A first draft, built from what you shared with Paul on November 5. Read it against the other options you have looked at, and bring your hardest questions to the call with Dan.
For Mike Romagnoli, Acorn Biolabs · November 6, 2026 · First draft for discussion
I want to run this company like a SaaS company as opposed to hiring 60 reps and putting them in all these markets
Mike, November 5Instead, "feed my RSMs with good leads that we run through the deck over Zoom."
If I get to 3,000 in the next year and a half or two, that's an absolute home run.
Mike, on the goalFrom about 300 accounts today. "I don't want the other 52,000 transactional focused med spas."
It has to feel human.
Mike, on the search"A very narrow targeted search will be most effective."
"I get your sample to the lab. I've got to track that sample through the process. Is it being stored only? Is it being stored and used? If it's being used, how long until it arrives in practice?"
Where you see it going
my entire company to live inside this ecosystem
The practice types you named: aesthetic, longevity, wellness, regenerative medicine, plastic surgery and med spa clinics, filtered down by your fit test.
The people who decide: owners, plastic surgeons, medical directors and practice managers, each with a checked work email.
Your current accounts, the practices your reps already work, and every practice that fails the fit test.
Is it the number of providers, a regenerative or longevity line already on the menu, the patient mix, or something else? You know which signs mean a practice embraces the complexity. The search uses yours.
A short list of the right practices gets messages written for each one. A long list of the wrong ones gets generic messages, and those read as automated. Narrow is how it stays human.
The wording is set with you, every message speaks to that practice, and no warm reply ever gets an automated answer.
Practices that already know who Acorn is and asked to see more, so their time goes to presentations and to supporting the practices that sign.
New practices reached, warm replies, presentations held and practices signed, for each region and each RSM.
The productivity view you described, on the metrics you choose, so each region's trend is one screen away.
Each signed practice, its training, its pull-through rep and its activity, beside the outreach that brought it in.
It connects to the CRM you run today, or replaces it with one built for Acorn. Either way the data and the system are yours.
Which metrics define a productive month for an RSM, and which CRM records move across.
Built from your words on November 5. The steps are a first draft until your team confirms them.
Practices, presentations, regions and RSM productivity.
Who was reached, what they replied to, and which messages bring presentations.
The sample path from practice to lab and back, and practice training.
To scope with you on the call.
Each team sees the same record its own way. The first build covers the commercial side and the sample path, and the rest is planned with you once that runs.
The search, the outreach, and the CRM with your regions and the sample path, shaped with you.
We run it alongside your team, and your RSMs and operations people learn it on live practices.
Acorn owns every part of it. After handover your only ongoing cost is the tools it runs on.
You said building with AI is now the easy part, and that what you are buying is the partnership.
That is how the model is set up. The work is understanding Acorn with you and getting it right on live practices, and the end state is your team running it without us. One point of contact throughout.
Replies show in the system as they land, from the first week of outreach. The order and dates are set with you on the call.
A US distributor of injection molding machines. We ran outreach sent in each field rep's own name, each on their own territory. Before that, their growth came from trade shows and the quote book, and the field reps did not prospect.
We also built a phone line and a phone app where reps speak their visit notes. Each note is written back into the CRM as a completed task, so the CRM stays current without typing.
A US supplier of parts, service and equipment for imaging systems. We built and ran a full outbound channel for them, combining cold email with direct messages, reaching procurement, imaging and clinical engineering buyers. Before that, their growth came from cold calling and manual email done in office hours.
Dan walks through the economics live on the call, set against the other options you have looked at.
Paul stays your point of contact throughout. Anything you want answered before the call, send to him.