Growth Playbook
Prepared by for Wellbe, LLC · August 2026
The product is nearly built. What isn't built yet is the machine that puts clinicians on it - and then patients in front of those clinicians. This playbook makes one call: sell the supply side first, one metro at a time, and don't spend a dollar on patient demand in a market until that market has enough clinicians to be worth opening.
A

Where WZRD stands today

Built, and not yet launched.

The app is effectively complete and the backoffice is live in production, but it has not been formally taken to market yet - deliberately, and on your call. What this document is about is what happens when it is. Recruiting the first clinics and putting the first patients in front of them is a different job from building the platform, and it needs someone whose whole week is pointed at it.

B

Which side to sell first

This is the highest-leverage decision in the whole plan.

Recommendation · high confidence

Clinician supply first, patient demand second, and the gate between them is density - not a date. A patient who searches a metro with four clinics in it gets a bad answer, uninstalls, and is gone for good - a download you only get once, spent on an empty result. Density is what turns that risk off.

And density is measured per care area, per metro - because people look for care where they live. Somebody in Memphis needing a scan will not use a marketplace that is strong in Denver, so a national install count means nothing. What means something is one procedure, in one city, with enough places to choose between.

So patient marketing stays switched off until a specific care area in a specific metro clears a threshold you set together in the first month. Then it goes on hard for that pairing - creators, a research article and a cost-of-care press release, all naming the service and the city - and moves to the next pairing as it fills.

Don't

Run patient acquisition nationally, or in any metro that hasn't cleared the density bar. Paid traffic into a thin marketplace buys uninstalls, and the six-month clinician trial means you'd be paying to fill a market that isn't earning yet either.

Do

Pick one metro. Fill it with clinicians using outbound and partnerships, which are the two channels that work at low volume against a list you can name. Then open the demand channels in that one metro and let it become the template for the next one.

C

What a year of this builds

The first market is where the method gets built while it is being used. What a year buys is not one launch - it is a launch method that has been proven in one metro and can be pointed at the next one.

Early on, fix what leaks and build the list.

The pricing page, the store listings, and the measurement between a click and a paying clinic. Alongside it, the named list of every practice in the first metro worth contacting.

Through the middle, one metro fills.

Recruiting runs against that list and against the organizations those practices already trust. Care area by care area, the market gets dense enough to be worth showing to patients.

By the end, a proven way to open a market.

Patient demand opens where a market is genuinely full. The method that got it there is then known rather than guessed at, and it gets pointed at the next metro.

Why a year, and not a pilot

The first market is the expensive one, because the method is being worked out while it runs. Every metro needs its own list built from scratch, so what carries forward is not the list - it is the playbook. How to build and score that list, what research earns a practice's attention, which kinds of partner actually move clinics, and what density has to look like before patients are invited in.

How long one metro takes depends on the metro, and it may be well short of a year. A year is what makes the second one worth having, because that is when the method stops being an experiment and starts being repeatable. Stopping after the first market means paying to build the playbook and never running it.

The specific plays behind each stage are in What we'd run first, and what each of them costs in team time is on Build your team.

01

How a Designli GTM Engineer works

A growth operator with an engineer's discipline, sitting inside the same team that builds the product rather than in an agency running alongside it.

You pay for the person.

The same way every seat on your team is billed. No percentage of your ad budget and no management fee stacked on media spend - an agency paid a slice of your spend has a reason to tell you to spend more, and your engineer doesn't.

Every campaign is a hypothesis.

It enters with a number attached and a result that would tell us to kill it. When the number comes back the channel either scales or shuts off, and the budget moves.

Failures reported as plainly as wins.

A channel you have ruled out is worth nearly as much as one you have found. Both tell you where the next dollar should go.

On the media budget

No advertising budget is proposed here. Paid channels are deliberately the last ones to open, and what you spend gets set with you in the first month against your own economics - what a subscribed clinic is worth, and what you are willing to pay to get one. The only fixed number in this document is the person.

02

The loop every playbook runs

Four steps, on repeat, whichever channel is being tested. It is the same loop the product team already runs - the only thing that changes is what is under test.

1. Write the hypothesis.

Before anything ships we say what we expect it to do, and we name the result that would tell us to stop.

2. Ship the experiment.

One hypothesis per variant, so a result points at a cause instead of at a guess.

3. Read what happened.

Every stage of the funnel has one governing number, agreed at the start rather than chosen afterwards to suit the result.

4. Scale it or shut it off.

What clears the bar gets more budget. What doesn't gets stopped, and the money moves to whatever is working.

03

Example playbooks we can run

These are the six channels a Designli GTM Engineer runs for clients today. Each one has a working method behind it and an honest limit. Nobody runs all six at once - two or three at a time is a plan, and which ones depends entirely on the business.

Outbound.

"The whole job is deciding who we bother."

A list short enough to defend name by name, researched one company at a time, then reached through whichever door that person would actually answer - email, a call, a message, sometimes something that arrives in the post.

Earns a slot when you can describe your buyer precisely enough to build a list of them by name. Judged on real conversations with people who match that description, never on opens or clicks. The honest limit: it cannot fix timing - you are arriving on your schedule, not theirs.

Partnerships.

"Be a helper, not a shark in the lobby."

Rank the organizations that already have your buyer's attention, show up as a useful participant rather than as an advertisement, then build something together worth their audience's time.

Earns a slot when your buyers already gather somewhere and somebody else is already trusted in that room. Judged on partner-sourced conversations, on a longer window than any other channel. The honest limit: it is slow, and a room you burn is closed for good.

Content and original research.

"A gate is a decision with a price on it."

Lead magnets people actually use, guides that finish the question, research nobody else has, webinars you own the list from, and placement in the publications your buyers already read.

Earns a slot when there is an argument your market keeps having without data behind it. Judged on named people per asset, not pageviews. The honest limit: the volume is small by design, and part of the timeline belongs to an editor.

Search and AI visibility.

"You can't train ChatGPT."

Start from what people actually type, put the answer where an assistant can lift it and name you, publish on a fixed cadence, and re-ask the same questions every month to watch the answer move.

Earns a slot when people are already searching for what you do. Judged on new users and which pages get cited, by engine. The honest limit: it takes a quarter to read - and it is the only channel still working a year after it is paid for.

Paid media.

"The platform will always tell you it worked."

Instrument the funnel inside the product before a single click is bought, then change one thing at a time - the visual, the copy, the page, the offer - each running its full window before anyone calls it.

Earns a slot when you already know who your buyer is and want to find out quickly whether your message moves them. Judged on cost per paying customer, never cost per lead. The honest limit: it stops the day you stop paying.

Social media.

"Followers are the number that never comes back."

Two or three platforms rather than all of them, a calendar planned a month out, and everything else the plan produces given a second life here.

Earns a slot when you have something worth amplifying and somebody willing to put their name to an opinion. Judged on who subscribed and who was reading, never on follower count. The honest limit: it rarely shows up as an attributable lead source.

04

What gets built once, underneath all of them

Built inside your own accounts and yours to keep, whether we keep working together or not.

Who you are selling to, and what you say.

A named primary and secondary buyer, and the proof behind every claim you make to them, so every experiment after that points at somebody specific.

The map of where they already are.

The registries, associations and communities your buyers gather in, ranked, each with a route in. Events get judged on the same terms as every other channel.

What a customer is worth.

Cost to serve, contribution per sale, and the ceiling any acquisition cost has to stay under. It is the number every experiment gets judged against.

The audience itself.

A prospect list built out of that map and enriched, living in your accounts with a documented way to refresh it.

Measurement that can be trusted.

Tracking codes for every channel and asset, wired through to your CRM, so a click can be followed to a customer rather than guessed at.

Reporting on a cadence.

Every experiment closes with a number instead of an opinion - including the ones that did not work.

Of the six, these are the ones we would run

Outbound, partnerships and original research come first, because the people you need are a finite list you can name. Search and social follow on the patient side once a market is full. Paid media is deliberately not on the list - it does not recruit clinics, and pointing it at a thin marketplace buys uninstalls.

01

Build the practice universe

The core need is a backend database of real doctors' offices. The useful thing about that problem is that the answer is finite and public - in any one metro, every clinic that could be on WZRD can be found, named and scored before anybody is contacted. This is list-building before it is marketing.

1. Every practice in one metro, from public data.

The national provider registry lists every clinician and organization in the country with a specialty code and a practice address, state boards confirm who is still active, and federal facility files cover imaging and surgical centers. That is the spine of the list, and it costs nothing but the time to assemble it.

2. Not every practice is a buyer.

The ones worth contacting are the practices whose economics already depend on patients paying directly - direct-care and membership practices, cash-pay specialists, independent imaging, surgical centers. Those are separately listed in direct-care directories and free-market medical association rosters, which is where the first pass of the list comes from.

3. Score it, then cut it.

Cash-pay orientation, practice size against the plan you actually sell, specialty, and whether they publish any prices today. Size matters more than it looks: the Basic plan covers one clinic and three clinicians, so a solo or small practice is a clean fit and a twelve-clinician group is a conversation you don't yet have a price for.

4. Know what "full" looks like before you start.

Decide up front how many clinicians across how many specialties a metro needs before a patient search returns a real answer. That number turns an open-ended recruiting effort into a target you can burn down and report against every week.

Why this is list work before it is marketing

Most marketing starts by guessing who might be interested. Here you can skip that, because the population is finite and public - every practice that could be on WZRD in a given city can be named before anyone is contacted. Find the finite population, score it, work it one name at a time, and don't invite patients in until the supply side is worth showing them.

02

The price report - research as the outreach

The strongest thing WZRD can send a clinic is not a pitch. It is evidence about that clinic's own market that nobody has bothered to assemble.

What the same procedure costs across one metro.

Hospitals are federally required to publish machine-readable price files, and independent facilities increasingly post cash rates. Pull one city and a handful of common procedures, and the gap between the cheapest and the dearest provider for the same scan is routinely several times over.

One study, two audiences.

To a patient it is the argument the product exists to make. To an independent clinic that prices well it is proof they beat the hospital down the road, and the research becomes the outbound message rather than something sitting next to it.

A first line that is specific and true.

"We measured what this procedure costs across your market. You are well below the regional average and none of your patients can see that." That is a message a practice manager reads, and it cannot be sent to ten thousand strangers. The list gets cut until every name left on it could receive one.

Each report recruits the next one.

Clinics that want to be in the next edition ask to be included, which turns a study into an inbound queue. It also earns local and trade coverage, which is reach on both sides of the marketplace that no advertising buys.

03

Working the list, and the partners who carry a dozen at once

Outbound and partnerships run together. One reaches practices individually, the other reaches the organizations those practices already trust.

Outbound goes practice by practice.

Each clinic gets a message built from what was found about it, reached through whichever door a practice manager actually answers - email, a call, a message to the person who runs the office rather than the clinician who owns it.

The read: conversations with practices that match the profile. Opens and clicks decide who hears from you next and never count as a result on their own.

Partnerships reach a dozen clinics at once.

Free-market and direct-care associations, state medical and osteopathic societies, medical billing companies and practice-management consultants who already sell into exactly these practices. One relationship can carry a dozen clinics, which is a very different curve from contacting them one at a time.

The read: a longer window than any other channel, with the same hard stop. A partner that is going to be a dud is usually clear by month three.

The pricing page gets fixed first.

Three of four plans currently show $0.00 and placeholder text. Nothing above is worth running until the page a recruited clinician lands on argues for buying rather than against it.

Every clinic gets a number.

A monthly note showing the searches that surfaced them, profile views and calls placed. It is what makes the trial-to-paid conversation in month seven a report rather than an ask.

04

Where the bigger business deals are

Recruiting clinics one at a time fills a market. These are the moves that fill it faster, or that bring in accounts worth many times a single practice.

Put a price on everything above a single clinic.

Today one clinic with up to three clinicians is the only plan a buyer can actually purchase. A ten-site imaging group or a surgical center chain is worth many times that and currently has nothing to say yes to.

Win one recognizable name per market first.

Clinicians in a city know each other, and the second clinic in a care area is far easier to sign than the first. One well-known imaging center or surgical center is worth more than five anonymous ones.

Build the first listings for them.

The real barrier to joining is a practice manager sitting down to enter services and prices. Doing that work for the first cohort removes the reason most of them would stall.

Go through the software they already pay for.

Practice-management and medical-billing companies already sell into these practices and do not compete with you. One arrangement there puts WZRD in front of a list that took them years to build.

Reach employers through their brokers, on the enrollment calendar.

Self-insured employers decide once a year and take advice from a small, findable set of benefits brokers. That is a real deadline to sell against rather than an open-ended pitch.

Let clinicians refer clinicians.

Primary care sends patients to specialists and imaging every day, and those relationships already exist offline. Giving a joined clinic an easy way to bring the practices it already refers to turns each signup into more than one.

The one that unlocks the others

Pricing above the Basic plan is the gating item. Every play on this page eventually produces a practice too big for a single-clinic plan, and right now that conversation has nowhere to go. Settling those tiers is the first thing worth doing, because it decides how large a deal the recruiting work is allowed to produce.

05

Switching on patient acquisition

Nobody drives three states for an MRI. Care is bought where the patient lives, which means a national marketplace is not one market - it is a few dozen local ones that fill at different speeds. So the real unit here is a care area inside a metro, and that pairing is what has to be full before any patient hears about it.

How the switch actually gets thrown

Recruit clinicians metro by metro, and watch each care area fill inside each metro. The moment imaging in one city has enough facilities that a search returns a genuine answer, imaging demand opens in that city only - even if dermatology in the same city is months away, and even if imaging in the next city over has not started.

Every lever below then names the specific service and the specific city, because a claim that narrow is one the marketplace can actually keep. It is also what makes the marketing cheap: a creator, an article and a press release aimed at one procedure in one city cost a fraction of a national campaign and convert far harder, because the reader can check the claim against a clinic they can drive to.

1. Social media creators.

Local voices and health-cost creators, briefed to talk about the care area that just filled rather than the app in general. A creator sending people to a search that works is worth more than one with ten times the following sending them to an empty result.

2. The research article.

The price report for that city and that procedure, published as a real piece of work with the spread in it. It is the reason a patient believes the app is worth opening, and it is the same asset that recruited the clinics in the first place.

3. A cost-of-care press release.

Local outlets cover what a scan costs in their own city, because their readers pay for it. The findings are the story and WZRD is where the story is checkable - which is coverage no advertising budget buys.

The store listing and search run from week one.

The category fix, the metadata rewrite and the ratings prompt run from week one regardless, because they are free and they are the ceiling on everything else. Patient-side search pages for each cleared city and procedure follow the same gate as the three levers above.

Paid advertising is not on this plan.

Advertising does not recruit clinics, and pointing patient spend at a thin marketplace buys uninstalls rather than users. If it opens at all it opens late, tightly bounded to a care area that has already cleared the threshold.

The play with the most upside is already in your roadmap

Company network access - where an employer's people see only that employer's negotiated doctors - is already scoped on the development roadmap. Self-insured employers in one metro are a partnership motion that brings both sides of the marketplace at once: the employees arrive as demand, and the employer's existing provider relationships arrive as supply. It is the only play on this page that solves the cold-start problem from both ends.

01

Build your team

Turn people on and off, set each person's share of the week, and the investment updates live. Below the roster you'll see how much of the marketing plan actually gets run at the allocation you choose. All rates are your existing yearly-commitment rates - $10,000 a month for a full-time person, $6,250 for quality assurance.
$0 / month
 
Role
Share of the week
Per month
Product Owner $10,000 full-time
Enrique Duque. Writes the specifications, runs the sprint cadence, and owns the order of work.
Backend Developer $10,000 full-time
Diego Arevalo. The API, the payments migration, and the data model behind company network access.
Mobile & Frontend Developer $10,000 full-time
Didier Cruz. The app itself, the clinician backoffice, and the marketing site pages.
Fullstack Developer $10,000 full-time
Diego or Didier carried forward as one accountable owner across the whole stack, in place of two seats.
Quality Assurance $6,250 full-time
Marlon Carbonero. Test plans, regression checks and release readiness before anything reaches a clinic.
Designer $10,000 full-time
Currently on the team at a quarter of a week. Comes off the plan going forward.
GTM Engineer $9,500 full-time
New. Recruits the clinics first, then brings patients in once a market has enough of them to be worth searching - plus the research, the measurement and the reporting.

What you are paying today

Product Owner at half a week, a backend and a frontend developer full-time, quality assurance at half a week and a designer at a quarter - $30,625 a month. Every configuration on this page is measured against that number.

Marketing plan

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    02

    The three configurations worth comparing

    Each of these is one click away above. Two things worth noticing: adding a growth marketer does not have to cost more than you pay now, and a half-time engineer runs the same plan rather than a smaller one - it simply takes about twice as long.
    ConfigurationTeamPer monthvs todayPlays run
    TodayPO 50% · Backend 100% · Frontend 100% · QA 50% · Designer 25% $30,625 - None
    RecommendedPO 50% · Fullstack 100% · QA 50% · GTM 50% $22,875−$7,750All 12, half the pace
    Full growthPO 50% · Fullstack 100% · QA 50% · GTM 100% $27,625−$3,000All 12, full pace
    Keep both developers, add growthPO 50% · Backend 100% · Frontend 100% · QA 50% · GTM 50% $32,875+$2,250All 12, half the pace

    The point, in one line

    A full growth function, and a smaller monthly bill than you have today. Consolidating two developers into one accountable full-stack owner is what pays for it, and nothing is dropped from the plan - the remaining work carries on, with someone finally pointed at filling the platform.