Internal Operations

Early-stage companies often face executive-level decisions before they have executive-level infrastructure. At Elm Innovation Advisors, we fill that gap, providing outsourced Chief Financial Officer and Chief Commercial Officer support to help founders and boards manage complexity, scale more effectively, and stay focused on what matters most.

We serve as an extension of the leadership team, bringing structure, insight, and discipline to areas that drive enterprise value. Whether the goal is to prepare for a financing round, evaluate commercial options, or build internal planning systems, we provide senior-level guidance without the fixed cost of a full executive hire.

In addition to functional leadership, we support organizational development, helping early-stage companies establish the processes, roles, and rhythms that enable strong execution and sustainable growth.

Our internal operations services include:

  • Outsourced CFO/VP Finance Support – financial model ownership, board and investor reporting, capital planning, KPI development, budgeting and forecasting, financial operations oversight

  • Outsourced CCO Support – go-to-market strategy, channel and pricing design, early customer engagement strategy, commercial readiness planning

  • Cross-Functional Planning – integrating product, commercial, and finance roadmaps to support resource allocation and milestone achievement

  • Board and Investor Interface – serving as strategic thought partners on financial and commercial matters with internal and external stakeholders

  • Org Design and Operating Cadence – advising on team structure, roles and responsibilities, decision-making processes, and early-stage operational discipline

We help our clients operate with the maturity, speed, and focus of companies many times their size.

man sitting on purple cushion armchair

Creating scale & organizational leverage

Internal Operations

Business Outcomes

Our internal operations support gives founders and management teams the executive-level firepower to lead with confidence—without slowing down or overbuilding too early. Outcomes include:

Stronger Financial Discipline and Visibility

From cash flow management to scenario modeling and board reporting, we bring financial structure and insight to decision-making, supporting both day-to-day execution and long-term planning.

Clearer Commercial Pathways

Through focused go-to-market thinking and early customer insight, we help companies sharpen their commercial strategy and build investor-ready narratives.

Improved Stakeholder Confidence

With credible internal systems and clean, consistent reporting, clients gain trust with investors, boards, and external partners—especially in capital-raising or transaction contexts.

Aligned Cross-Functional Execution

We help companies connect product, finance, and commercial workstreams so that teams operate from a shared plan, with clear priorities and accountabilities.

Scalable Operating Infrastructure

We lay the foundation for future growth by helping clients build lightweight, fit-for-purpose systems, avoiding both underbuilding and premature complexity.

Industries

Life Sciences

Healthcare

Technology / IP-Based