Latest / The Advancing Healthcare Innovation Show / E196: The VC Who Spent 20 Years Grilling CEOs on Wall Street | Bryan Hunt
Transcript
- 0:01[music]
- 0:11Hello and welcome back to the Advancing
- 0:13Healthcare Innovation Show. I'm your
- 0:15host, Michael Stamatinos, and if you're
- 0:18new to us, welcome. super excited to
- 0:21have you here because we're having some
- 0:23just phenomenal conversations with real
- 0:25leaders that are changing the trajectory
- 0:29of healthcare and we're pretty
- 0:31passionate about a few different areas.
- 0:32We're passionate about innovation about
- 0:35transformation and adoption of that
- 0:37innovation and access and investing. And
- 0:39if it's your first time tuning in, let
- 0:42me just sort of tell you a little bit
- 0:44more about what we're trying to get done
- 0:45here. So, we're focused on bringing real
- 0:48stories of innovation and leadership to
- 0:49life. And our aim is highlighting real
- 0:53people that are in the trenches getting
- 0:56stuff done, making things better, and
- 0:58giving them the space to be able to
- 0:59share their stories, their little wins,
- 1:03their learnings with our community, and
- 1:06ultimately with the world. So, if you
- 1:08haven't had an opportunity to check out
- 1:09any of our historical interviews,
- 1:11wherever you are, however you're
- 1:12consuming this, if you're watching this,
- 1:14if you're listening to this, please hit
- 1:16the subscribe button now so that any of
- 1:18the new interviews come directly to you.
- 1:22Pretty excited about today's
- 1:23conversation and I'll give you a few
- 1:25reasons why. So there are people who
- 1:27build companies and then there are
- 1:29people who fund companies. And then
- 1:32there's a very small group of people who
- 1:36spend their entire careers studying why
- 1:40companies either succeed or fail.
- 1:44Today's guest is one of those people. So
- 1:47Brian Hunt is the general partner at
- 1:49Relevance Ventures. So before becoming
- 1:52an investor, Brian spent more than two
- 1:55decades at Wells Fargo Securities as one
- 1:58of the Wall Street's leading analysts.
- 2:01So think about that for a second. For
- 2:04over 20 years, uh his job is to sit
- 2:06across from CEOs, founders, and
- 2:10leadership teams and basically try to
- 2:13answer some really hard questions like,
- 2:16"Hey, is this company built to last?
- 2:18uh is this leadership team seeing
- 2:21something different that that others
- 2:23don't? Um is the market ready? And and
- 2:27maybe even more importantly
- 2:29and and I think this is a is this a
- 2:31great story or is this actually a great
- 2:34business
- 2:36and I think after studying thousands of
- 2:38companies from the outside I think Brian
- 2:40eventually moved into the other side of
- 2:43the table. So today he helps founders
- 2:47build and scale companies through
- 2:49relevance ventures where they're
- 2:51investing in areas like healthcare,
- 2:53medical technology, wellness, uh, and
- 2:56businesses trying to solve meaningful
- 2:58problems. And and to me, Brian brings a
- 3:01very relevant perspective that we need
- 3:03more of in healthcare because I don't
- 3:05think healthcare has a shortage of of
- 3:07ideas. If anything, we have a lot of
- 3:10incredible scientists. We've got an
- 3:12amazing clinicians. We've got really
- 3:14awesome founders. I think the harder
- 3:16question for me is is how do you take an
- 3:20idea and actually turn it into something
- 3:23that survives
- 3:25uh something that scales and even
- 3:27something that ultimately changes
- 3:29people's lives. So today we're going to
- 3:31talk about um some things that are very
- 3:34interesting to me. You know, patterns
- 3:36that Brian has seen over decades of
- 3:40studying companies in terms of what's
- 3:42what sort of separates exceptional
- 3:44founders from everyone else. You know,
- 3:47where innovation is headed and what it
- 3:50takes to build something that lasts. So
- 3:52Brian, great to see you. Welcome to the
- 3:55show.
- 3:57>> Wow, I'm on the uh other side of the
- 3:59screen blushing. Thank you so much.
- 4:01There's so much we could cover that from
- 4:04that just from that introduction. Um,
- 4:06you know, I I will tell you, uh, you
- 4:09know, just hitting the reset. Yeah. on
- 4:11my background. I I will tell you the
- 4:14most fascinating conversations I had
- 4:18really came from the analysts that were
- 4:21representing money managers,
- 4:23>> analysts that were uh you know,
- 4:25portfolio managers because
- 4:29their jobs were on the line. They were
- 4:31representing capital. That's what I'm
- 4:33doing today. And and I think when you
- 4:36know when you're a a young analyst, a
- 4:40young portfolio manager representing
- 4:43capital and trying to learn from an
- 4:47analyst like myself that had been
- 4:48through been on Wall Street for 20
- 4:51years, you know, though they asked the
- 4:54most difficult and innovative and ground
- 4:58zero questions.
- 5:00>> Yeah. and and to tell you
- 5:03>> um I I came away smarter every time I
- 5:07was on the road. I came away with better
- 5:09questions every time I met with this
- 5:12group of individuals and I made sure
- 5:15being the I I guess you know the the old
- 5:19guy on the street when I was when I was
- 5:22there and way we said it was like dog
- 5:23years one year as a sellside analyst was
- 5:26like seven years in any other job. Um,
- 5:29but I always made sure when I went on
- 5:30the road to visit a company that I
- 5:34always took a couple of very smart, very
- 5:37young, very, I'm not going to say naive,
- 5:42but starting from zero people, starting
- 5:46from zero career individuals because
- 5:49they always asked the best question. you
- 5:53know, when you'd been around, you're
- 5:54like, you know, you understand, you
- 5:56believe you understand how things work,
- 5:59>> but you know, when you ask a question,
- 6:02when you're starting from the beginning,
- 6:06>> right?
- 6:07>> That's when you really learn a lot about
- 6:10the structure of the company.
- 6:11>> Um, and I'm going to keep going on on
- 6:15you know what I think is fascinating is
- 6:16that you've you've built a career around
- 6:20judgment.
- 6:21So understanding people, understanding
- 6:23patterns, understanding whether
- 6:26something is real,
- 6:28where I mean where do you think that
- 6:30initially came from? Do you think that's
- 6:32something that's just developed over
- 6:34time or do you think there was something
- 6:36initially in you early on you know
- 6:38someone influenced you? I'm I'm just
- 6:40fascinated by that. But you know I I was
- 6:43I was fascinated by I was fascinated by
- 6:46money to begin with and I was fascinated
- 6:49by systems
- 6:52and now over time you realize you know
- 6:56whether it was as a sellside analyst or
- 6:58in the position I'm in today is even I
- 7:01think it's more important to find the
- 7:06missionaries not the mercenaries. So
- 7:09originally what do you mean by that?
- 7:11Well, I would tell you mercenaries are
- 7:13in it for the the money. Missionaries
- 7:17are in it for the purpose.
- 7:20And when you [clears throat] find a when
- 7:21you find a founder
- 7:23that is trying to solve a problem that
- 7:27is personal to them,
- 7:29that's when you find the individual that
- 7:33won't give up. That's when you find the
- 7:36individuals that's not in it for the
- 7:38money. They're in it to solve a problem
- 7:41to make whatever and and and it's really
- 7:45about all of us, right? At the end of
- 7:47the day, it's all about humanity.
- 7:50They're trying to find a solution to
- 7:53improve humanity. And and I I listen to
- 7:57a lot of podcasts and I read a lot, but
- 7:59what you find is those missionaries in
- 8:03the event of solving the problem end up
- 8:06making a lot [clears throat] of money.
- 8:07So if you could solve the problem and do
- 8:10it passionately and find the you know
- 8:12one of the best solutions to whatever
- 8:15problem you have or whatever problem
- 8:18you've discovered that is personal to
- 8:20you whether it happened to somebody in
- 8:22your family or whether it happened to
- 8:24some one of your friends.
- 8:27Those are the those are the people that
- 8:29you put money behind because they won't
- 8:33quit. they will find the resource to
- 8:37help them solve their problem
- 8:39>> whether it is whether it's funding or
- 8:42whether it's external expertise or
- 8:45whether it's through their own learnings
- 8:48about how to solve the problem you know
- 8:51and and there's plenty examples of that
- 8:53you know that I say plenty there's
- 8:54several examples of that with that we've
- 8:56invested in where yeah we found a
- 8:59missionary would put money behind them
- 9:02and lo and behold old you know it has
- 9:05become one of the
- 9:08best companies in the industry sector
- 9:11>> let's talk about let's talk about the
- 9:12example I mean if there's one that comes
- 9:14to mind love for you to share it
- 9:15>> there there's yeah there's one that
- 9:17comes to mind that that really you know
- 9:19fits the whole healthcare mantra um and
- 9:23so where we like to invest as an
- 9:24organization I'll give you a little bit
- 9:26about our organization
- 9:27>> and and then you'll see that we're we're
- 9:31missionaries not mercenaries
- 9:33Um, you know, we we come from Relevance
- 9:36Ventures is one of two
- 9:39native independently owned venture
- 9:42capital firms that's independently owned
- 9:43by Native Americans. And so if you look
- 9:45at all the problems on Native American
- 9:47uh uh lands
- 9:51on reservations,
- 9:55their health problems, their community
- 9:58problems are amplified
- 10:01multiple times over relative to the
- 10:03general population. So whether it's
- 10:05diabetes or mental health or just
- 10:08safety, housing, clean water and and so
- 10:11we're investing in health care companies
- 10:14that are both preventative and curative
- 10:17that provide access
- 10:20as well. We think that is a major
- 10:22problem throughout the throughout the
- 10:24country. And and so when you align all
- 10:28of these objectives, it's we decided to
- 10:31invest in kind of four pillars of
- 10:33healthcare
- 10:34>> which is community health, digital
- 10:37health, individual health, and financial
- 10:40health.
- 10:41>> And you know, I'm not going to this
- 10:42isn't a commercial for relevance
- 10:43venture, but those are the four pillars.
- 10:46And and so
- 10:47>> we use those filters to find this
- 10:50company called Tuliatry. Tuliatry
- 10:54has more W2 psychiatrists on staff than
- 10:58any company in the United States and
- 11:01potentially in the world. Um,
- 11:04when we invested in them, the story was
- 11:08of the founder had a mental health
- 11:12challenge. He tried to use his wonderful
- 11:16healthc care insurance program to get
- 11:19access to a provider in New York City.
- 11:22Lo and behold, half the industry's cash
- 11:24pay. There's a waiting list three months
- 11:28long. So half the industry cash pay
- 11:30industry, you know, there's other
- 11:31waiting list three months long. And I'm
- 11:33having a mental crisis. How do I solve
- 11:37my problem,
- 11:38>> right?
- 11:38>> And so he ended up solving his problem,
- 11:41but in the process, this person was an
- 11:43analyst. He was he came from my world
- 11:46of, you know, high yield and and
- 11:50leverage loans. And so being a great
- 11:52analyst, he's like, "There's a problem
- 11:54here. This is personal to me. I'm a
- 11:57missionary. I'm going to fix it." So we
- 12:00invested in when they had six
- 12:03psychiatrists. Now they have 800. And
- 12:06this is in five years. The the company
- 12:11has done uh a study of 1,800
- 12:16outcomes in depression and anxiety. and
- 12:20their outcomes with those patients is
- 12:24almost three standard deviations better
- 12:25than the industry. Why? Well, Robert the
- 12:29founder and and I'm not I'm not giving
- 12:31you any information that you can't find
- 12:33on your own.
- 12:34>> His story is on their website,
- 12:36>> but Robert the founder realized that
- 12:38there was two problems. Not only is
- 12:40access a problem,
- 12:41>> but also psychiatrists are leaving the
- 12:43industry at a 1% clip annually. So
- 12:45there's psychiatrists leaving the
- 12:47industry takes takes eight years to grow
- 12:50one. How do we fix this access problem
- 12:53>> is one access is money,
- 12:56>> right?
- 12:56>> But excess is also technology.
- 13:01So they're telescsychiatry. Half the
- 13:04counties of the United States don't have
- 13:05a psychiatrist. Threearters of them
- 13:07don't have a child psychiatrist. And
- 13:09there's only a couple thousand geriatric
- 13:11psychiatrists in the country. So how do
- 13:14we solve the access problem? Tell tell a
- 13:17psychiatry tella health
- 13:21>> but what's even more important is
- 13:23they're starting to employ technology
- 13:27on the back end to help on two two
- 13:31issues. One, if a psychiatrist isn't
- 13:34happy, burnout was a major problem in
- 13:36the industry. Yeah. Yeah.
- 13:37>> So, Robert analyzed all the problems
- 13:38that that psychiatrists were having and
- 13:42how to prevent burnout.
- 13:44He's addressed those. So, I've improved
- 13:47the retention of my psychiatrist.
- 13:49>> I've improved access. But now, how do we
- 13:52really magnify the whole flywheel?
- 13:55>> It's through AI and other technologies
- 13:59that improve efficiency,
- 14:00>> right? So, if I can give my psychiatrist
- 14:03the opportunity to have AI help them,
- 14:07and I don't know if they're doing this,
- 14:09but I assume they are, but help h have
- 14:12AI help them process all their notes.
- 14:16>> Yeah.
- 14:18>> Interesting.
- 14:18>> File all my claims. So, now I can pick
- 14:21up a couple of appointments, one
- 14:24appointment every day, maybe five to six
- 14:25appointments through the week. So when
- 14:28you expand capacity because we're takes
- 14:31takes eight years to make a new
- 14:32psychiatrist but if I can take my
- 14:33current psychiatrist and expand their
- 14:35capacity through through technology
- 14:38then all of a sudden I've created a a a
- 14:43flywheel and a new structure for
- 14:47practicing in the industry which one
- 14:50satisfies the consumer satisfies the
- 14:53psychiatrist
- 14:54>> and ultimately
- 14:57>> satisfies ies the need to expand
- 15:00capacity in this industry that's got a
- 15:03massive massive shortfall. So those are
- 15:07those
- 15:09excited about
- 15:10>> that's so interesting. You talk about
- 15:12the
- 15:13>> mercenary versus the missionary.
- 15:15>> Yeah. Mercenary versus a missionary. So
- 15:17>> but when they but when you meet when you
- 15:19meet an exceptional CEO
- 15:23>> um was it was and he sounds exceptional.
- 15:25Was it obvious immediately
- 15:28or did it look like strange at first and
- 15:30took time?
- 15:30>> I l So this is where I had an advantage.
- 15:34I luckily had known Robert for over a
- 15:35decade
- 15:37>> and he was so going back to taking the
- 15:41smart person on the road.
- 15:44>> Yeah.
- 15:44>> Going to meet with some of the smartest
- 15:46and most difficult
- 15:48clients in my business. Robert was
- 15:52always at the top of my list. So I knew
- 15:55he was hyper intelligent. I knew he had
- 15:59a work ethic unlike you know 90% of the
- 16:03people I interacted with.
- 16:05>> Yeah.
- 16:05>> So I when he when he immediately took up
- 16:07the reigns at Tiatry and started the
- 16:10company and I had started down the path
- 16:12of investing.
- 16:14>> I called him up and I said what are you
- 16:16doing?
- 16:17>> He's like he's like well I I left and I
- 16:20started this business. I said, "Well,
- 16:22let me know if you need capital to to
- 16:25back you um because I've been investing
- 16:28privately on my, you know, in private
- 16:30companies on my own and I'm about to
- 16:32join a venture capital firm." And and he
- 16:36checked, you know, needless to say, when
- 16:37I brought my partners in, he checked all
- 16:39the boxes.
- 16:40>> Yeah. and and you know again well
- 16:43educated, extremely well spoken, raised
- 16:46capital before uh with within his within
- 16:50his um money management business that he
- 16:53was at previously. But um you know he
- 16:56had he had partnered with a psychiatrist
- 17:00uh who was extremely intelligent and had
- 17:03multiple different licenses well
- 17:05regarded in her field and she understood
- 17:08the practice side of it and it's very
- 17:10important when you find a missionary
- 17:14that is trying to solve a problem. This
- 17:16is one more factor we look for is I
- 17:19usually like to have two founders.
- 17:22[clears throat]
- 17:23I like to find the missionary and I like
- 17:25to find the person that's got that has
- 17:27the experience within the industry
- 17:30whatever it is whether it's yeah medical
- 17:32devices
- 17:34>> or or or SAS or AI but having a very
- 17:40import very very important co-founder
- 17:44um
- 17:45or are or very adept and intelligent
- 17:49co-founder is is extremely important
- 17:52Because usually the missionary this is
- 17:54their first goaround.
- 17:56>> When you when you when you when you have
- 17:59a co-founder that has industry
- 18:01experience and has been through, as I
- 18:04like to affectionately call it, the the
- 18:06you know the the sausage grinder before,
- 18:09right? They they will they will allow
- 18:11you to avoid a lot of pitfalls. And and
- 18:13I'll tell you this as well, one of the
- 18:16things that we like to do um in our
- 18:19organization and and I'm going to steal
- 18:21from um and I've stolen this actually
- 18:24from from um another founder is
- 18:30when you look at a company that is only
- 18:33a handful of individuals, say 10 people,
- 18:36[clears throat]
- 18:36>> your hires are so important because you
- 18:39think about it. I worked at I worked in
- 18:41an organization that I was working at
- 18:43the peak of my career with uh 365,000 of
- 18:47my closest friends.
- 18:49So a new hire really wasn't going to
- 18:51impact the organization,
- 18:53>> right?
- 18:53>> But when you have 10 people and you hire
- 18:55one more, you know, that person accounts
- 18:59for rounding roughly 10% of the
- 19:01organization.
- 19:03>> Yeah. So running the new hires in a
- 19:06startup through the the finest filter
- 19:09you can find is hyper important for us
- 19:12and we try to you know provide that same
- 19:16level of
- 19:18importance to the founders that are
- 19:20building organizations. It's like you
- 19:23know people is your b they're your
- 19:26business at the end of the day. Your
- 19:27hires are your business. You need to
- 19:29[clears throat] make sure whoever you
- 19:31hire is an A player.
- 19:33>> You can't afford at this stage in your
- 19:37business to hire a B or a C player. So
- 19:39anyway,
- 19:40>> you you know what I always found
- 19:42fascinating about venture is um you know
- 19:45founders, they typically they they come
- 19:46into their room, they they've got a
- 19:48sound vision, ton of conviction
- 19:51um and they believe they're right. H how
- 19:54do you
- 19:56separate like a visionary from someone
- 20:00who's simply wrong and just has a lot of
- 20:03confidence? Like are there subtle
- 20:05signals or red flags?
- 20:08Well, we we run um we've got a team um
- 20:13of three general partners, uh an
- 20:15analyst, and we run every company
- 20:20through a a filter and a series of
- 20:24hurdles
- 20:25um to make sure that the company meets
- 20:28our guidelines for investment. Um
- 20:31usually when we have a visionary come
- 20:33into the room and you know they may have
- 20:39a brilliant idea for a new product but
- 20:42it won't get traction or it won't hit
- 20:45and and and I I'll tell you Michael we
- 20:48see a deal every day.
- 20:50>> It's it's absolutely incredible. So
- 20:52there's four of us right and and and
- 20:55we've got support staff but between the
- 20:57four of us you know we get a deal every
- 20:59day. So, you know, roughly 220 work days
- 21:03a year. Think about it that way.
- 21:06>> So, we we see 880 deals between us.
- 21:10>> The number you know and we only invest
- 21:12in four to five companies a year. So, to
- 21:15answer your question, yeah, it's very
- 21:17it's very quick and and usually if we're
- 21:20meeting them face to face,
- 21:22>> they've they've passed through one of
- 21:24our filters
- 21:26>> and they've got some traction. So, we
- 21:28look to invest in companies that are
- 21:30doing about a million dollars at least
- 21:32in revenues. So, they've they've
- 21:35>> they've overcome
- 21:37a lot of hurdles to get to us,
- 21:40>> to get to get through our filters. And
- 21:43so, if we're dealing with just a
- 21:44visionary that's a seed investment
- 21:47that's not generating any revenues, it
- 21:49needs to be something very very special
- 21:51for us to take a look at it.
- 21:53>> Right. Now, oftentimes we will we will
- 21:55meet with these visionaries pre-revenue
- 21:58just to get to know them because we
- 22:00think
- 22:00>> they may have stumbled on something
- 22:02interesting and we want to build a
- 22:05relationship.
- 22:07>> Um and and I I will tell you, you know,
- 22:09you talked fondly about what I do and
- 22:12what our organization does. One of the
- 22:15things that we've been recognized for
- 22:17is, you know, uh several years in a row
- 22:20by Inc. being a founder friendly
- 22:22organization. So you know even though
- 22:25there might be faults in a business plan
- 22:27even though and it and the company's got
- 22:30initial traction
- 22:33when we invest money we don't invest
- 22:35money and walk away.
- 22:37>> We think that between myself and our
- 22:41other team members and and this goes
- 22:43back to some of the comments you made
- 22:45preliminarily.
- 22:47We bring
- 22:50knowledge to the table. oftentimes these
- 22:52founders don't have, you know, spending
- 22:54spending 20 plus years on Wall Street
- 22:56and and understanding the best practices
- 23:00uh of of companies, seeing them make
- 23:02their mistakes and helping take those
- 23:06multi-billion dollar companies sometimes
- 23:08their learnings and helping it help
- 23:11helping apply it to a new founder is is
- 23:15is revolutionary in some instances. And
- 23:18I and I will tell you I'm gonna I'm
- 23:20gonna mention another like founder that
- 23:22was a missionary.
- 23:23>> Yeah. Yeah. Let's hear it.
- 23:26>> Hamdi
- 23:28from from uh Chobani.
- 23:32We helped I I I worked and covered his
- 23:35his credit. If there's ever a founder
- 23:38that I've ever met that was passionate
- 23:40about his product, passionate about,
- 23:44you know, transforming the lives of his
- 23:46employees and the [clears throat] health
- 23:49of of the consumers who consume his
- 23:53products. It's Hamdi,
- 23:56that guy. And again, that's somebody who
- 23:59took his product door to door and to
- 24:00door in New York City and sold it. He
- 24:03took a old food plant that was owned by
- 24:06by Craft and turned it into a
- 24:09multi-billion dollar food company
- 24:13and he was the driving force behind it.
- 24:16>> And I I wouldn't pronounce Hundy's last
- 24:17name, but I would butcher it. [laughter]
- 24:20>> What about um on the flip side of that?
- 24:22Like what investments mistakes
- 24:25kind of taught you the most? Like and
- 24:26kind of looking back, like what did you
- 24:28miss? Sounds like you got a pretty sound
- 24:30process, but you don't get to a sound
- 24:32process just day one. What were some of
- 24:34the kind of never never left here? when
- 24:36you when you look at early stage uh
- 24:39venture capital um you know and I'm
- 24:43going to be off by several percentage
- 24:44points but you know about half of them
- 24:45fail
- 24:47>> and and and so when you look at
- 24:51those that have failed
- 24:55um you know a
- 24:58one that comes to mind that just hasn't
- 24:59hasn't failed but it didn't play out the
- 25:01way I I anticipated
- 25:03>> and it was be it it was because you had
- 25:06a passion founder
- 25:08um in his number two ended up being a
- 25:12mercenary.
- 25:13>> Again, lesson learned there.
- 25:16>> Um and unfortunately the mercenary
- 25:19um destroyed some relationships that the
- 25:22founder had created.
- 25:24>> So
- 25:26um yeah, lesson lesson learned
- 25:29in in that particular in instance.
- 25:33um product market fit is is is usually
- 25:37there for us. Um
- 25:40>> but yeah, I I will tell you things that
- 25:43we've learned. Um and it's it's more
- 25:47about the people than anything. So I'm
- 25:51I'm going to I'm going to switch gears
- 25:53real quick and and say, you know, we've
- 25:55chosen our field. We we've chosen our
- 25:58battle. Our battle is preventative and
- 26:01curative medicine,
- 26:02>> right? and and and longevity. So that's
- 26:05the wave we're riding. We've we've
- 26:06defined ourselves. So how do we find the
- 26:10best products and best people to bring
- 26:14those products and services to market?
- 26:17And
- 26:19I would tell you it is misreading and
- 26:22you you you mentioned that earlier
- 26:24reading people every now and
- 26:27[clears throat] then someone's going to
- 26:28slide through your filter. they're going
- 26:30to put on they're gonna they're they're
- 26:32going to put on a mask
- 26:34>> and and make it through your process.
- 26:37>> And um you know since then we started
- 26:39doing back background checks on on
- 26:41individuals. So lesson learned but
- 26:44that's that's how we've applied.
- 26:46>> Yeah. If you're going to be deploying
- 26:47that much capital into someone it makes
- 26:49total sense to do a background check.
- 26:52>> Yes. And and so we don't do it on every
- 26:54employee but you know the founders.
- 26:56>> Of course. Of course. and and the
- 26:58founders and and the and the key and the
- 27:00key lieutenants
- 27:02that that is a discipline that we now uh
- 27:05bring to the table and and
- 27:08you know it is um I I will tell you we
- 27:12haven't found anything um
- 27:16extraordinary anything that would cause
- 27:18us to turn away in all the background
- 27:20checks we've done. Um but that's that's
- 27:22the lesson we've learned from having one
- 27:24bad experience.
- 27:27Yeah. Get burned once, never twice. You
- 27:29know,
- 27:30>> never twice.
- 27:33>> You know, one of the things that I've
- 27:35kind of just been noticing also is it's
- 27:38um
- 27:42sometimes it's easier said than done
- 27:45when you you talk about being very
- 27:48disciplined and putting people through
- 27:50filters. like it's it's okay to say that
- 27:53you made you know you missed something
- 27:55and even when you have all those
- 27:56processes in place are there are there
- 28:00ones where maybe
- 28:02you passed on them but then you kind of
- 28:05look back and you're like yeah that was
- 28:06kind of surprising
- 28:08I think I think investments have misses
- 28:11like any misses that had some huge
- 28:13upside that you guys didn't end up going
- 28:15into that are worth noting Okay,
- 28:21>> we um I I will tell you um that I'm not
- 28:27going to say it was a huge upside, but
- 28:28it was a miss recently on another
- 28:32behavioral health company. um that
- 28:37the founder had a similar experience to
- 28:40Robert
- 28:41>> and and she
- 28:44uh built an edtech business
- 28:49and um and and also came through
- 28:53we had this we have this business uh
- 28:55that we invested in called passport and
- 28:58this was pre this was when we were
- 29:00relevance capital not relevance fissures
- 29:02>> hugely [snorts] successful ful hugely
- 29:04successful
- 29:06payments and compliance business. One in
- 29:09three cars in the United States goes
- 29:11through their system every day.
- 29:13>> Really?
- 29:13>> Um yes, they they just they just
- 29:16partnered with uh you know the the city
- 29:20of Arlington and Virginia. They they've
- 29:22partnered with um Chicago was their very
- 29:25first big contract. You know, it's
- 29:27whitelabeled but hugely successful.
- 29:30What's amazing about when you look at
- 29:32Passport Parking in the background of
- 29:34Passport is that it was so wellrun by
- 29:39three founders
- 29:41>> that they created
- 29:44a startup machine in the city of
- 29:47Charlotte where where Passport was
- 29:49founded. There's over 15 companies that
- 29:52have spawned out of other employees that
- 29:55had worked at Passport.
- 29:57>> Wow. and and this one individual she
- 30:01came from passport.
- 30:03So one had a great background and
- 30:06grounding on a startup. Two, she was
- 30:10building a business in behavioral health
- 30:14that was founded on an experience.
- 30:27He also was a missionary trying to solve
- 30:31a problem. And we looked at the
- 30:33business. We all liked it.
- 30:36Unfortunately, some of the times when
- 30:38you miss, it's because it's because you
- 30:41don't have capital at your disposal.
- 30:43>> Yeah.
- 30:44>> And this was one of those instances
- 30:46where we all liked it and um you know,
- 30:49she has since had um multiple inquiries
- 30:53about buying her company. She's grown it
- 30:57rapidly. Um and it solves a massive
- 31:01problem in behavioral health uh on on
- 31:05university campuses
- 31:07and and uh you know she's attracting
- 31:10buyers because of it.
- 31:13So you know that's the most recent
- 31:15that's the most recent one
- 31:17>> I would tell you also um again relevance
- 31:21capital one of the things we've learned
- 31:24is is exit. how how and when to exit
- 31:28um you know when capital is flowing like
- 31:30it is today when you have uh the IPO
- 31:35market wide open
- 31:37>> a company like SpaceX
- 31:40um or anthropic or open AI and so many
- 31:43other support companies for um the uh
- 31:49data center business that have come
- 31:51public in the last you know six months.
- 31:55it is, you know, one
- 31:59that's a that's a signal that there's
- 32:01lots of buyers in the marketplace
- 32:03>> and if we have something that we've
- 32:05owned for five or six years and is
- 32:07performing, we ought to be encouraging
- 32:08management teams to exit.
- 32:10>> But we've we've had we've had instances
- 32:13where businesses decelerate, their
- 32:15growth decelerate, and it's beginning to
- 32:18decelerate quickly. And those are the
- 32:21points where as a venture capital
- 32:23investor, right, you need to move on and
- 32:27hand off your business to a a strategic
- 32:30or private equity.
- 32:32>> So, you know, I I would tell you there's
- 32:34so many lessons learned
- 32:36that, you know, we don't have time for
- 32:38them.
- 32:39>> I say we probably have to do another
- 32:40episode on that one.
- 32:41>> Yeah, do another episode. But you know
- 32:43when you when you look at the the cap
- 32:45the the capital flows in in the in the
- 32:47business you know there was a point in
- 32:50time um just after COVID
- 32:54um where there was no capital flowing
- 32:57into venture capital. It was extremely
- 33:00difficult for
- 33:03startups to raise capital
- 33:06and if anything and and valuations came
- 33:10down precipitously. If anything, that
- 33:13was the perfect time to have liquidity
- 33:16as a venture capital investors because,
- 33:19you know, the the leverage moved into
- 33:22the buyer's hands
- 33:23>> versus into the sellers's hands
- 33:26>> and gave us an opportunity to structure
- 33:28deals that were favorable to our LPs,
- 33:33>> not only from a structure perspective,
- 33:35but from a valuation perspective. So,
- 33:39>> you know, the capital flows part of this
- 33:41industry is is is an amazing story in
- 33:43and of itself.
- 33:45>> Yeah, we're gonna have to put a um a pin
- 33:48in in talking about the exit because I
- 33:50feel like that's probably an episode in
- 33:51of itself. Um before I forget, where can
- 33:55people go to kind of follow your work,
- 33:57follow the work of the firm? Just kind
- 33:58of give a shout out for that and then
- 34:00we'll kind of take it home.
- 34:03>> Yeah, absolutely. Um if if you want to
- 34:05follow uh you know me, I am on LinkedIn.
- 34:09Um and I publish articles, you know,
- 34:12every month or so. Um it's Brian Bry Yan
- 34:16dot or Brian Hunt, CFA. Um and you'll
- 34:22see a guy that looks like this in the
- 34:24picture and link.
- 34:24>> Yeah, we'll make sure we put the link in
- 34:26the description.
- 34:27>> Yeah. And and when you and when you go
- 34:29to uh find us on on the web, you can go
- 34:33to our uh website. It's relevance
- 34:36ventures.com
- 34:38or you can find us on LinkedIn as well.
- 34:40Um
- 34:42but you know, if anybody has any
- 34:45questions or wishes to reach out to me
- 34:47and contact me, please do. Uh I love
- 34:49this industry. I love what we're doing
- 34:51and I, you know, I love helping found
- 34:53founders live out their dreams and solve
- 34:56real solutions
- 34:58for uh humanity. And I I'll tell you and
- 35:00and I'm I'm going to hit a I'm going to
- 35:02hit a bullet point here real quick
- 35:04that's important to me.
- 35:06So when you think about what we're doing
- 35:08at relevance and what others are doing
- 35:10in in the same sandbox
- 35:14>> on preventative medicine,
- 35:17an overwhelming majority of the dollars
- 35:20spent in our health care system are
- 35:23spent on
- 35:26two chronic diseases
- 35:28and really treating and and really
- 35:31treating the symptoms associated with
- 35:34the chronic disease.
- 35:35So think about that.
- 35:36>> Yeah.
- 35:37>> We're not curing the chronic disease.
- 35:39We're not preventing the chronic
- 35:41disease,
- 35:41>> right?
- 35:42>> We're throwing money at
- 35:45the symptomatic side of it.
- 35:48>> Yeah.
- 35:48>> There's a gigantic pendulum swing taking
- 35:50place and and we're investing behind it.
- 35:53why that's so important. Think think
- 35:55about this um listeners which is which
- 35:58is if we can prevent heart disease
- 36:04if we can prevent diabetes
- 36:07that's roughly 80% of the chronic
- 36:09disease spending in this country.
- 36:12>> Yeah.
- 36:12>> And you can prevent those with lifestyle
- 36:14changes. You can do it with drugs and
- 36:16you can do it with devices as well.
- 36:18>> Right.
- 36:19>> Curative. But if we could prevent those,
- 36:21think about the cascading effect that
- 36:23has on on humanity. One, people can get
- 36:26back to work.
- 36:28>> Two, they get off of Medicare and
- 36:30Medicaid.
- 36:31>> And three, it improves the health of our
- 36:34country
- 36:36from a financial standpoint.
- 36:38>> You can afford to, you can pay taxes,
- 36:41you can go to your job. We enhance the
- 36:43productivity of the country and we
- 36:45reduce the burden
- 36:47on our government in terms of the
- 36:50Medicare and Medicaid dollars they have
- 36:51to spend.
- 36:52>> It's just this tidal wave of efficiency
- 36:56that comes from
- 36:58spending on preventative medicine.
- 37:03you're starting to see more of that
- 37:05wave, that shift of people that are
- 37:07being more in proactive care, seeing it,
- 37:10you know, companies like Function Health
- 37:12and the likes. You just you're seeing
- 37:14more of it. And is it going to be more
- 37:16widespread?
- 37:18>> It's proven out. If you look at studies,
- 37:20every dollar spent on preventative care
- 37:22leads to about $5.6 in savings later in
- 37:26life.
- 37:28An overwhelming majority of the dollars
- 37:29spent on health care actually happen in
- 37:32the last decade of someone's life. So if
- 37:35we can improve if we can improve your
- 37:37your quality of life in those later
- 37:39years and ex and extend your well-being
- 37:42through preventative care measures and
- 37:45it's never too late. You can start
- 37:48dieting. You can start exercising. I say
- 37:50dieting, eating well and exercising and
- 37:53committing to good habits that extend
- 37:56the quality of your life.
- 37:59[clears throat]
- 38:01>> Yeah,
- 38:05>> that's a great place to add a uh an
- 38:07ellipsus for us to have conversation.
- 38:10We're going to need to have more
- 38:11[laughter] more of that. I think we're
- 38:14Thank you for today. Uh just even
- 38:16thinking about the the missionary versus
- 38:19the mercenary that really resonates with
- 38:21me and I think that's going to change my
- 38:24perception of you know which which
- 38:27bucket do they fall into you know when
- 38:29you start to measure people and you're
- 38:31having conversations. So I think that's
- 38:32interesting and just the work that
- 38:34you're doing and the clarity and the
- 38:35conviction around
- 38:36>> longevity and consumerism and just being
- 38:39and well-being and how that aligns with
- 38:42with the firm.
- 38:43>> So for those
- 38:45that mercenary versus that mercenary
- 38:47versus mercenary. You know, I don't want
- 38:50an I don't want a founder to talk about
- 38:52exit. Let me talk about exit.
- 38:54>> If you're thinking about exit, you're
- 38:56not thinking about the mission.
- 39:02>> Yeah, that is deep.
- 39:04For those that have tuned in, if you
- 39:06found this conversation to be helpful
- 39:09or if you want us to explore another
- 39:10topic or leader that you want to hear
- 39:12from, uh, drop us a note, leave a
- 39:14comment, and if you wouldn't mind, you
- 39:17found it helpful, reshare this, let us
- 39:19know what you thought was, uh,
- 39:21compelling about it for from for from
- 39:23your standpoint. Again, this is this
- 39:24isn't just a platform that's about
- 39:26content. It's it's about community. It's
- 39:27an interactive thing. So, thank you for
- 39:30listening. Keep building with purpose
- 39:32and we will see you next time on the
- 39:35Advancing Healthcare Innovation Show.
- 39:38>> Thank you, Michael. You bet.