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How Hims & Hers Reached a $4.3BN Market Cap on $2.3BN of Revenue | Andrew Dudum

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How Hims & Hers Reached a $4.3BN Market Cap on $2.3BN of Revenue | Andrew Dudum

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1792 segments

0:00

One of the things I learned earliest in

0:01

my career is if you can't hire people

0:02

that are smarter than you, you will

0:04

fail. What you gain confidence in with

0:06

brand marketing over time is that

0:08

consistency is required. Now, I am so

0:11

excited for the show today. We have

0:12

Andrew Dunham, founder and CEO of HIMS.

0:14

Hims are reinventing healthcare, but

0:17

wow, it's been a tough 6 months. They

0:19

are down 66%. They've got a market cap

0:22

of 4.35 billion as of today, but they do

0:25

over 2.3 billion in revenue. It's nuts.

0:29

I'm so excited to sit down with Andrew

0:30

today where we discuss this and so much

0:32

more.

0:33

>> When you're disrupting an industry, you

0:34

have to have a team that is used to

0:36

being uncomfortable and used to getting

0:38

through it and used to staying calm and

0:40

having that resilience. I might be the

0:42

only person that believes this, but I

0:43

think running the company in the public

0:45

markets is more fun than being private.

0:48

Ready to go.

1:00

>> Andrew, it's been like six, seven years.

1:04

Like I was I was young and fresh when

1:06

when we lost

1:09

>> I was I was a lot younger. We looked a

1:11

lot better back then, but I say we're

1:12

pretty good by now.

1:14

>> I I listen I think life's been pretty

1:15

kind to both of us. Um, can I start with

1:18

a super weird one? And you might be

1:20

like, "Dude, I thought we were buddies,

1:22

but I I speak to so many public company

1:25

CEOs today and I I can't find a happy

1:28

one."

1:32

Seriously,

1:35

>> I'm You know what? I think I think I

1:38

might be the only person that believes

1:40

this, but I think running the company in

1:42

the public markets is more fun than

1:45

being private.

1:46

Why? You get [ __ ] on every day, dude. I

1:50

see it and I'm like, "Oh, poor Andrew."

1:52

And I so remember our dinner with your

1:53

lovely wife. And I'm like, "Oh, I so

1:55

nice." And I see the [ __ ] on.

1:57

>> I love it.

1:58

>> You do?

1:59

>> I I love it for a few reasons. One, um,

2:02

if you're a highly competitive person,

2:05

you get to put out high benchmarks every

2:08

90 days and see if you can actually

2:10

deliver on it. And you can build a high

2:12

performance team to say, "Hey, we put

2:13

this out and it's a big stretch. Let's

2:15

go kick ass and figure it out. When

2:17

you're private, it's so easy to get to

2:20

get cozy. You know, the worst case

2:22

scenario if you got some VCs that call

2:24

you and they're stressed out about

2:25

something. But in the public markets,

2:26

it's like it's boot camp. It's it's like

2:28

you got to be you have to deliver. So, I

2:31

love that from a competitive standpoint.

2:33

I also love the the the

2:36

ability to hire talent like in the

2:39

public markets because they they can see

2:41

the vision and you're forced to not only

2:43

talk about where you're going to go 10

2:45

years from now, but if you're going to

2:46

actually like make steps quarter to

2:48

quarter to prove it. So, as a

2:49

competitive person, I think it's a lot

2:51

of fun. Also, when you step back, like,

2:53

you know, we we went public really

2:54

early. We went public after like uh I

2:57

think 36 months of launching, which was

2:59

a little bit crazy. Um when you look at

3:02

the biggest companies in the world they

3:04

went public within a first few years of

3:05

launching Google, Facebook, Apple,

3:09

Amazon all of them like they didn't stay

3:11

private for 10 20 years you know they

3:14

forced the founder was forced to figure

3:16

it out in the public markets how we're

3:18

going to grow how we're going to get

3:19

efficient and how we're going to tell a

3:21

big vision and and I think that's a lot

3:23

of fun.

3:24

>> I love that. Google, Apple, Facebook,

3:27

Amazon.

3:29

Nice. Yeah. Yeah. Yeah. Yeah. It's It's

3:31

actually one of the oldest marketing

3:32

tricks ever, which is like marketing by

3:33

association. You know this? It's called

3:35

Six Flags. Do you remember Six Flags?

3:37

The really [ __ ] theme parks. Yeah. Yeah.

3:39

So, I don't know them cuz I'm British,

3:41

but like they wanted to be better than

3:43

everyone else and so they just did

3:44

massive billboards that said not as good

3:46

as Disney.

3:48

>> Smart.

3:49

>> Very smart. Very smart.

3:50

>> I know. Yeah. I like a good marketing.

3:53

Um fascinated. You said there about

3:56

going uh public so early. If you were

3:59

sitting down with like the Collisons

4:00

today,

4:01

>> Yeah.

4:01

>> would you tell them to go public?

4:03

>> I think if your business is ready from

4:06

an from an from a predictability

4:08

standpoint and you have a long-term

4:10

orientation, then I would encourage you

4:12

to go public. I think you those two

4:14

things have to be true. I think you have

4:15

to actually be able to predict your

4:17

business with consistency because you

4:19

can't enter the markets without that

4:20

confidence. Um, and you also have to be

4:23

ready to sign up for a decade or two in

4:25

the markets, right? This is not

4:26

something it's not a quick exit. It's

4:27

not a liquidity event. It's it's the

4:29

beginning. And so I would I would

4:31

encourage any founder that has those two

4:33

dynamics to consider it.

4:35

>> Do you think you can do what you want to

4:37

do from a long-term strategic objective

4:40

standpoint and have the, as you said, I

4:42

love it, the 90-day ticker of like, hey,

4:44

we've got to go hard for the 90 days.

4:46

>> I think you do. It takes it takes

4:48

discipline. I think it takes hiring the

4:50

right people. You know, I think I I

4:51

focus on hiring a certain type of

4:53

people. um you know they're not

4:55

particularly fancy in background.

4:58

They're not credentialed with like all

5:00

of the really great tech companies. Like

5:02

that's not what I look for. I look for

5:03

mostly people who have been builders and

5:06

have gone through some [ __ ] is like the

5:08

honest reality. So if you look at our

5:09

team um you know Yi our CFO he was you

5:12

know the divisional CFO of Uber during

5:14

COVID the whole business disappeared

5:16

overnight and he had to figure it out.

5:18

uh or deer our chief product officer she

5:20

was at games she was at Robin Hood

5:21

during GameStop right had to figure out

5:24

that chaos or

5:25

>> do you seek out do you seek out crisis

5:27

in their lives I know it sounds stupid

5:29

you you've mentioned two very iconic

5:32

>> yeah I seek out grit I seek out a lot of

5:34

grit um because I think when you're

5:37

disrupting an industry which we are and

5:38

and even in the last year our category

5:41

has exploded and changed and and been

5:43

fraught with all types of chaos you have

5:45

to have a team that is used to

5:48

being uncomfortable and used to getting

5:50

through it and used to staying calm and

5:52

having that that resilience. And so I

5:54

absolutely search for people that have

5:57

seen those types of ups and down and and

5:59

thrived in them because I think when

6:01

you're disrupting it's just inevitable

6:02

that that's going to happen.

6:04

>> I spoke to so many people around you

6:06

like really I thought the [ __ ] out of

6:07

you again which was nice cuz I know you

6:09

but like to to kind of hear stories from

6:12

owning doughut shops. U didn't tell me

6:14

that did you? uh my my Augustus group

6:17

was coming out there, but the the talent

6:19

element was one and they said in

6:21

particular Jules Moltz I think it was

6:23

from IVP said that you're incredible

6:26

when it comes to acquisition and

6:28

retention. What do people get most wrong

6:31

do you think about acquiring great

6:33

talent today? I think often people as

6:37

they scale, maybe founders as they

6:39

scale, um fall into the trap of trying

6:42

to hire people that um have seen bigger

6:46

scale than them and are more strategic

6:49

and they they feel like they've gotten

6:50

to the point of success where now it's

6:52

time where they uplevel the talent to

6:54

non-starty folks, right, to like real

6:56

professional people. Uh and I think that

6:59

is a huge huge mistake. Huge mistake.

7:02

Um, you know, when I look at, you know,

7:03

Chris Payne is on our board, who's one

7:05

of my mentor,

7:06

>> Chris?

7:07

>> Yeah. Chris, a great guy. I think one of

7:08

the best operators I've ever met. And

7:10

when I look at the team over at that

7:12

that Tony's built at Door Dash, you

7:14

know, that team is is an operating

7:16

machine. And they're huge, right? It's a

7:19

8000 billion dollar company. Um, yet

7:22

they're still operating with speed and

7:24

focus like a startup. And I think so

7:27

much of that is because the team that

7:28

Tony's assembled around them is a team

7:31

of operators that love to build. Uh and

7:34

and so I think as you scale there's a

7:36

pressure to go hire that big strategy

7:39

person with who who has more credentials

7:41

than you and it's kind of it feels

7:43

almost confidence inducing as a founder

7:45

to like get to that level. And I think

7:46

you have to fight that at all costs. I

7:48

I've made mistakes. I've hired people

7:50

like that because I thought it would was

7:51

the right move. and and have always come

7:53

back to find people who love the

7:55

mission, who love to build, who are

7:57

tactically excellent at what what the

7:59

function actually requires. Um, and

8:01

again, who are gritty as hell.

8:02

>> What are you not excellent at in the

8:04

role of CEO, but persist relentlessly

8:08

despite your lack of skill.

8:11

>> So many things,

8:13

so many things. I mean, I'm constantly

8:15

trying to find the balance of being in

8:16

the weeds and building a team that can

8:20

scale independently of me, right? Like

8:22

you're you're that that line of how

8:25

hands-on you should be, how

8:27

strategically involved you should be,

8:29

how tactically involved you should be

8:31

versus

8:31

>> where do you where do you come down on

8:32

that then? Because we have the founder

8:34

mode and the you know, I love Ryan at

8:36

Flexport, but like the I'm so in the

8:38

weeds and I love him for it. Yeah, I

8:40

think you have to I think you have to be

8:42

intentional about where you get into the

8:45

weeds. Um I I don't believe in this

8:48

concept of like every design review

8:50

comes through me, everything that ships

8:52

comes through me, every decision comes

8:53

through me. Like it's you one of the

8:55

things I learned earliest in my career

8:57

is if you can't hire people that are

8:58

smarter than you, you will fail. And

9:00

young managers struggle with this all

9:02

this time. all the time. They they're

9:03

scared to hire people that are better

9:04

than them because they feel like if I

9:06

hire somebody better than me, well, what

9:08

the what the [ __ ] am I even doing here?

9:09

Why am I here if I just hired somebody

9:11

who's better than me? And in fact, it's

9:12

completely the opposite. If you want to

9:14

continue to scale in our organization or

9:16

any organization that's growing, you

9:19

have to realize that your job is

9:20

changing every 12 months, right? To

9:22

level yourself up to the next next

9:24

highest leverage focus area. In order to

9:26

do that, you have to replace yourself

9:28

every 12 months with talent equal or

9:30

better always. And so, um, to me, that's

9:33

a really important realization that as

9:35

as a CEO and founder, which is I want to

9:37

hire people better than me and and so I

9:39

trust them. Yet, at the same time, if

9:41

there are specific areas of the business

9:43

that are critical, um, either strategic

9:45

decisions or tactical implementations

9:47

being worked on, you have to know when

9:49

you go deep and you need to acknowledge

9:51

to the team, hey, this is something

9:52

that's really important. I'm going to go

9:53

deep on it. I'm not going to go deep on

9:55

everything, but this is important. I'm

9:57

I'm going to be in the weeds here. Dude,

9:58

I sit in these boards nowadays and

10:01

honestly, they're mostly useless. It's

10:04

so exhausting. Um, and AI is at the top

10:07

of every big company board discussion

10:09

topic. Okay. No [ __ ]

10:12

>> Yeah.

10:13

>> How does your business change with AI?

10:15

How many people do you have today?

10:17

>> About 2,000 employees.

10:19

>> Okay. You have 2,000 employees. How many

10:21

do you think you'll have in 2030?

10:24

>> That's a great question. probably not

10:26

many more than two to three thousand.

10:28

>> That's a big range.

10:29

>> Yeah, we operate about a million square

10:31

feet of pharmacy fulfillment throughout

10:33

the US. And so we have a a large chunk

10:37

of labor force which is actually just

10:38

variable labor responsible for actually

10:41

pharmacy oversight, pharmacy um review

10:45

and actually shipment of medication. AI

10:47

can do a lot uh in regard to efficiency

10:50

for core product engineering,

10:53

accounting, finance, marketing, etc. But

10:56

when you're actually running facilities,

10:57

physical facilities, and a lot of this

10:59

is actually required doctor and pharmacy

11:01

oversight, you know, those you can't get

11:03

as much leverage on.

11:04

>> Are you pushing AI down into every

11:06

function of the or

11:07

>> Yes. Yes.

11:09

Are you seeing it have dramatic

11:11

implications

11:13

that we we have we have ange and we have

11:16

customer support. I think we

11:17

overexaggerate elsewhere where it has

11:20

impact.

11:21

>> I think those two areas are critical.

11:23

We're also seeing it have massive

11:24

leverage in design, right? So, we deploy

11:27

about a billion dollars in marketing

11:29

spend every year across the Hims and

11:31

Hers brands and the u you know the cost

11:35

to do a live photo shoot uh the speed of

11:37

a food photo shoot for every single

11:39

product launch you know we probably have

11:41

thousands of variations of TV

11:43

commercials uh Facebook ads Google ads

11:46

etc. The speed of iteration with AI in

11:49

that function I think is actually one of

11:50

the most tangible that I've seen across

11:53

our organization

11:55

>> in terms of cost reduction and in terms

11:57

of supply expansion.

11:59

>> It's mostly in regard to output. You

12:01

know, I would say it's you have the same

12:04

team but you're probably delivering

12:05

three to four times the amount. The

12:07

other area that we see a big degree uh

12:10

improvement is actually on the clinical

12:12

side. So we treat you know 10,000 plus

12:14

patients a day. We're probably the

12:16

largest health care system in the US. Uh

12:18

if you actually look at volume of

12:19

patients treated um and now with recent

12:22

markets, you know, definitely the the

12:24

largest globally from a digital health

12:25

standpoint. And if you can apply AI to

12:28

the the medical side, the ER, the EMR,

12:31

right, where doctors are actually making

12:32

clinical decisions and it can help you

12:35

know give guidance with regard to

12:37

certain protocols and speed up that that

12:39

process. That is a a huge amount of

12:42

leverage for the clinical end um from an

12:44

efficiency standpoint, but it's also a

12:46

meaningful improvement in quality

12:48

because you have essentially a uh you

12:51

know an intelligent brain helping

12:53

standardize care across thousands of

12:55

doctors that are making decisions every

12:56

single minute.

12:58

>> When you speak about the explosion of

12:59

the business, that explosion is driven

13:02

largely by you GLP1s and weight loss.

13:06

How much of that is the core business

13:09

today? Is it like 80% weight loss, 20%

13:11

everything else? What does that look

13:13

like?

13:13

>> No, no. I think that's one of the funny

13:15

things about our business is we are

13:16

constantly in the headlines as a single

13:19

category business. When we first

13:20

launched, when you and I first met, we

13:22

were the erectile dysfunction business,

13:23

right? And it was, you know, front page

13:25

of New York Times and it was uh fun and

13:29

silly and provocative and all we did

13:31

from everyone's perspective was ED. Uh

13:33

and then we launched hair and then all

13:34

of a sudden it was like we're a hair

13:35

loss business. Uh, and then we launched

13:37

the HERS business and everyone said,

13:39

"Oh, hers is never going to work. You're

13:40

just an ED and hair loss business." Uh,

13:43

you know, and then eventually we

13:44

launched GLP1s and everyone said, "Oh,

13:46

now you're just a weight loss business."

13:48

And, you know, a year from now people

13:49

will say, "Oh, you're just like a

13:50

peptides business probably if I were to

13:52

take a guess, right?" And and so I think

13:54

the the reality is under the hood is

13:57

that you have a dozen completely

13:59

different clinical categories,

14:00

completely different businesses, each

14:02

scaling with very solid robust growth,

14:05

which is why this business is

14:06

interesting. Like that's why I run this

14:08

business is the durability of it is

14:09

quite strong because you have 10

14:12

different businesses with completely

14:13

different customer segments. So weight

14:14

loss is actually, you know, nowhere near

14:17

the majority of this business. um um and

14:21

and I don't think ever will be um just

14:23

because you're continuing to expand core

14:25

categories and a lot of new categories.

14:27

So,

14:27

>> do you run those as separate businesses?

14:29

When I had Nick from Revolute on the

14:31

show, he he said something fascinating.

14:33

He said, "We run 26 different product

14:35

experiments at the same time. I treat it

14:37

much like a venture incubator and I give

14:38

them more or less money depending on how

14:40

well they perform." Do you run them as

14:42

like a venture incubation unit?

14:45

>> Yeah, absolutely. I mean, you know, when

14:47

we first met, I was um, you know, over

14:50

with with with Jack Abraham running

14:51

atomic ventures for a long time. Um, and

14:55

that training of 0ero to one

14:57

exploration. Um, that is what hims and

15:00

hers is, right? Like I think of it as a

15:02

public shell for innovation in bringing

15:04

great healthcare to consumers, which

15:07

means every year we're testing

15:08

completely new go to market strategies,

15:10

completely new categories. And the way

15:12

we think about it is internally is just

15:13

different bets. Um, and some bets you

15:15

you starve and some bets you fund and

15:17

some bets you you ring fence to allow

15:20

exploration for a year or two. Um, but

15:22

they're run uh increasingly

15:24

independently. And I think the the DNA

15:27

of management is is to look at it as a

15:29

portfolio that continues to scale

15:31

because ultimately in our business, you

15:34

know, health and wellness, what what

15:35

makes up great health and wellness is

15:37

constantly changing. There's new

15:38

diagnostics, there's new devices,

15:40

there's new drugs, uh there's new

15:42

learnings about, you know, the sauna

15:44

and, you know, cold plunges or whatever

15:46

it might be, whatever's trendy, right?

15:47

Like all of this is changing and it's

15:49

going to continue to accelerate and our

15:51

job is to curate the best and bring it

15:53

to people at scale at an affordable

15:55

cost. And so we have to think about

15:56

this, frankly, as a portfolio that's

15:58

constantly evolving.

16:00

>> I can't get my head around the sauna,

16:02

Andrew.

16:03

>> You have to do the sauna four times a

16:05

week. No, I don't

16:08

for 20 minutes. It cuts all cost. Have

16:09

>> you seen what it does to the motility of

16:12

your sperm?

16:14

>> Three kids, buddy. Some of us have got

16:16

none. Okay.

16:18

>> Got to bring an ice pack in there.

16:20

>> I'm not going to bring an ice pack for

16:22

my balls. I'm sorry. This is genuinely

16:24

this was like the most unattractive

16:26

thing ever. And it's like, you know,

16:27

Huberman's like, "Oh, it extends life by

16:30

like, you know, three decades." mate.

16:34

>> He's right doing ice pack.

16:36

>> I'll I'll we'll we we'll sauna together

16:38

next time I'm in London.

16:39

>> I'd I'll do it with you.

16:41

>> All right. There you go. Um you said

16:44

there about kind of the bets. What did

16:46

you do that with the benefit of

16:49

hindsight you wish you hadn't done? For

16:51

us as a business,

16:53

I think it's important to constantly

16:56

be in a customer's mind, the mind share

16:59

of the new evolving health and wellness

17:01

categories. And so I think in many

17:03

categories we've been um quick to market

17:07

and in many categories we've been kind

17:09

of like uh you know patient to market.

17:12

And in retrospect I constantly am kind

17:15

of evolving my perspective on like how

17:16

fast we should be there. My net net

17:18

takeaway is I don't think we actually

17:20

need to be first ever in market. Um I

17:23

want to be best in market. And so when I

17:26

think of new categories, peptides for an

17:28

example, right? You know, a lot of

17:29

conversation about 10 15 peptides going

17:32

from class 2 category 2 to category 1

17:35

compounding so that people can actually

17:36

get access to things like BBC 157,

17:40

TB500. This is an incredibly interesting

17:42

category. You won't see us be first to

17:44

market in this category. Um you'll see

17:47

us when we launch it feel extremely

17:49

confident in the clinical protocols

17:51

extremely confident in the guardrails

17:54

make sure that the supply chain and the

17:55

quality is done to a level we are you

17:58

know feel is bulletproof from a

17:59

pharmaceutical standpoint so you know

18:01

there's a lot of a lot of introspection

18:04

uh in my in my brain around speed and

18:08

prioritization of which categories to

18:09

enter but what I always come back to is

18:11

not being first but being best so that

18:13

from a brand standpoint people know him

18:16

and hers to be high quality and trusted.

18:18

Like when we actually bring something to

18:20

market, you know it's safe. You know

18:22

it's done right and you know it could be

18:23

something that's that's powerful and and

18:25

important for your for your health.

18:27

>> I always remember um Hugo Bar who was

18:30

the product guy from Xiaomi and he said

18:33

on the show when you're doing anything

18:35

in physical product you need to choose

18:37

one. You need to be feature king or you

18:40

need to be price king.

18:41

>> Yeah.

18:43

>> What are you? I think you have to be

18:45

both

18:47

for us. I think you have to have the

18:49

best at the most affordable price

18:52

eventually.

18:53

>> How come it was $1,800

18:57

to $2,000 for WGO and a Zmpe then, which

19:01

wasn't wholesale?

19:02

>> Well, what is it now?

19:04

>> Well, the self-pay price at the time was

19:07

$300 to 400.

19:08

>> Yeah, it's down to about $149 in 18

19:11

months

19:12

>> on him.

19:14

We just announced the WGOI pill 149.

19:19

So I think I think for

19:21

>> Is that post Novo deal though?

19:23

>> Oh yeah. Yeah. It's through partnership.

19:25

No, absolutely.

19:27

>> Totally get you. So So we want to be

19:29

price king and feature king.

19:31

>> I think for us we want to curate the

19:33

absolute best at prices the masses can

19:36

afford. And I think the way you do that

19:38

is you you work with ecosystem partners.

19:40

You leverage the scale of the platform.

19:41

Right? We're the largest global

19:43

distributor at this point probably of of

19:44

medicines. Um and so by able to then

19:48

working with you know the best

19:49

diagnostic companies, the cancer grail

19:52

detection company. I don't know if

19:53

you've ever taken this test. Um

19:55

>> this is a test that I've been taking for

19:56

5 years. I've had everyone in my family

19:58

take because there's there's cancer in

19:59

my family. It's called the gallery test

20:02

by Grail. Um, it's a blood test and it

20:04

can detect, you know, 50 to 100 cancers

20:07

and it and it focuses specifically, it's

20:09

best at from a clinical standpoint some

20:10

of the harder to find cancers, uh,

20:13

prostate, pancreatic, ovarian, and

20:15

cancer. Um, and it's a simple blood

20:18

test. Uh, you know, we, this blood test

20:21

was thousands of dollars for the last

20:22

few years. We were able to work directly

20:24

with with Grail, bring that test, I

20:26

think it's in market now in his and hers

20:28

at like 600 bucks. Um, and my hope is

20:30

over the coming years I'll continue to

20:32

come down to a few hundred bucks where

20:34

everybody could do this on an annual

20:35

basis like going to the dentist, right?

20:37

It's just check to see if there's any

20:39

early signs, any early protein

20:41

indicators of of stage one cancer

20:44

tumors. So, so there's an arc, right?

20:47

When the GLP1s first came out, it was

20:48

$2,000 list price. We pli applied

20:52

incredible pressure to the drug

20:54

companies. Um, I think the current

20:56

administration, the US did an amazing

20:58

job. Um and and thanks to the drug

21:00

companies, they actually agreed to bring

21:01

them down from the thousands of dollars

21:03

to $150 to $200 cash pay prices. I mean,

21:07

that is like completely transformative.

21:09

It's not something that's really

21:10

happened in pharmaceutical uh history

21:12

that the blockbuster drug of the century

21:15

gets cut by 80% in 18 months, right? And

21:18

and the reason for that, I think the

21:20

reason it happened in part is because

21:22

companies like us and consumers applied

21:24

massive pressure to change the

21:26

distribution model, right? In 18 months,

21:28

the distribution model has completely

21:30

changed in pharmaceuticals in the US.

21:31

Instead of going through PBMs and

21:33

insurance, they're going straight to

21:34

customers through platforms like ours at

21:37

prices everyday people can afford. And

21:39

so there's an arc to that price uh

21:42

reduction, but I think for us, we want

21:44

to have the absolute best um and also

21:47

want to be able to apply pressure to

21:48

bring that cost down as much as we can.

21:50

Do you think like a pill pack sold too

21:52

soon when you think about the erosion of

21:55

PBM's power that you mentioned there and

21:57

how challenging it was for a business

21:59

like pill pack?

22:01

>> You know, I don't I don't know too much

22:02

about pillac to be totally honest. I I I

22:04

I don't what I what I don't believe is

22:09

that the pharmacy fulfillment part of

22:11

our business independently is a

22:13

particularly valuable business. How

22:16

should I think about the preventative

22:17

health care companies that I'm pitched

22:19

every day? Whether it's your prenovos or

22:21

your necos in the UK, which is expanding

22:24

to you,

22:25

>> is that the future? Some are much

22:28

deeper, some are much shallower, some

22:30

are much more expensive. How do you

22:32

understand analyze that space? Is that

22:34

something that HIMS would do?

22:36

>> We spend a ton of time looking at that

22:37

space and and have actually we did a

22:39

partnership with Pernovo that was

22:40

announced just a couple of weeks ago. Um

22:42

I I think where there's a lot of

22:44

interesting companies right now is in

22:47

highly specialized levels of testing for

22:50

clinical areas that are that are um

22:53

meaningfully unmet. Right? So you look

22:55

at things like uh cardiovascular disease

22:59

um right still one of the number one

23:01

killers. Most dads die of a heart

23:03

attack. Um yet a statin is you know two

23:08

cents for me to manufacture. And if you

23:10

take a statin every day, um, then you

23:13

won't die of a heart attack or you're

23:14

meaningfully less likely to have a heart

23:15

attack. Yet, nobody does it. And so

23:17

there's there's, you know, biotech

23:19

companies right now working on therapies

23:22

where a single injection quarterly or a

23:25

single injection annually can absolutely

23:27

obliterate your cardiovascular risk. And

23:30

if you can do something like that, you

23:32

meaningfully, you know, curve that rate

23:35

of death and you get ahead on prevention

23:37

for cardiovascular disease. Prennovo, I

23:40

think, is is another interesting one,

23:41

right? It's it's how do we get ahead of

23:43

detection for things like cancer and and

23:46

early tumor detection. You know, my my

23:48

dad, you know, had stage 4 colon cancer

23:50

when he was 39. It then costs the health

23:52

care system, you know, hundreds and

23:54

hundreds of thousands of dollars, if not

23:55

millions of dollars to have surgery and

23:58

then treat him for many years with

23:59

chemotherapy, right? And then

24:01

afterwards, the care involved to to kind

24:03

of get him back to a steady state. The

24:06

idea of an annual exam that can scan

24:10

your body for early signs, early

24:12

proteins through blood testing or early

24:14

actually imaging signs that can detect,

24:16

you know, a millimeter size tumor is

24:18

incredibly fascinating. Now, I think a

24:20

lot of clinical people um and they're

24:22

smart, you know, believe something like

24:23

that is not yet ready for mainstream and

24:25

it might not be, right? I I kind of

24:27

choose to be opportunistic in giving

24:30

people um uh the ability to make those

24:33

trade-offs for themselves. I take

24:34

Prennovo annually. So, you know, I

24:36

recommend it to my family. Is it

24:37

perfect? Absolutely not.

24:39

>> How much is POV?

24:41

>> I think now it's maybe about a,000 or

24:42

1,500 bucks a month a year.

24:45

>> Okay, that's better than I thought.

24:47

>> Yeah. And so I think and again these are

24:49

these are machines that cost $500,000

24:52

onetime purchase to to buy. Um but then

24:55

you're charging, you know, a,000 or

24:57

$2,000 a month or a year. Um and so the

25:00

idea that this cost could come down

25:02

dramatically is very real, right? A 500k

25:06

machine capitalized over a decade, you

25:08

know, that co the cost could come down

25:10

to something like $300 a year to do this

25:13

test eventually. Um, and that's where my

25:16

brain goes when I'm thinking about the

25:17

future is what are the the Swiss cheese

25:20

layers we can give people that together

25:23

make up really great prevention working

25:25

backwards from what we know causes uh,

25:28

you know, shortening of life and and

25:30

health span. is the biggest threat to

25:32

your business not actually open AI and

25:35

if chat GPT is the kind of consumer

25:37

interface with a lot of healthcare

25:39

questions that people have today which

25:41

you know it is in most cases actually

25:43

and that's why obviously health is a big

25:45

focus for them is it not the most

25:47

natural extension ever that they extend

25:49

that into delivery supply being your

25:53

ondemand doctor

25:55

>> something that people have been talking

25:56

about a lot actually Dario was

25:57

mentioning this recently I think some of

25:58

the most defensible businesses in the

26:01

age of, you know, anthropic and open AI

26:04

are businesses that actually do

26:05

something physical. Like they they

26:07

require actual specialization and they

26:09

require infrastructure.

26:11

And uh a huge part of what we do every

26:14

single day is treat tens of thousands of

26:17

patients with thousands of doctors that

26:20

are specialized and licensed in every

26:22

state or country in the world and then

26:24

actually help make people medicine. Um

26:27

and this is a million square feet of

26:29

pharmacy fulfillment. This is, you know,

26:30

hundreds of pharmacists and robotic

26:32

machines that are actually compounding

26:34

treatments or fulfilling branded

26:36

pharmaceuticals. So when I actually

26:38

think about the most uh the most

26:42

defensive businesses, the businesses

26:44

that can thrive in the age of AI and

26:46

actually be enabled by them are ones

26:48

where the conversation of something like

26:50

Chat GBD massively expands the funnel of

26:53

people engaging in health and wellness,

26:55

but then can be driven to a platform

26:57

that actually connects them with the

26:59

specialist and connects them with the

27:01

products and actually can get that

27:02

delivered to their door. Um, and

27:04

ultimately I think we're a combination

27:05

of all of those businesses together. So

27:07

uh you know I think there's there's a

27:09

lot of opportunity with with that funnel

27:11

that opens up with things like uh

27:12

chatbt.

27:13

>> I agree with you in terms of like

27:14

physical infrastructure and real world

27:17

requirements meaning there's just

27:18

inherently more value there cuz it's

27:20

harder to do. So does that look like a

27:22

partnership then? Say I come in and I

27:24

say hey I've got a I don't know a rash

27:26

here um and I'm worried about it and

27:28

then they siphon it off to him. So how

27:32

what does that relationship look like?

27:33

Yeah, I mean I think it's similar to

27:35

what you see on Google. I don't think

27:37

it's going to be all that much

27:38

different, right? That you'll be able to

27:39

to partner directly with uh anthropic

27:42

and chatbt and and find patients that

27:45

are looking for certain services and

27:47

then have handoffs to specialized

27:49

implementations, right? It's it's going

27:51

to be um I think there's great

27:53

opportunities to partner with all of

27:54

these players.

27:55

>> We mentioned kind of transition of how

27:58

people like consume healthcare. in terms

28:01

of how people find you. I actually had

28:03

Eran from Monday on the show which was a

28:05

fascinating show and he said that with

28:07

AI overview on Google that they've lost

28:11

18% or I might be butchering maybe 15 15

28:14

to 18% of their uh adwords in terms of

28:19

acquisition.

28:21

>> How are you seeing the way that people

28:23

find him change?

28:26

you know, it hasn't had particularly

28:28

dramatic changes since um since, you

28:31

know, some of these new AI companies

28:33

have have grown. I think for us, a huge

28:36

number of people that come to us are are

28:38

firsttime patients interested in some of

28:40

these care categories. And so, they're

28:42

hearing about it through, you know,

28:44

watching Fox News. They're hearing about

28:47

it through watching uh NFL on Thursday

28:50

nights. They're hearing about it from

28:51

their friend who all of a sudden is

28:53

feeling great. and the friend is talking

28:54

about the treatments that they're on or

28:56

or the fact that they're getting care

28:57

from him and hers. So, I think more and

28:59

more for us, the brand and the the spend

29:03

is moving towards channels where you're

29:05

talking about the opportunity to feel

29:07

great. You're not relying on, you know,

29:10

maybe the the AdWords Google funnel that

29:13

that you mentioned. I do think those

29:15

businesses inevitably will have struggle

29:18

in transitioning to some of the the um

29:22

you know the chatbased interfaces but

29:24

there will be ad networks that are built

29:25

through those chatbased interfaces that

29:26

that eventually just replace them. So um

29:29

ultimately I'm not sure it will matter

29:31

but for us I think a increasing amount

29:33

of spend is actually going towards just

29:34

telling people about all of the new

29:37

things him and hers is doing. The fact

29:38

that you can feel great the fact that

29:40

it's affordable and you can come check

29:41

it out. Um, and it's it's a lot of

29:43

market creation both in the US and

29:45

globally versus latent demand that

29:48

you're capturing through through some of

29:49

these more streamlined channels.

29:51

>> If I gave you an unlimited checkbook,

29:53

what would you spend on today that

29:56

you're not currently spending on?

29:58

>> I would definitely sponsor

30:01

um Ferrari F1 because I I' I've told my

30:04

wife that if I were to have one job that

30:06

wasn't my current job, it would be a

30:09

Ferrari driver. Um, uh, but she did not

30:13

really like that that answer. Um, no,

30:16

but I think we were probably

30:17

>> Do you think that would be a net

30:19

positive for HIMS as a business? Don't

30:21

laugh.

30:22

>> The Ferrari sponsorship.

30:24

>> Yeah,

30:25

>> at this point probably not because I'm

30:26

not sure we're we're live in every

30:28

market with the penetration we would

30:30

want where that that global footprint

30:32

matters. Um, I think eventually it

30:34

would. I think eventually in the coming

30:36

years, you know, World Cup and and

30:38

global sponsorship opportunities

30:40

actually do matter because we are, you

30:43

know, this year was a a huge level of

30:45

commitment to win internationally. I

30:47

mean, we we did not dip our toe. I mean,

30:49

we we acquired three or four companies

30:52

very large.

30:53

>> Eucalyptus for like one and a half

30:55

billion in cash

30:57

>> somewhere around there.

30:58

>> So, I mean, how does that come to be,

31:01

dude?

31:03

You know what? It it comes to be because

31:05

you get to know the people really well.

31:06

I've known Tim probably four or five

31:08

years. I think he was the best operator

31:10

overseas. No question. I mean, his

31:13

understanding of the customer, his

31:14

ability to build a team that just moves

31:16

fast, experiments,

31:18

um is willing to take risks and fail. I

31:21

mean, when I first met Tim, he was live

31:22

in like six or seven markets and it was

31:24

all failing. And he was telling me how

31:26

chaotic it was and I was like, "I don't

31:28

know, man. This sounds crazy. You're in

31:29

like Indonesia, you're in Japan, you're

31:31

in all these different places. is like,

31:32

"Is it going to work?" He's like, "I'm

31:33

not sure, but we're going to try it."

31:35

And then a year later, he's like, "Okay,

31:36

it didn't work. We're we're like toning

31:38

it back. We're going to focus here."

31:40

Like his his his humility and his

31:42

willingness to experiment and test and

31:44

learn is incredible. And and because of

31:47

that, they've just moved so much faster

31:48

than everybody else. I mean, they're the

31:50

dominant player in Australia, dominant

31:52

player in the UK, dominant player in

31:54

Germany, uh you know, quickly growing in

31:57

Japan. I mean, it's just a phenomenal

31:59

business. And I think the power of what

32:01

we built in the US from a cash flow

32:03

standpoint has enabled us in the last

32:05

four or five years to buy that business

32:08

with pretty, you know, moderate

32:10

dilution, right? Because you can

32:11

actually just fund the purchase of it

32:13

off the balance sheet um over the next

32:15

couple of years, which is incredible.

32:17

And so we have committed a huge amount

32:20

of dollars in focus internationally

32:21

because I just think the opportunity for

32:23

the brand um is pretty consistent

32:25

whether there's a national system in in

32:27

the UK or or not. People are

32:30

>> they give you is they give you cold

32:31

sweats at night being as aggressive as

32:33

you have been as quickly as you have

32:35

been. You know I remember interviewing

32:36

Dax from Lightseed Dax to Silver and he

32:40

mentioned the challenge Lightseed the

32:41

POS system in a lot of restaurants and

32:43

he mentioned the challenge in acquiring

32:45

so much so quickly. I think they made

32:47

like 18 acquisitions in like 2-year

32:50

period. Are you worried of like oh [ __ ]

32:52

I now have to integrate Eucalyptus and

32:54

these three other businesses? Definitely

32:56

you you there is a very fine line of of

33:00

uh driving so fast that you're losing

33:02

control. There's no question about that.

33:04

Um what I found at least in running this

33:07

business is is if you don't feel like

33:09

you are getting close to that line,

33:11

you're probably not pushing hard enough.

33:13

And so I do think um that uncomfortable

33:18

gut feeling where you're constantly

33:21

questioning, constantly evaluating,

33:23

constantly tweaking the strategy or the

33:25

tactics, like that feeling is what uh uh

33:29

success feels like. And so I've I've

33:31

kind of taught my team that we're going

33:33

to get really comfortable with that

33:35

feeling. we're going to get really

33:36

comfortable sitting in that feeling and

33:39

questioning and and re-evaluating and

33:41

pushing um because I think that's how

33:43

you win, right? Like um I was a rower in

33:46

high school and I remember, you know, my

33:48

coach saying, you know, the the the

33:51

group of guys out there that is willing

33:53

to be the most uncomfortable and in the

33:56

most pain are going to win this race.

33:58

And and that's actually true in that

34:00

sport. And that's true in in you know,

34:01

in most sports. said, I didn't think

34:03

that's true in business is like if you

34:05

can put yourself in environments where

34:07

you're being aggressive but smart,

34:09

taking the right bets, but have a team

34:10

that is, you know, bought into the

34:13

mission and comfortable with that level

34:15

of of aggressive risk and I think I

34:19

think it's the right formula. So to me,

34:20

that's what makes this fun.

34:22

>> When with the benefit of hindsight did

34:24

you push too hard and you had to pull

34:26

back

34:27

>> in the early years? And and I think we

34:28

still I still, you know, try to moderate

34:31

this with our business. Like we could

34:33

launch we could launch so many things

34:35

within like a month. You know, you could

34:37

launch a um a skincare routine. You

34:41

could launch like a makeup brand. You

34:43

could launch sleep vitamins. You could

34:45

launch like a wearable device. You I

34:47

mean there's just like anything people

34:48

are doing in health and wellness could

34:50

live in the Hims and Hers brand, which

34:51

is pretty powerful and also extremely um

34:55

risky, right? because if you if you do

34:57

too much and you you move into the wrong

34:58

areas, you you waste a ton of resource.

35:01

So in the early years um you know I

35:04

thought just having everything on the

35:06

platform was how you win. And so we

35:09

invested in uh skinincare regimens and

35:12

we invested in vitamin supplements and

35:14

we invested in you know so many things

35:16

that in retrospect were were fairly

35:18

commodity products. um and and for

35:22

pretty much the same price or even less,

35:24

you could walk across the street to

35:25

Walgreens and get something that was

35:27

pretty much the same thing. And I think

35:28

that that was a massive mistake. You

35:31

know, I think it was it was a belief

35:32

that just assortment won. And I think

35:36

there's a more nuance perspective that

35:38

the right assortment wins. And and so um

35:42

we're we're really careful about

35:44

categories we enter, products we launch

35:46

to make sure that they're products and

35:47

offerings that that are actually

35:49

differentiated for people that are hard

35:51

for other people to receive and get get

35:53

access to. And maybe that means it's

35:55

pharmaceutical grade, it's manufactured

35:57

in in a way that is is you know very

35:59

very challenging to get quality um or

36:02

there's a level of personalization that

36:04

is required in this care of treatment

36:07

that makes it unique to you. But when I

36:08

think about some of the early DTOC

36:10

brands um that launched, you know, they

36:12

were selling commodity products and

36:14

those products capped out at you know a

36:16

billion in revenue or you know a couple

36:18

hundred million in Facebook spend and

36:20

the curves were like this and that's my

36:22

nightmare you know and and so um in the

36:24

early years made a lot of those mistakes

36:26

and and you know try to try to make sure

36:28

we we don't do that again. I I do want

36:30

to go back to the brand marketing

36:31

element just because I I suppose you

36:32

mentioned obviously brand being a core

36:34

component of like the defensibility.

36:35

Yeah. When I when I interviewed Nick at

36:37

Revolute, he said brand marketing was

36:39

the single biggest thing he's changed

36:41

his mind on in the journey of Revolute,

36:43

which I thought was an interesting

36:44

statement.

36:46

>> What do you know now about brand

36:47

marketing and spend on things that seem

36:51

fasile? What do you know now that you

36:53

wish you'd known?

36:56

You know, I think what you what you gain

36:59

confidence in with brand marketing over

37:01

time is that consistency

37:05

um

37:06

consistency is required. So I think in

37:09

the early years with brand marketing as

37:11

companies are growing, they throw some

37:13

dollars, you know, let's do an out of

37:15

home campaign in New York because it's

37:16

like really cool. It's like take over

37:18

subways, right? Which we did a ton of.

37:20

and they do it once and every this team

37:21

is so [ __ ] excited because it's so

37:23

cool and you can see it and you take

37:24

pictures of it. Um but you do it once um

37:28

and then like months go by and and it

37:30

gets taken off and then and then that's

37:33

it, right? Um because you did it and it

37:35

was fun and cool and you look at the

37:37

numbers and like ah maybe there's like a

37:38

little spike in New York City maybe on

37:40

this day like you can't really tell

37:41

probably not but you you hopeful. Um and

37:44

then the next year like okay what are we

37:45

going to do this year right? Like that's

37:47

just like it's a guaranteed way to just

37:48

lose money. It's a great way to feel

37:50

good and it's super fun. It's like so

37:52

much fun and we've done a ton of it and

37:53

it's really fun. But like that's not a

37:55

business strategy. I think in order to

37:57

have brand marketing work, I think it

38:00

has to be consistent. It has to be

38:02

consistently random if that makes sense.

38:04

Like you have to be appearing in

38:07

different places for people in a

38:09

randomized way but with consistency

38:11

because it's the multiple hits. like you

38:13

have to be hit 10 different times in 10

38:16

different ways for all of a sudden that

38:18

to say hey there's like a cultural

38:20

zeitgeist association with hymns right

38:22

now that I need to pay attention to like

38:24

what are they doing that is that is

38:26

showing up in so many ways in my life

38:29

where your brand trust elevates your

38:31

cultural relevancy elevates so it isn't

38:34

a one-off thing and I think in the early

38:36

years you know you hope it is um and you

38:38

try to track it but it does require a

38:40

level of of dollars it requires metal

38:43

level of consistency. And actually, you

38:44

know, Kathy, our chief comms officer,

38:46

told me this when I when we were

38:48

interviewing, which I completely

38:49

believe. She's like, "The the thing

38:51

early companies struggle with when it

38:53

comes to communications and their brand

38:55

is they get they get bored of saying the

38:58

same thing and then they move on to the

39:00

next thing, right? Like early companies,

39:02

we're excited, we're young, we're

39:03

changing. So like here's our vision and

39:05

here's what we stand for." And then 3

39:07

months later, like it's changed up a

39:08

little bit. I want to say something

39:09

different because I already said that

39:10

thing in that last podcast. Let me say

39:12

something new in this new one. And in

39:14

fact, what makes great brands great is

39:17

the fact that everybody knows why they

39:20

exist, why they fight, who their

39:22

customer is, what the value is they

39:23

deliver. And it's because they say the

39:25

same damn thing in 20 different ways

39:28

every single week. And so I think that's

39:31

one of the key parts about brand

39:32

marketing or or comms in general. um is

39:35

consistency is uh uh making sure that

39:40

that message and that narrative is not

39:43

changing out of which requires an

39:44

immense amount of discipline. Um and in

39:47

many ways it's like a lot less fun. It's

39:49

much more of an engine. Um but but over

39:51

many many years I do think it it builds.

39:54

>> I agree with you. I also think like

39:55

everyone when you're bored of saying it,

39:57

you've got to remember that there's a

39:59

new team member that's never ever heard

40:00

it before. That's right. And so you need

40:02

to deliver it with the same passion and

40:03

gusto that you did. I also think not

40:05

enough for opinionated enough. If you

40:07

look at the Hims and Hers brand today,

40:10

>> where would you say you are not

40:12

opinionated enough?

40:14

>> I think Hims and Hers will increasingly

40:16

have a stronger perspective of what

40:19

great health care looks like.

40:22

And I think as we grow, you know, we are

40:26

building an understanding of patients at

40:28

a scale that I don't think most have,

40:31

right? When you think about the fact

40:32

that we're treating 10 20,000 patients a

40:34

day, like the largest health systems in

40:36

the world are not treating 10 to 15,000

40:38

patients per day. So there there's an

40:40

immense amount of knowledge that's being

40:42

built around um different types of

40:44

patients, their demographics, their risk

40:47

factors, their biomarkers, what

40:50

medicines and treatments work, why, what

40:52

side effects they have, how much they

40:53

feel better. Um combination therapies

40:56

that are beneficial, like there's just

40:58

an immense amount of knowledge base

41:00

growing where I think we're going to be

41:02

able to start having stronger

41:04

perspectives of what excellence looks

41:06

like in healthcare. What do we believe

41:08

the gold standard in preventative care

41:10

is? Like if you Harry want to be the

41:13

absolute healthiest 29-year-old, right,

41:15

and be ahead of the curve, right? What

41:18

are the 10 things you should be doing?

41:20

What are the tests you should be doing

41:21

specifically for you? What are the the

41:23

treatments, whether they're holistic

41:25

supplements or maybe sauna, right, that

41:27

you should be doing? Um, and what's that

41:29

exact regimen and get ahead of it? And

41:31

there you go. Just you're going to be a

41:34

you're going to be gold standard, right?

41:37

But more and more like

41:38

>> you're so far off gold standard, dude.

41:40

>> You're doing great. You're doing great.

41:41

And I think that that's the point of

41:43

like to me that's such a key part of the

41:45

Hims and Hers brand is like everybody

41:46

feels that way. Everyone feels so far

41:48

away from optimal. And it's really

41:51

[ __ ] hard to take the first step to

41:55

have that confidence to to like make a

41:57

change. And so most people that come to

41:59

him and hers are first-time customers

42:01

because I think we as a brand try really

42:03

hard to empower you and say, "Hey, that

42:06

first step is going to be easy. We're

42:08

going to make it easy." It's kind of

42:09

like that old Marine or Navy Seal story

42:12

of like you make your bed in the

42:14

morning, right? Because when you make

42:15

your bed in the morning, you've

42:16

completed something like a very tactical

42:18

action. You've had success. There's like

42:21

positive adrenaline. And then from

42:23

there, you're going to do other great

42:25

things throughout the day like him and

42:26

hers. I want to make it so easy for

42:28

everyone to take that first step in

42:29

feeling great that that it empowers a

42:32

lot of people to do so. And from your p

42:33

from your your question, we're going to

42:35

have a stronger opinion about what great

42:36

actually looks like.

42:38

>> So for anyone wondering, that is General

42:40

McCraven's commencement speech. One of

42:43

the greatest speeches I think recorded

42:45

on the internet. I've listened to it

42:46

probably a thousand times. It used to be

42:48

the start of every single run because

42:50

it's 16 minutes, which is always the

42:52

most painful of any run, the first 16.

42:54

So amazing. aligned. I've got an out

42:57

there idea for you. You said there you

42:58

want to make it easier. Why do you not

43:00

have him preventative assessments in

43:04

every city and say, "Hey, we'll tell you

43:07

what's wrong with you." Like a prenovo

43:09

does or like any other prevent and you

43:12

can choose to buy with us or not. But by

43:15

doing that, you're building up the

43:16

world's largest set of healthcare data

43:20

for free. And you give it for free and

43:23

the treatment's what they pay for. It's

43:25

like you're a loss leader. Also, what a

43:27

goodwill engine. I would go to the

43:28

dinner party, even if I didn't talk

43:30

about even if I didn't buy products.

43:32

I'll go to all my friends and be like,

43:33

"You'll never guess. I found this out

43:35

about myself when I went to HIMS."

43:36

>> Yeah.

43:37

>> Oh, what's him?

43:38

>> I think we are we are um very close to

43:41

that being a reality. Um in the last

43:44

>> Are you a do you have the elasticity and

43:46

budget to do that? I don't mean that

43:47

really.

43:49

>> It requires two tangible things. So last

43:51

year we acquired uh your bio health

43:53

which is one of the the few athome blood

43:56

collection devices. I have it right here

43:58

on my desk. Um and this device costs

44:00

just a couple bucks to manufacture and

44:02

you can click it on your arm and it's

44:03

got 30 micro needles in inside of it.

44:06

Each of the micro needles smaller than

44:07

an eyelash. So if you feel nothing, you

44:10

click a button, you feel nothing and

44:12

then a small tube of blood gets

44:15

extracted from your arm in about a

44:17

minute or two. You can then peel that

44:19

off and you can mail it to New Jersey

44:20

which is where we have a lab processing

44:23

facility and we'll have a couple others

44:24

in the next year and two um and run a

44:27

full panel you know 50 biomarkers and it

44:31

will cost us like almost nothing. Now

44:34

today if you go to to Quest or Lab Corp

44:37

and try to get that panel uh cash pay

44:39

maybe cost you a,000 bucks or 2,000

44:41

bucks. if you you know uh go online and

44:44

go to different competitors maybe it

44:46

costs like 300 or 500 bucks for that

44:48

panel. Um uh and and my my goal my

44:52

vision is like very quickly I want to

44:54

give that away as a part of the HMS and

44:56

hers membership for free. Um because if

44:58

you can get a sense of those metrics and

45:00

and I'm not talking about just like

45:01

baseline metrics like you know your

45:03

cholesterol and things I'm actually

45:05

talking about things that are even more

45:07

sophisticated like genetic

45:09

predisposition risks which you know very

45:12

few people get access to um or or cancer

45:16

risks or polygenic risk stores. if you

45:18

have a really accelerated risk of colon

45:20

cancer, there's things you should be

45:21

doing that are different. Um, so to me,

45:24

that is the vision, a preventative front

45:26

door that is near cost or free. And that

45:29

requires us to spend hundreds of

45:31

millions of dollars, which we're doing

45:32

right now to totally verticalize this

45:33

stuff and actually own the devices, the

45:36

lab processing, and that fulfillment.

45:38

Um, but then a platform that says,

45:40

"Here's everything we know. Here's what

45:42

we can help you with, right?" and and

45:45

give guidance and again make that next

45:47

step really really easy.

45:48

>> I thought it was really interesting.

45:49

Goal Rajaram who's amazing. I don't know

45:52

if you know this but he basically said

45:53

his biggest lesson from Square where he

45:55

was for many years was that when you're

45:57

running a multi-product company not

45:59

every product line has to be profitable.

46:02

>> That's so right. Yeah. And I I think for

46:04

us um I I think that entry point and

46:08

that data collection it serves two

46:11

purposes. one, most people just don't

46:13

even have access to this stuff. So, they

46:14

don't even know if they're like doing

46:16

well. You know, I'll give you an

46:17

example. One of my best friends, um, you

46:20

know, he's mid30s. He's trying to live

46:23

healthy. He was telling me the other day

46:24

how he's running a lot and he he looked

46:26

at his cholesterol numbers and they were

46:28

they were like kind of out of whack. So,

46:29

he's like now starting to eat more

46:30

salmon and going for a run. I'm like,

46:32

"Oh, that's great. Awesome." And then I

46:34

told him, "Hey, have you done testing

46:35

for this specific genetic risk factor

46:37

for heart disease? It's it's called

46:39

lipoprotein little a." Uh he's like,

46:41

"No, I've never done that test." So he

46:42

ran he and did that test and he came

46:44

back and he's like, "My number is like

46:46

450." I was like, "Well, that's a

46:48

problem because that number should be

46:50

like under 70." And if it's 450, it

46:53

means there's a pretty good chance

46:54

you're going to have a heart attack at

46:55

like 50 or 60. And he looked at me. I'm

46:57

like, "Do you have has anyone ever had a

46:59

heart attack in your family?" He's like,

47:00

"Well, my my dad died when he was 60 and

47:03

my dad and my grandfather died at 55.

47:06

Both of heart attacks." Like to me that

47:08

moment was why all of this matters

47:10

because he went to his doctor. He went

47:12

to a cardiologist because he was trying

47:13

to do well. They gave him a set of panel

47:15

and blood tests and his numbers were a

47:17

little bit off. So he started to go for

47:19

runs. Great first step. What they didn't

47:21

test was a genetic predisposition marker

47:23

that we now know is so much more

47:26

important. And if you have that high

47:28

genetic predisposition number, your

47:30

cholesterol numbers need to be like

47:31

amazing, not good. They have to be

47:33

incredible or you're going to have a

47:34

heart attack. there are so many

47:36

therapies he should be starting now

47:37

because he now has access to that

47:39

number. That's the kind of stuff I want

47:41

to give away for free. Like that that

47:44

level of information helps people

47:46

actually like get preventative, not

47:48

reactive and and put it on a care

47:50

spectrum where if somebody wants to be

47:52

aggressive, they can. If somebody wants

47:53

to be conservative, they can. But I want

47:55

to give people information and then I

47:57

want to give them choice and assortment

47:59

and a doctor to help navigate that um

48:01

for a cost that that that isn't

48:03

overwhelming. I'm sorry to be and this

48:05

may be a total tangent but is it not

48:07

like totally [ __ ] that doctors get

48:09

incentivized by drug companies on

48:12

>> yeah the whole thing is totally [ __ ]

48:13

right if you look at the existing system

48:15

in the US almost nothing has to do with

48:20

patient outcomes or patient happiness

48:22

right so many people make money

48:24

everybody makes money but none of them

48:26

make money in any way that's actually

48:28

reflective of success of the customer or

48:30

patient um and I think that's where our

48:32

model is most powerful Like we only make

48:35

money at Hims and Hers if you are

48:37

happier and healthier. Period. Because

48:39

you pay us. You pay us to be healthier.

48:42

If you don't feel healthier, if you

48:44

don't feel happier, you stop paying us.

48:46

And so our incentive is only aligned

48:48

with with you. And we then fight behind

48:50

the scenes, the drug companies. We fight

48:51

the diagnostic companies. We fight

48:53

everybody. And we work with them, but we

48:54

apply pressure to them to get the best

48:56

stuff at the best price to bring it to

48:59

you. But ultimately, we only succeed if

49:02

you succeed. In a way though, we're like

49:04

we we don't your your your business is

49:06

like my business,

49:08

which is like we don't want you to be

49:09

too successful where you don't need us.

49:12

A world where businesses don't need

49:13

venture capital is a problem for me.

49:16

That's not a good thing. A world where

49:18

humans don't need any medication,

49:20

Andrew, I hate to say it, is not a good

49:22

business for you.

49:22

>> Well, for us, it's not necessarily about

49:24

medication, right?

49:26

You will always need somebody to help

49:29

quarterback your wealth and your health,

49:32

right? Like as you grow, as you age,

49:35

you're always going to want to have

49:36

somebody who's an expert partner that's

49:39

available to you 24/7 that you trust

49:41

that can help you navigate how you feel

49:44

in life. And and this changes, right?

49:46

Like at different milestones, like you

49:48

might not be there yet, but in the 10

49:50

years from now though, things will be

49:51

popping up all the time. and and that

49:54

that trusted partner becomes so

49:56

valuable. Um, and it could be super

49:58

cute, it could be something small, but

50:00

but I don't think that changes. And so

50:03

that relationship that can last decades

50:05

with him and hers is what matters,

50:07

right? Like me just getting you a

50:08

specific treatment today and making the

50:11

most money I can from you today, that

50:13

actually isn't what matters to me long

50:15

term, right? I'm 37. I've got like a

50:17

multi-deade perspective on how big this

50:19

business can be. in order for it to

50:21

reach that that maximum value, you have

50:24

to build a brand that people trust to

50:25

have with you for a very long time. And

50:27

that means often saying, "Hey, right now

50:29

this treatment might not be for you, you

50:32

know, um but we're here for you when

50:33

something else pops up and here's more

50:35

information and here's more diagnostics

50:37

and here's maybe a wearable device and

50:39

here's some other habits and food and

50:41

nutritional support um to help you along

50:44

the way."

50:46

>> What is your least profitable product

50:48

that is most important? Do you remember

50:50

we said about multi-product companies

50:51

don't have to

50:52

>> Yeah.

50:53

>> Right. Right now it's the lab testing

50:54

offering. We offer it essentially uh at

50:58

cost. We haven't verticalized any of

51:00

this infrastructure. So it costs us you

51:02

know you know pretty much just as much

51:05

money as we we sell it for. Um and again

51:07

it's because I believe the loss leader

51:09

value to the patient is incredibly

51:11

important. And that margin will continue

51:13

to be terrible because what we're going

51:15

to do is continue to reduce the cost as

51:17

we verticalize it. and then actually

51:19

reduce the cost to the consumer. Um so

51:21

that that will always be I think um a

51:25

platform benefit from my standpoint

51:27

where we try to make nothing on um but

51:30

give patients information and access and

51:31

and that ultimately can be really

51:33

transformative for them.

51:35

>> What do you think not enough people know

51:36

about hymns that they should know?

51:38

>> I think a lot of people um are still

51:42

trying to understand why we are fighting

51:45

so hard, right? People see us in the

51:47

headlines all the time, right? Um,

51:49

recently seeing us in the headlines for

51:51

for GLP1s and, you know, with drug

51:54

company conversations. Um, and so

51:57

>> why do we see like negative connotations

51:59

with you and not Row? It seems like the

52:01

world likes to dunk on you more than

52:03

Row.

52:06

>> Yeah. I I think when it comes to hymns

52:09

as a disruptor,

52:11

we are actually disrupting. I think we

52:14

are pushing buttons that structurally

52:18

change how people get access to care in

52:21

this country. If you look in the last 18

52:23

months, like we were talking about, um

52:26

the most important medicines of the

52:27

century got cut by 80%. Not only did

52:30

they get cut in cost, but now they're

52:32

available through consumer channels at

52:34

prices everyone can afford. Um I think

52:37

we played a part of that intentionally,

52:40

right? We applied massive pressure,

52:42

regulatory pressure, consumer pressure.

52:44

We leveraged, you know, hundreds of

52:45

thousands of patients to to raise their

52:48

voices to say, "Hey, these medicines

52:49

could save our lives. Like, let's

52:51

actually get them to us in ways we can

52:52

afford." And coverage is now expanding

52:55

dramatically and the prices are tanking.

52:57

And so, I think our willingness to be at

53:00

the at the forefront of disruption and

53:03

push on behalf of consumers, I think

53:06

causes friction, right? Um, and I think

53:09

we're comfortable with that friction. I

53:11

think people understand why we're doing

53:13

it is is super important because, you

53:16

know, we like to push where it's

53:18

important to customers and I think

53:20

ultimately that is going to benefit how

53:21

the ecosystem works

53:23

>> and row isn't innovating in that way.

53:25

Hence, they don't get the criticism. I

53:27

don't I don't know if I you know I won't

53:28

talk specifically about any other brand

53:30

because I'm not sure their strategy but

53:32

but I would say um you know in order to

53:36

actually disrupt the system you have to

53:39

break part of the system and and I think

53:41

our strategy is is is doing that. Uh

53:44

>> what system would you what part of the

53:46

system would you most like to break that

53:47

you haven't broken yet?

53:49

>> I think we are in the middle right now

53:51

of breaking how uh healthcare is

53:54

distributed entirely. So instead of

53:57

going through the PBMs and then through

54:00

insurance and then through

54:02

reimbursements, all of that complexity

54:04

that nobody understands in the US, I

54:05

don't think any of it makes sense. I

54:07

think all of it or as much of it as

54:09

possible will go through consumer

54:12

channels like him and hers where you can

54:14

pick up your phone, have on demand

54:16

access, have total price transparency,

54:19

have complete choice of which doctor,

54:22

which specialists, which treatment,

54:24

complete information access, and then

54:26

and then control. The system in the US

54:28

is entirely paternalistic, right? you

54:30

get treated with whatever they they they

54:32

want to to give you and and the

54:35

incentives and reimbursements and costs

54:37

are so convoluted that it's it's wildly

54:40

overwhelming. And so when I think of

54:42

every other industry we love food

54:45

delivery, you know, financial services,

54:48

banking, uh retail, everything is

54:52

simple. It's on demand from your mobile

54:54

device. Price transparency, customer

54:57

choice. Yet the one thing that is the

55:00

most important part of our life doesn't

55:03

have any of those elements and it's the

55:05

biggest industry in the US. It's where

55:07

we spend the most money too. And so I

55:09

think that's entirely going to change.

55:11

And so I don't think HIMS is a DTOC

55:12

company. I think HIMS is disrupting how

55:14

healthcare is delivered in in a consumer

55:17

focused fashion. And and I think we're

55:20

in the midst of that change. I think

55:21

people are are are just coming around to

55:23

it and you're starting to see it with

55:24

with the GLP1s as a prime example. But I

55:27

think in the next 5 years it's going to

55:29

accelerate dramatically.

55:30

>> The lock in and power of Epic is just

55:34

mind-boggling.

55:36

Does that progress or prevent innovation

55:41

in the healthcare industry?

55:43

>> I don't think it's relevant. Actually,

55:45

when you look at the patients coming to

55:47

Hims and Nurses today, the patients

55:48

starting their healthcare journey, the

55:50

majority of them do not have legacy data

55:54

and systems within old EMR platforms,

55:57

right? They they moved to a new city,

55:59

they moved to New York, and they're 22

56:01

and they're like, I don't have a doctor

56:03

yet. I'm feeling a little sad. What do I

56:05

do? Right? And they're their first time

56:08

entry into the health care system is him

56:10

and hers. And so the the wave of of

56:13

health care for the future, for the next

56:15

20 years, for the 50 years after that, I

56:18

is going to be a po patient population

56:20

that's starting today. Um, and that's

56:23

why I think uh, you know, you have to

56:25

you have to build a relationship early.

56:27

You have to have an assortment of care

56:28

that starts young for people so that you

56:30

can give them uh, an example of what

56:33

great looks like and then build with

56:34

them over many, many years.

56:36

>> Final one and then I promise we'll do a

56:38

quick fine. I know I've jumped around

56:39

the whole thing, but that's why I love

56:40

what I do these days. Um, like I think

56:43

your food industry is at the root of all

56:45

your healthcare problems. What you guys

56:47

do to your food is not [ __ ] natural.

56:50

Like apples are not meant to be that

56:51

large. You know, salmon is not meant to

56:54

be that cut. Do you agree that food is

56:56

at the root of a lot of your healthcare

56:58

problems? And

56:59

>> 100%. 100%. I think the team

57:01

>> and how do how genuinely, dude, how do

57:03

you eat healthfully and sustainably in

57:06

New York today when it's all completely

57:09

artificial?

57:10

>> Yeah, it's really challenging. I I I I

57:12

think the current administration is

57:14

doing an amazing job on that issue. I

57:16

really do. Right. Like the the push to

57:19

eat real food, the push to normalize the

57:23

fact that all of the ingredients on

57:24

these labels is garbage. It's chemicals.

57:27

uh the the push to educate people to

57:29

actually see what is good for you and

57:31

look at those labels and and require

57:33

food companies to disclose it and to

57:35

force changes on high processed foods or

57:38

or uh corn syrup use. Like it's poison.

57:41

Uh you know, my wife is my wife is

57:43

French and so when when we're visiting

57:45

her family overseas, I look at the

57:46

labels. It's crazy. I mean, you know,

57:49

when you look at a French fried bag of

57:51

in a French grocery store, it's potatoes

57:54

and it's olive oil and that's it. you

57:56

know, you you go to Safeway here in the

57:59

US and you look at it and it's 40

58:01

different things. So, I think there's a

58:04

huge problem with the food industry. I

58:06

think the the government applying

58:08

pressure and regulation there is a

58:10

wonderful idea for people because

58:12

undoubtedly that's a massive part of of

58:14

the obesity epidemic in the country and

58:16

also probably the mental health epidemic

58:18

and and many many other things.

58:20

>> Yeah, I'm totally with you. I feel and

58:22

actually on this one I feel really sorry

58:23

for I don't know how it says about being

58:26

classist, wealthist, whatever, but I

58:29

feel really sorry if you don't have

58:30

money because I think it's really hard

58:31

then.

58:32

>> Oh yeah, it's so difficult. I mean I'

58:34

we've got three little boys and I you

58:36

know we try to you know feed them well

58:39

and and so we'll buy like a carton of

58:41

organic blueberries, right? And that

58:44

carton is expensive. Organic blueberries

58:46

in San Francisco it might be like seven

58:47

bucks. Um, and I'll I'll open it and

58:50

I'll put it in front of the boys for

58:52

breakfast and they'll grab handfuls and

58:54

and it'll be done in 15 seconds. The

58:57

idea that, you know, healthy food costs

58:59

this much and is consumed that easily is

59:02

a real challenge uh right now. And so,

59:05

anything people can be doing to eat

59:07

locally, to have local farms, to to make

59:10

sustainability in their communities

59:12

easier and better, I think is is is all

59:14

positive.

59:15

>> Dude, I want to do a quick firearm with

59:17

you. Okay. So I'm going to say a short

59:18

statement. You give me your immediate

59:19

thoughts. Does that sound okay?

59:21

>> Sounds good.

59:22

>> What decision have you made in the last

59:24

two years that you would reverse today?

59:27

>> I think I was too slow to force the

59:29

company to invest in completely

59:34

uh disrupting their team processes with

59:37

AI.

59:38

>> Which process was disrupted most? I

59:42

think customer care, provider quality,

59:45

all patient interactions.

59:47

I think we we were a year or two uh too

59:51

slow on on totally changing the model of

59:54

how patients interact with the platform.

59:55

>> CAC goes up or retention goes down.

60:00

Which scares you more?

60:02

>> Retention going down. There are always

60:04

ways to optimize efficiency on

60:05

acquisition. There are always new

60:07

channels, new brand campaigns, new new

60:10

growth avenues. But if you don't have a

60:12

sticky customer and for some reason

60:14

they're becoming less sticky, your

60:16

product market fit, your patient

60:17

happiness, your customer happiness is

60:19

going in the wrong direction.

60:21

>> CAC only ever goes one way. Agree or

60:24

disagree?

60:24

>> Disagree.

60:26

>> Why?

60:27

>> At scale, I think uh with scale, with

60:30

assortment, with brand value, uh new

60:33

channels become unlocked, new efficiency

60:35

grows.

60:36

uh leverage accelerates with assortment.

60:39

Um

60:41

I think uh it often only goes one way

60:44

but I don't think always.

60:46

>> Other than Ferrari,

60:49

what do you not sponsor that you would

60:51

most like to

60:52

>> World Cup?

60:54

>> Like the event itself

60:58

>> or like like the FIFA World Cup brought

61:00

to you by him. Mhm. Yep.

61:05

Well, you got the US one coming, dude.

61:08

It's not too late to spend some dollars.

61:10

>> Great,

61:13

>> dude. I I love that. Um, what advice

61:16

would you give to yourself starting

61:18

hymns again? You mentioned Jack and

61:21

Atomic and starting it as part of

61:23

Atomic. What do you tell yourself going

61:26

back to the very start? I would tell

61:28

myself to trust my instincts as we

61:31

continue to build and get bigger and

61:33

bigger. Continue to trust my instincts

61:35

and also remember that it's going to be

61:38

a long journey and the ups and downs are

61:40

going to come and go. Um, but that the

61:43

persistence is going to be most

61:45

important.

61:46

>> Now, I think, you know, we do meaningful

61:49

jobs and you do a hugely meaningful job,

61:51

but I think the most meaningful job that

61:52

you probably do, which you'll agree

61:54

with, is being a father. Um,

61:57

>> what's your final one? What's your

61:59

biggest advice

62:01

on being a great father now having three

62:05

boys?

62:06

>> You know, there's a there's a um

62:08

something I watched once where they

62:09

asked a whole bunch of little kids um

62:13

what their absolute perfect afternoon

62:16

was. And these are like two, three,

62:18

four, 5 year olds. And the perfect

62:20

afternoon was all these kids answered

62:23

the same way, just playing with their

62:25

mom and dad. Just like sitting with

62:27

blocks and playing with their mom and

62:28

dad or drawing with their mom and dad or

62:30

or something with their mom and dad. And

62:33

I don't think, you know, when you're

62:35

exhausted and you're a parent and you're

62:37

trying to do everything and pulled so

62:39

many different ways, you realize that

62:41

actually all the kids want to do is just

62:43

have you present and and and truly

62:45

present. And so my greatest advice I

62:47

think would be to to try really really

62:49

hard to just play with them. Like

62:53

actually play like get down on your on

62:55

your knees on your butt in whatever

62:58

they're doing. Uh and just ask what

63:01

they're doing and ask if you can do it

63:02

with them. Um because they'll like they

63:04

light up. Uh because in parenting like

63:07

it's it's hard to actually h make time

63:10

for that. But I found that that that's

63:11

that's really the most important and

63:13

valuable stuff.

63:15

>> Dude, I I so appreciate you. I so

63:17

appreciate the friendship. I so

63:18

appreciate you putting up with my

63:20

incredibly wayward com. I mean, real

63:23

breath to the conversation. You got to

63:24

give me credit. Um, but you've been

63:26

fantastic.

63:28

>> Appreciate you having me, buddy. Good to

63:29

see you again.

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