Case Study

Turning Surgeon Network Growth Into Financial Clarity for a Medical Device Startup

Native Orthopaedics is an innovative medical device company scaling a soft-tissue repair platform. As the company expanded its surgeon network, hospital relationships, instrument deployment, and inventory planning, leadership needed more than backward-looking books. They needed a forward-looking finance function that could connect sales process, inventory planning, supplier management, fundraising strategy, and cash flow forecasting.

Challenge

Rapid growth created a need for stronger forecasting, cash visibility, and inventory planning.

Industry

Surgical Medtech

Services

GrowthLab CFO Suite

• HR Support
• Accounting
• Financial Planning & Analysis
• Cash Flow Forecasting
• Inventory Planning Support
• Strategic Finance

Moving from growth assumptions to actionable financial visibility.

Growth and scaling created multiple opportunities to improve its financial picture :

• Procedure volume was ramping up, adoption depended on surgeon activation and surgery center approvals.
  
• Product launches were shifting, which created cash flow timing.
  
• Inventory and instrument availability directly affects how the company lights up new accounts.
  
• Supplier purchase orders required planning months in advance.
  
• Leadership wanted to understand near-term cash needs while also thinking about fundraising and long-term exit value.

The company had already built planning tools and assumptions internally, but wanted a finance partner to help turn those inputs into a disciplined forecasting process. GrowthLab’s role was to help connect the operational plan to the financial model and create a cadence that leadership could actually use.

A rolling forecast and cash-flow framework tied to real business drivers

GrowthLab began by aligning with the leadership team on the company’s near-term priorities: building a usable forecast, creating cash-flow visibility, and understanding how operational changes would affect financial performance.

The team focused on:

• Building a rolling financial forecast based on procedure volume, average sale price, product timing, and inventory needs.
• Translating expected procedures into revenue and cash expectations.
• Connecting supplier commitments and purchase orders to projected inventory demand.
• Creating a 13-week cash flow view to identify weeks where cash inflows and outflows could become tight.
• Reviewing historical performance and QuickBooks data to ground the forecast in actual financials.
• Supporting leadership with a recurring finance cadence during the initial buildout, with weekly meetings until the forecast and cash-flow framework were in place.
  

This approach helped shift the finance function from reactive reporting to active planning. Instead of looking only at what had already happened, the team could now evaluate what would happen if procedure volume accelerated, launches slipped, supplier commitments increased, or inventory constraints delayed growth.

Better financial visibility for scaling decisions

GrowthLab helped Native Orthopaedics build the foundation for a more disciplined financial operating rhythm.

With a more structured forecast, leadership could better understand the relationship between procedure growth, revenue, inventory requirements, and cash flow. This gave the team a clearer view into when cash might be constrained, where supplier commitments could create pressure, and how operational delays could affect financial outcomes.

The company also gained a clearer framework for evaluating growth scenarios. Rather than relying on high-level targets alone, leadership could connect assumptions around surgeons, procedures, instruments, product launches, and purchase orders to a more complete financial picture.

For a medical device company navigating growth, inventory, and fundraising conversations, that visibility is critical. GrowthLab helped turn the company’s operational plan into a finance system that could support better decisions at scale.

Final Thoughts

Native Orthopaedics came to GrowthLab with a complex scaling challenge: strong growth ambition, real operational constraints, and a need for better financial visibility. GrowthLab helped the company connect the dots between sales activity, inventory planning, supplier commitments, and cash flow.

The result was a stronger financial foundation for a product company preparing for its next stage of growth.