Add a donorRecruitment column with values clinic-only, agency-only, or both. Clinics that work only with external agencies have different intake flows than clinics with in-house donor programs. This shapes recipient experience significantly and should be surfaced clearly on every clinic page.

Yes. Add an idReleaseOption column with values yes-required, yes-optional, no, or both-models-supported. Patients planning future disclosure conversations with their donor-conceived child filter heavily on this. The growing donor-conceived-people community is shifting practice norms toward ID-release.

Add a donorCompensationModel column distinguishing compensation tied to retrieval volume, fixed compensation, or compensation-by-program-type. Recipients increasingly want to understand the ethical frame of donor compensation, and this is a meaningful differentiator across clinics.

Add donorModels as a multi-value column with fresh, frozen, and both. Fresh cycles synchronize donor and recipient cycles for fresh embryo transfer. Frozen cycles use previously banked donor eggs. Outcomes differ slightly and timeline differs significantly. Recipients planning their year filter by this.

Yes. Add a donorDiversityNote column or a donorPoolDemographics array. Recipients seeking donors who share their ethnic, religious, or cultural background filter aggressively on this, and clinics with thin diverse-donor pools struggle to serve them. Surfacing this avoids weeks of recipient research.

Some clinics partner with international donor banks (notably Spanish and Czech banks). Add an internationalDonorPartner column. Recipients open to international donors benefit from this filter, and clinics with strong international partnerships often have shorter wait times than US-only programs.

No. State laws on donor anonymity and disclosure vary, and some states are moving toward mandatory donor identification at age 18. Add a stateLawNote field per state hub explaining the local legal frame. This is increasingly important as Colorado, Washington, and others move on disclosure legislation.

Yes. Add a donorWaitWeeks numeric column. Recipients facing time pressure (advancing maternal age, single-cycle insurance benefits) filter heavily on this. Update via sheet permission given to clinic coordinators. Wait times shift weekly, so set cacheDuration to 24 hours or less for this category.