Case Study: Start-up to Exit in 4 Years - global Medical Device Company

Overview

An early-stage medical device company, specializing in custom 3D-printed implants, needed operations and financial clarity and a strategic structure to scale rapidly in a competitive, highly regulated market.

Challenges

  • Limited financial visibility during early growth

  • Maintaining cash flow while preparing for outside investment

  • Building the financial foundation to support rapid expansion

  • Operations in multiple countries simultaneously

Our Approach

  • Financial Infrastructure: Built the financial systems and reporting models needed to manage growth

  • Revenue & Cash Flow Forecasting: Modeled various growth scenarios to guide capital allocation

  • Operational Oversight: Streamlined operations and controlled costs

  • Strategic Positioning: Structured financials for both investor due diligence and future exit planning

Results

  • Grew from startup to $6M in gross sales within four years

  • Successfully positioned the company for acquisition

  • Additive Orthopaedics was acquired by Paragon 28 for $25M

  • Stayed on through the transition, ensuring continuity and operational stability

Key Takeaway

By leveraging The Millington Group as a strategic financial partner, our client achieved both scalable growth and a profitable exit — proving the power of financial clarity and disciplined execution.

Case Study: From chaos to confident - a $30M Insurance Agency

Overview

A mid-sized insurance agency generating over $30 million in annual sales was operating without a structured financial system. Leadership lacked the ability to measure profitability, forecast cash flow, or make confident strategic decisions.

Challenges

  • No centralized financial system in place.

  • Inability to see real-time income and expense trends.

  • No forecasting capabilities to support growth and risk management.

  • Limited visibility into cash vs. accrual-based performance.

Our Approach

The Millington Group implemented a complete financial transformation by:

  • Migrating to QuickBooks Online (QBO) to create a scalable, modern accounting infrastructure.

  • Establishing dual reporting systems (cash basis and accrual basis) to give leadership a clear picture of both immediate liquidity and long-term profitability.

  • Developing trend analysis tools to track revenue growth, expense patterns, and seasonality.

  • Building forecasting models that projected profitability and cash flow over the next 12–36 months, enabling proactive decision-making.

Results

  • Immediate access to real-time financial insights.

  • A clear line of sight into income and expense drivers.

  • Forecasting tools that gave leadership confidence in planning for growth.

  • Transformation from reactive to strategic financial management.

Key Takeaway

With The Millington Group’s financial leadership, the agency gained the clarity and systems needed to grow beyond $30M in sales while managing risk and preparing for future expansion.