Pinnacle Fertility

Beth Zoneraich serves as CEO, leading a management team that includes Michelle Spatafore, Shruti Sood, Teri Vella, RJ Zeigler, and several other named executives. The firm operates as a management services organization, meaning corporate leadership oversees administrative functions while affiliated clinics maintain their own professional medical corporations.

Pinnacle Fertility is a management services organization (MSO). It does not provide medical services directly and does not employ physicians. Instead, it supplies non-clinical support — HR, finance, marketing, technology, and compliance — to a network of independent fertility clinics that deliver patient care under their own medical entities.

Affiliated clinics offer in vitro fertilization (IVF), intrauterine insemination (IUI), egg freezing and fertility preservation, genetic testing, egg donation, and surrogacy services. Pinnacle also operates a National Egg Bank and a surrogacy services line, with a proprietary pharmacy supporting the network.

The network includes over 40 clinic brands operating across 50-plus locations nationwide. The firm reports more than 20,500 new patients and 10,600 egg retrieval cycles annually, supported by roughly 1,000 team members and 50 reproductive endocrinology and infertility (REI) providers.

Pinnacle's MSO structure sets it apart from hospital-owned fertility centers or publicly traded providers like Progyny, which focuses on fertility benefits management rather than clinic operations. Pinnacle centralizes back-office functions while leaving clinical decision-making to affiliated physicians, a model that mirrors physician-practice management roll-ups in dermatology or ophthalmology more than traditional healthcare providers.