From Flat to Fast: Outsmarting the Comfortable Revenue Results Curve

Case Study: How we unlocked $20M+ in new revenue for a Market Leader with CommercialEx Partners & The Hill Resource Group

Background & Challenge

A global leader in respiratory and digestive health consumables hit a critical growth ceiling. Despite a strong product portfolio and market presence, revenue stalled, commercial teams operated in silos, and the strategic direction felt more dictated than data driven. Leadership recognized the need for a revitalized revenue engine, one aligned to leading benchmark market dynamics, buyer expectations, and internal capabilities. They engaged with Michael Acevedo and Carolyn Hill to uncover untapped growth opportunities, realign the commercial engine, and integrate HR strategies to unify the organization post-acquisition setting the foundation for scalable, sustainable revenue expansion.

Objective

The primary objective was to unlock latent revenue potential, revitalize sales performance, and position the company for robust and profitable revenue expansion. This included aligning a small capital acquisition salesforce with existing sales culture and enhancing employee engagement to support commercial goals. This was not a theoretical exercise, it was a hands-on sprint designed to calibrate and energize commercial and HR strategies.

Diagnostic Imperative

Our engagement began with a comprehensive commercial assessment, touching every critical area of the business:

  • Sales Structure & Performance Audit: Reviewed organizational design, performance by segment/territory, incentive alignment, and pipeline coverage.

  • Voice of Customer (VoC) & Voice of Employee (VoE) Interviews: Conducted across all levels and geographies to capture the true drivers of growth and bottlenecks from the ground up. Assessed cultural differences between the acquired salesforces account management (farmer) focus and existing sales force hunter sales profile, identifying gaps in engagement and performance management processes.

  • Market & Competitive Landscape Analysis: Identified whitespace opportunities in underpenetrated markets and segments.

  • Commercial Talent Review: Assessed whether the right people were in the right roles with the right tools to win.

  • Return on Effort (ROE) Study: Analyzed how reps were spending time vs. where revenue and margin were being generated. Created unified incentive structures rewarding hunter behaviors, balancing short-term wins with long-term account growth, aligning sales and marketing.

  • CRM and Sales Enablement Tech Audit: Evaluated adoption, usability, and the ability to drive pipeline velocity. We conducted a comprehensive commercial and HR audit across sales, marketing, customer engagement, performance evaluation systems, job profiles, and compensation strategies. Key findings: 
  • Incentive Misalignment – Sales and marketing operated with conflicting goals, eroding performance
  • Top-Heavy Strategy – A board-driven, top-down GTM approach disconnected from front-line realities
  • Complacency in Core Functions – CRM, competitive analysis, and talent accountability had stagnated
  • Opportunity Blind Spots – White space in underpenetrated segments and geographies was ignored
  • Cultural Disconnect – Acquired talent farmer-oriented salesforce lacked the proactive hunter mentality, impacting sales velocity.

  • Outdated Performance Processes – Legacy evaluation systems failed to drive accountability or align with new strategic goals.

75+ internal and external stakeholders were interviewed. An extensive VoC & VoE initiative uncovered the untapped performance levers hidden in plain sight.

Deliverables & Strategic Recommendations

Following the assessment, we delivered an actionable commercial acceleration plan that included:

  • New Revenue Stream Recommendations: Streamlined product portfolio Including potential new channel partners and adjacent verticals. Acquired small capital complimentary product adjacency. 
  • Optimized Sales Org Structure: Realignment of roles, territories, and incentive structures to drive accountability and performance. Developed a framework to blend cultures, using strategy sessions and team-building workshops to align diverse sales mindsets. 
  • Revised Go-To-Market Strategy: Realistic, market-informed GTM plans tailored for each product category and channel. 
  • Messaging and Positioning Refresh: Revamped value propositions to increase close rates and reduce sales cycle length. 
  • Sales Training, Enablement Tools, and CRM Enhancements: Recommendations to streamline sales process, drive adoption, and track performance, instill a practice of obtaining “the most amount of business in the shortest period of time”. Implemented targeted training for acquired sales force on hunter sales techniques, CRM adoption, and strategic account penetration, leveraging ADKAR’s change management methodology 
  • KPI and Executive Dashboard: Rolled out a live performance dashboard tied to activity-based and outcome-based metrics. 
  • Leadership Communications & Change Management Plan: Ensured alignment, buy-in, and momentum across the organization.

Execution, Implementation, & Accountability

Execution is the mandate, Implementation is the discipline, Accountability is where strategy becomes revenue.


An accountability model was implemented to drive engagement and accountability at key levels of the organization. Reps were asked to commit to closing 5 business segments a quarter at a 90% probability rate. First line managers were asked to identify 5 business segments from their respective sale rep teams and close these at a 100% rate. 2 nd line management and marketing were asked to identify 5 business segments for the 1st line managers and close these at 100%. The executive level was asked to identify 2 business segments and commit to assisting with closing 2 of these per quarter. The result was a bottom up and top-down ownership that resulted in visibility and accountability at all levels of the organization leading to a strong results-oriented culture where everyone is involved and has ownership, incentives became aligned at all levels. HR reinforced this through regular engagement surveys and coaching to sustain cultural alignment and morale. 


Revenue increased to a 6-year CAGR of 4%, +$20 million in incremental revenue

  • Executive Leadership Engagement: This ensured alignment and accountability from C-level stakeholders throughout the commercial organization. A result-oriented culture of engagement, visibility, and accountability up and down the commercial organization was developed and engrained
     
  • Team Coaching & Development: Managers and reps were empowered to make the business decisions that they owned and were comfortable with. Due to engagement up and down the commercial organization, the sales teams were equipped with the support, tools and confidence to execute.
     
  • Dynamic Commercial Dashboard Ownership/Market Performance Reviews: Due to the visibility of the business segment commitments that needed to be submitted with YTD expected incremental revenue and expected annual revenue, the quarterly cadence resulted in increased forecasting accuracy, win/loss analysis, and funnel velocity. Clear performance dashboards were developed and communicate to all to track in-flight KPIs and pivot quickly
     
  • Advisory Support: The lock-step partnership and collaboration with HR is critical to the success of the entire process. Assessing existing talent, making talent decisions deploying the right talent in the right positions, hiring and onboarding next-gen sales talent, and fostering a unified culture through engagement initiatives were all imperatives that needed to be executed to equip the organization to compete in today's buying environment.
     
  • Aligned Incentives: Designed a modern, tiered evaluation system with clear goals & objectives, regular feedback, and performance improvement plans to drive accountability and hunter sales goals.

Results

Within 90 days, early wins included:

  • 100% increase in qualified pipeline
     
  • 100% lift in rep productivity or forecast accuracy
     
  • 100% confidence in new market or channel penetration success
     
  • A clear commitment was developed within the entire commercial organization to be results oriented and focused on the objective of meeting the organization’s commercial revenue goals.

Metric Category

Before

After (Target or Actual)

Impact

Qualified Pipeline Coverage

1.7x

3.2x

90% increase

Sales Rep Productivity

$420K quota per rep

$600K quota per rep

43% improvement

Sales Cycle Length 

~180 days

<90 days

90 days faster close rate

CRM Adoption (Active
Users)

47%

90%+

Doubled visibility and forecast accuracy

Customer Win Rate

23%

34%

48% lift

VOC/VOE Insights Uncovered

N/A

75+ stakeholder interviews

Clear roadmap from internal & external voices

Expansion Revenue Channels

0

2 (LTC and ASC)

New revenue growth unlocked

Rep Time on High-Margin Products

41%

68%

Reps focused on where profitability lived

Executive Dashboards Implemented

None

3 dashboards live

Leadership visibility established

Employee Engagement Score

N/A

85%

Unified culture post-integration

Performance Evaluation Completion

65%

95%

30% Improvement

Management Philosophy

Throughout the engagement, we deployed a proven leadership and communication style grounded in clarity, execution, and accountability:

  • “Make the Complex…Simple” – Because complexity kills execution.
     
  • “What People Don’t Know, They’ll Make Up” – Clarity eliminates confusion.
     
  • “Silence is Acceptance” – Lack of feedback allows inefficiencies to persist.
     
  • “DONE is a Four-Letter Word” – Accountability drives delivery.
     
  • “Inspect What is Expected” – Visibility and follow-through create momentum.
     
  • “Success Breeds Success” – Celebrate wins to build performance culture.
     
  • “Look Out Overhead” – Anticipate challenges and plan through them.

Conclusion

This Respiratory and Digestive Health Consumables sector is now positioned with a revitalized commercial foundation, better visibility in performance, a sharper GTM strategy, and a sales organization aligned to the opportunities ahead. This engagement exemplifies how targeted commercial strategy, grounded in execution and team alignment, can unlock fast, meaningful growth even in mature markets. 


Through this process 75+ stakeholders were involved, high-potential growth levers identified, a new cross-functional GTM framework launched, a unified culture established, and the average sales cycle reduced by 38%. The company now has a revenue roadmap supported by high-performing teams, a clearer value proposition, and a forward-looking sales strategy aligned to executive objectives.

Meet the people behind these results

Hi, I'm Michael Acevedo

Michael Acevedo delivers what others promise: high-performance teams, scalable revenue growth, and market domination. With over 35 years of leadership in medical device sales and marketing, he is a trusted expert in building championship teams.

As the founder of CommercialEx Partners, Michael equips startups to global enterprises with strategies that transform vision into execution. His hands-on approach, rooted in strategic alignment, tactical accountability, and customer obsession, has driven predictable, repeatable growth.

A recognized turnaround leader, Michael holds an MBA from Pepperdine, a BS in Business from the University of Redlands, and executive training from Wharton, Korn Ferry, and Johnson & Johnson. Six Sigma certified, he is the growth partner for companies that refuse to lose.

Hi, I'm Carolyn Hill

Carolyn A. Hill, MBA, is a seasoned HR executive with over 20 years of leadership experience across pharmaceuticals, medical devices, and more, now based in Tampa, FL.

As Founder of The Hill Resource Group, she provides fractional HR leadership and project-based guidance during growth and transformation. At Avanos Medical, Carolyn led a $600 million divestiture and post-M&A integration, through talent management, culture transformation, and HR system implementation.

Her expertise spans strategic HR planning, mergers & acquisitions, succession planning, and change management, supported by certifications in Prosci’s ADKAR methodology and Wiley DiSC facilitation. Known for integrity and collaboration, Carolyn brings structure and results to complex challenges.

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