the-shelf didn’t fit.

  • Org Structure Alignment Across Sites
  • SOP Harmonization Across Sites
  • Platform Integration (Payroll, EHR, Payments)
  • Custom Software Commissioning

Staff Coaching & Retention

Growth is as much a people challenge as a systems one. We coach the managers carrying change forward (the ones on the ground, not just the C-suite) while building the structure around them.

  • Manager Coaching & 1:1 Cadences
  • Clinical Leadership Development
  • Team Structure
  • Accountability Systems
Patient Access & Experience
60 → 14 days
First-consult wait

Cut first-consult wait from 60 days to 14, a 77% drop, for our team’s work with a national fertility network.

Multi-Site Integration & Technology
262 → 166
Titles → standardized roles
$8.43M
Through the new platform, in under a year

Standardized hiring and role structure across a multi-location fertility network (262 inconsistent titles → 166 standardized roles), and partnered with Echobind, a certified Stripe Services partner, on a revenue operations rebuild that helped a network generate $8.43M (in less than 1 year) through the new platform.

Who We’re Built For


Growth & transition
Established networks navigating growth or transition

Adding locations or integrating an acquisition. We get every site on the same systems and standard of care without breaking what already works.

What comes next
Networks preparing for what comes next

Investment, acquisition, or succession. We build the clean systems, documented processes, and clear roles that let the business stand on its own.

De novo
Practices launching or expanding de novo

You know the clinical side. We build the business infrastructure: workflows, people structure, technology, and operations.

Partners
Technology and ecosystem partners

You build the platform. We make sure the clinics using it are operationally ready to get full value from it.

Results

All figures from a single anonymized national fertility network client.

60 → 14
Days · first-consult wait time after telehealth infrastructure redesign
+2,600
Additional consults per year
8 min
Cut from average phone wait time
166
Roles defined, documented, and handed off to an internal HR team
200+
Positions audited across a network of locations in a single engagement
Case study

Building a national telehealth operation from the ground up

A leading national fertility network was facing consult wait times north of 60 days. We partnered with executive leadership to architect a new Global Telehealth division — coordinating across departments, building patient-facing education infrastructure, and designing the intake and communication systems that prepared patients before their first appointment. Wait time dropped from 60 days to two weeks. The team that runs it is fully operational and independent.

Case study

Standardizing an 800+ person organization

Rapid growth had left a national fertility network with more than 200 positions, no standardized job descriptions, and no org chart. We audited the full workforce, narrowed and defined 166 roles in coordination with executive leadership, wrote every job description, built a high-fidelity organizational chart — by both position and people hierarchy — and created a maintenance process the HR team could sustain without us.

Collaborating with MC has been a pleasure. When implementing a complex initiative such as a new computer system—especially one involving multiple departments and stakeholders—MC was exceptional at organizing and synthesizing everyone’s input into a clear, logical, and actionable framework. Their ability to align diverse perspectives and keep the process moving forward made a meaningful difference in the success of the project.
COO, National Fertility Network

Why We Built This

Pilar Castro Di Carlo

Pilar Castro Di Carlo spent more than a decade building More Canvas Consulting into a firm known for one thing: going into complex, growing organizations and building the infrastructure they needed to scale without breaking. Across fertility clinics, women's health practices, medical aesthetics, physical therapy and wellness, and academic medical departments, the pattern kept repeating: organizations with clinical and mission excellence, and operational systems that hadn't kept pace.

Pilar holds an MBA from The Wharton School and brings a rare combination of strategic, operational, and creative capability to every engagement. She is also a certified professional coach, and brings that lens to the human side of organizational change — not just the systems, but the leaders who have to carry them.

Jennifer Santiago

Jennifer Santiago helped build MC Fertility Strategies and leads its operations and communications, drawing on years working alongside Pilar at the intersection of healthcare operations, technology implementation, and organizational development.

She brings deep experience in the fertility and women's health space specifically: the systems, the stakeholders, and the particular operational challenges that come with scaling patient-centered care.

Together, they built MC Fertility Strategies because they kept seeing the same gap — and because closing it, specifically for fertility and women's health, felt like work worth doing.

The conversation starts with listening.

Tell us where you are and where you're trying to go. We'll tell you where we'd start — and whether we're the right fit.

Book a free 20-minute call with Pilar. You’ll leave with at least one clear idea, whether or not we work together.

Prefer to write first? Email us at pilar@mcfertilitystrategies.com.