How Hims & Hers Reached a $4.3BN Market Cap on $2.3BN of Revenue | Andrew Dudum
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One of the things I learned earliest in
my career is if you can't hire people
that are smarter than you, you will
fail. What you gain confidence in with
brand marketing over time is that
consistency is required. Now, I am so
excited for the show today. We have
Andrew Dunham, founder and CEO of HIMS.
Hims are reinventing healthcare, but
wow, it's been a tough 6 months. They
are down 66%. They've got a market cap
of 4.35 billion as of today, but they do
over 2.3 billion in revenue. It's nuts.
I'm so excited to sit down with Andrew
today where we discuss this and so much
more.
>> When you're disrupting an industry, you
have to have a team that is used to
being uncomfortable and used to getting
through it and used to staying calm and
having that resilience. I might be the
only person that believes this, but I
think running the company in the public
markets is more fun than being private.
Ready to go.
>> Andrew, it's been like six, seven years.
Like I was I was young and fresh when
when we lost
>> I was I was a lot younger. We looked a
lot better back then, but I say we're
pretty good by now.
>> I I listen I think life's been pretty
kind to both of us. Um, can I start with
a super weird one? And you might be
like, "Dude, I thought we were buddies,
but I I speak to so many public company
CEOs today and I I can't find a happy
one."
Seriously,
>> I'm You know what? I think I think I
might be the only person that believes
this, but I think running the company in
the public markets is more fun than
being private.
Why? You get [ __ ] on every day, dude. I
see it and I'm like, "Oh, poor Andrew."
And I so remember our dinner with your
lovely wife. And I'm like, "Oh, I so
nice." And I see the [ __ ] on.
>> I love it.
>> You do?
>> I I love it for a few reasons. One, um,
if you're a highly competitive person,
you get to put out high benchmarks every
90 days and see if you can actually
deliver on it. And you can build a high
performance team to say, "Hey, we put
this out and it's a big stretch. Let's
go kick ass and figure it out. When
you're private, it's so easy to get to
get cozy. You know, the worst case
scenario if you got some VCs that call
you and they're stressed out about
something. But in the public markets,
it's like it's boot camp. It's it's like
you got to be you have to deliver. So, I
love that from a competitive standpoint.
I also love the the the
ability to hire talent like in the
public markets because they they can see
the vision and you're forced to not only
talk about where you're going to go 10
years from now, but if you're going to
actually like make steps quarter to
quarter to prove it. So, as a
competitive person, I think it's a lot
of fun. Also, when you step back, like,
you know, we we went public really
early. We went public after like uh I
think 36 months of launching, which was
a little bit crazy. Um when you look at
the biggest companies in the world they
went public within a first few years of
launching Google, Facebook, Apple,
Amazon all of them like they didn't stay
private for 10 20 years you know they
forced the founder was forced to figure
it out in the public markets how we're
going to grow how we're going to get
efficient and how we're going to tell a
big vision and and I think that's a lot
of fun.
>> I love that. Google, Apple, Facebook,
Amazon.
Nice. Yeah. Yeah. Yeah. Yeah. It's It's
actually one of the oldest marketing
tricks ever, which is like marketing by
association. You know this? It's called
Six Flags. Do you remember Six Flags?
The really [ __ ] theme parks. Yeah. Yeah.
So, I don't know them cuz I'm British,
but like they wanted to be better than
everyone else and so they just did
massive billboards that said not as good
as Disney.
>> Smart.
>> Very smart. Very smart.
>> I know. Yeah. I like a good marketing.
Um fascinated. You said there about
going uh public so early. If you were
sitting down with like the Collisons
today,
>> Yeah.
>> would you tell them to go public?
>> I think if your business is ready from
an from an from a predictability
standpoint and you have a long-term
orientation, then I would encourage you
to go public. I think you those two
things have to be true. I think you have
to actually be able to predict your
business with consistency because you
can't enter the markets without that
confidence. Um, and you also have to be
ready to sign up for a decade or two in
the markets, right? This is not
something it's not a quick exit. It's
not a liquidity event. It's it's the
beginning. And so I would I would
encourage any founder that has those two
dynamics to consider it.
>> Do you think you can do what you want to
do from a long-term strategic objective
standpoint and have the, as you said, I
love it, the 90-day ticker of like, hey,
we've got to go hard for the 90 days.
>> I think you do. It takes it takes
discipline. I think it takes hiring the
right people. You know, I think I I
focus on hiring a certain type of
people. um you know they're not
particularly fancy in background.
They're not credentialed with like all
of the really great tech companies. Like
that's not what I look for. I look for
mostly people who have been builders and
have gone through some [ __ ] is like the
honest reality. So if you look at our
team um you know Yi our CFO he was you
know the divisional CFO of Uber during
COVID the whole business disappeared
overnight and he had to figure it out.
uh or deer our chief product officer she
was at games she was at Robin Hood
during GameStop right had to figure out
that chaos or
>> do you seek out do you seek out crisis
in their lives I know it sounds stupid
you you've mentioned two very iconic
>> yeah I seek out grit I seek out a lot of
grit um because I think when you're
disrupting an industry which we are and
and even in the last year our category
has exploded and changed and and been
fraught with all types of chaos you have
to have a team that is used to
being uncomfortable and used to getting
through it and used to staying calm and
having that that resilience. And so I
absolutely search for people that have
seen those types of ups and down and and
thrived in them because I think when
you're disrupting it's just inevitable
that that's going to happen.
>> I spoke to so many people around you
like really I thought the [ __ ] out of
you again which was nice cuz I know you
but like to to kind of hear stories from
owning doughut shops. U didn't tell me
that did you? uh my my Augustus group
was coming out there, but the the talent
element was one and they said in
particular Jules Moltz I think it was
from IVP said that you're incredible
when it comes to acquisition and
retention. What do people get most wrong
do you think about acquiring great
talent today? I think often people as
they scale, maybe founders as they
scale, um fall into the trap of trying
to hire people that um have seen bigger
scale than them and are more strategic
and they they feel like they've gotten
to the point of success where now it's
time where they uplevel the talent to
non-starty folks, right, to like real
professional people. Uh and I think that
is a huge huge mistake. Huge mistake.
Um, you know, when I look at, you know,
Chris Payne is on our board, who's one
of my mentor,
>> Chris?
>> Yeah. Chris, a great guy. I think one of
the best operators I've ever met. And
when I look at the team over at that
that Tony's built at Door Dash, you
know, that team is is an operating
machine. And they're huge, right? It's a
8000 billion dollar company. Um, yet
they're still operating with speed and
focus like a startup. And I think so
much of that is because the team that
Tony's assembled around them is a team
of operators that love to build. Uh and
and so I think as you scale there's a
pressure to go hire that big strategy
person with who who has more credentials
than you and it's kind of it feels
almost confidence inducing as a founder
to like get to that level. And I think
you have to fight that at all costs. I
I've made mistakes. I've hired people
like that because I thought it would was
the right move. and and have always come
back to find people who love the
mission, who love to build, who are
tactically excellent at what what the
function actually requires. Um, and
again, who are gritty as hell.
>> What are you not excellent at in the
role of CEO, but persist relentlessly
despite your lack of skill.
>> So many things,
so many things. I mean, I'm constantly
trying to find the balance of being in
the weeds and building a team that can
scale independently of me, right? Like
you're you're that that line of how
hands-on you should be, how
strategically involved you should be,
how tactically involved you should be
versus
>> where do you where do you come down on
that then? Because we have the founder
mode and the you know, I love Ryan at
Flexport, but like the I'm so in the
weeds and I love him for it. Yeah, I
think you have to I think you have to be
intentional about where you get into the
weeds. Um I I don't believe in this
concept of like every design review
comes through me, everything that ships
comes through me, every decision comes
through me. Like it's you one of the
things I learned earliest in my career
is if you can't hire people that are
smarter than you, you will fail. And
young managers struggle with this all
this time. all the time. They they're
scared to hire people that are better
than them because they feel like if I
hire somebody better than me, well, what
the what the [ __ ] am I even doing here?
Why am I here if I just hired somebody
who's better than me? And in fact, it's
completely the opposite. If you want to
continue to scale in our organization or
any organization that's growing, you
have to realize that your job is
changing every 12 months, right? To
level yourself up to the next next
highest leverage focus area. In order to
do that, you have to replace yourself
every 12 months with talent equal or
better always. And so, um, to me, that's
a really important realization that as
as a CEO and founder, which is I want to
hire people better than me and and so I
trust them. Yet, at the same time, if
there are specific areas of the business
that are critical, um, either strategic
decisions or tactical implementations
being worked on, you have to know when
you go deep and you need to acknowledge
to the team, hey, this is something
that's really important. I'm going to go
deep on it. I'm not going to go deep on
everything, but this is important. I'm
I'm going to be in the weeds here. Dude,
I sit in these boards nowadays and
honestly, they're mostly useless. It's
so exhausting. Um, and AI is at the top
of every big company board discussion
topic. Okay. No [ __ ]
>> Yeah.
>> How does your business change with AI?
How many people do you have today?
>> About 2,000 employees.
>> Okay. You have 2,000 employees. How many
do you think you'll have in 2030?
>> That's a great question. probably not
many more than two to three thousand.
>> That's a big range.
>> Yeah, we operate about a million square
feet of pharmacy fulfillment throughout
the US. And so we have a a large chunk
of labor force which is actually just
variable labor responsible for actually
pharmacy oversight, pharmacy um review
and actually shipment of medication. AI
can do a lot uh in regard to efficiency
for core product engineering,
accounting, finance, marketing, etc. But
when you're actually running facilities,
physical facilities, and a lot of this
is actually required doctor and pharmacy
oversight, you know, those you can't get
as much leverage on.
>> Are you pushing AI down into every
function of the or
>> Yes. Yes.
Are you seeing it have dramatic
implications
that we we have we have ange and we have
customer support. I think we
overexaggerate elsewhere where it has
impact.
>> I think those two areas are critical.
We're also seeing it have massive
leverage in design, right? So, we deploy
about a billion dollars in marketing
spend every year across the Hims and
Hers brands and the u you know the cost
to do a live photo shoot uh the speed of
a food photo shoot for every single
product launch you know we probably have
thousands of variations of TV
commercials uh Facebook ads Google ads
etc. The speed of iteration with AI in
that function I think is actually one of
the most tangible that I've seen across
our organization
>> in terms of cost reduction and in terms
of supply expansion.
>> It's mostly in regard to output. You
know, I would say it's you have the same
team but you're probably delivering
three to four times the amount. The
other area that we see a big degree uh
improvement is actually on the clinical
side. So we treat you know 10,000 plus
patients a day. We're probably the
largest health care system in the US. Uh
if you actually look at volume of
patients treated um and now with recent
markets, you know, definitely the the
largest globally from a digital health
standpoint. And if you can apply AI to
the the medical side, the ER, the EMR,
right, where doctors are actually making
clinical decisions and it can help you
know give guidance with regard to
certain protocols and speed up that that
process. That is a a huge amount of
leverage for the clinical end um from an
efficiency standpoint, but it's also a
meaningful improvement in quality
because you have essentially a uh you
know an intelligent brain helping
standardize care across thousands of
doctors that are making decisions every
single minute.
>> When you speak about the explosion of
the business, that explosion is driven
largely by you GLP1s and weight loss.
How much of that is the core business
today? Is it like 80% weight loss, 20%
everything else? What does that look
like?
>> No, no. I think that's one of the funny
things about our business is we are
constantly in the headlines as a single
category business. When we first
launched, when you and I first met, we
were the erectile dysfunction business,
right? And it was, you know, front page
of New York Times and it was uh fun and
silly and provocative and all we did
from everyone's perspective was ED. Uh
and then we launched hair and then all
of a sudden it was like we're a hair
loss business. Uh, and then we launched
the HERS business and everyone said,
"Oh, hers is never going to work. You're
just an ED and hair loss business." Uh,
you know, and then eventually we
launched GLP1s and everyone said, "Oh,
now you're just a weight loss business."
And, you know, a year from now people
will say, "Oh, you're just like a
peptides business probably if I were to
take a guess, right?" And and so I think
the the reality is under the hood is
that you have a dozen completely
different clinical categories,
completely different businesses, each
scaling with very solid robust growth,
which is why this business is
interesting. Like that's why I run this
business is the durability of it is
quite strong because you have 10
different businesses with completely
different customer segments. So weight
loss is actually, you know, nowhere near
the majority of this business. um um and
and I don't think ever will be um just
because you're continuing to expand core
categories and a lot of new categories.
So,
>> do you run those as separate businesses?
When I had Nick from Revolute on the
show, he he said something fascinating.
He said, "We run 26 different product
experiments at the same time. I treat it
much like a venture incubator and I give
them more or less money depending on how
well they perform." Do you run them as
like a venture incubation unit?
>> Yeah, absolutely. I mean, you know, when
we first met, I was um, you know, over
with with with Jack Abraham running
atomic ventures for a long time. Um, and
that training of 0ero to one
exploration. Um, that is what hims and
hers is, right? Like I think of it as a
public shell for innovation in bringing
great healthcare to consumers, which
means every year we're testing
completely new go to market strategies,
completely new categories. And the way
we think about it is internally is just
different bets. Um, and some bets you
you starve and some bets you fund and
some bets you you ring fence to allow
exploration for a year or two. Um, but
they're run uh increasingly
independently. And I think the the DNA
of management is is to look at it as a
portfolio that continues to scale
because ultimately in our business, you
know, health and wellness, what what
makes up great health and wellness is
constantly changing. There's new
diagnostics, there's new devices,
there's new drugs, uh there's new
learnings about, you know, the sauna
and, you know, cold plunges or whatever
it might be, whatever's trendy, right?
Like all of this is changing and it's
going to continue to accelerate and our
job is to curate the best and bring it
to people at scale at an affordable
cost. And so we have to think about
this, frankly, as a portfolio that's
constantly evolving.
>> I can't get my head around the sauna,
Andrew.
>> You have to do the sauna four times a
week. No, I don't
for 20 minutes. It cuts all cost. Have
>> you seen what it does to the motility of
your sperm?
>> Three kids, buddy. Some of us have got
none. Okay.
>> Got to bring an ice pack in there.
>> I'm not going to bring an ice pack for
my balls. I'm sorry. This is genuinely
this was like the most unattractive
thing ever. And it's like, you know,
Huberman's like, "Oh, it extends life by
like, you know, three decades." mate.
>> He's right doing ice pack.
>> I'll I'll we'll we we'll sauna together
next time I'm in London.
>> I'd I'll do it with you.
>> All right. There you go. Um you said
there about kind of the bets. What did
you do that with the benefit of
hindsight you wish you hadn't done? For
us as a business,
I think it's important to constantly
be in a customer's mind, the mind share
of the new evolving health and wellness
categories. And so I think in many
categories we've been um quick to market
and in many categories we've been kind
of like uh you know patient to market.
And in retrospect I constantly am kind
of evolving my perspective on like how
fast we should be there. My net net
takeaway is I don't think we actually
need to be first ever in market. Um I
want to be best in market. And so when I
think of new categories, peptides for an
example, right? You know, a lot of
conversation about 10 15 peptides going
from class 2 category 2 to category 1
compounding so that people can actually
get access to things like BBC 157,
TB500. This is an incredibly interesting
category. You won't see us be first to
market in this category. Um you'll see
us when we launch it feel extremely
confident in the clinical protocols
extremely confident in the guardrails
make sure that the supply chain and the
quality is done to a level we are you
know feel is bulletproof from a
pharmaceutical standpoint so you know
there's a lot of a lot of introspection
uh in my in my brain around speed and
prioritization of which categories to
enter but what I always come back to is
not being first but being best so that
from a brand standpoint people know him
and hers to be high quality and trusted.
Like when we actually bring something to
market, you know it's safe. You know
it's done right and you know it could be
something that's that's powerful and and
important for your for your health.
>> I always remember um Hugo Bar who was
the product guy from Xiaomi and he said
on the show when you're doing anything
in physical product you need to choose
one. You need to be feature king or you
need to be price king.
>> Yeah.
>> What are you? I think you have to be
both
for us. I think you have to have the
best at the most affordable price
eventually.
>> How come it was $1,800
to $2,000 for WGO and a Zmpe then, which
wasn't wholesale?
>> Well, what is it now?
>> Well, the self-pay price at the time was
$300 to 400.
>> Yeah, it's down to about $149 in 18
months
>> on him.
We just announced the WGOI pill 149.
So I think I think for
>> Is that post Novo deal though?
>> Oh yeah. Yeah. It's through partnership.
No, absolutely.
>> Totally get you. So So we want to be
price king and feature king.
>> I think for us we want to curate the
absolute best at prices the masses can
afford. And I think the way you do that
is you you work with ecosystem partners.
You leverage the scale of the platform.
Right? We're the largest global
distributor at this point probably of of
medicines. Um and so by able to then
working with you know the best
diagnostic companies, the cancer grail
detection company. I don't know if
you've ever taken this test. Um
>> this is a test that I've been taking for
5 years. I've had everyone in my family
take because there's there's cancer in
my family. It's called the gallery test
by Grail. Um, it's a blood test and it
can detect, you know, 50 to 100 cancers
and it and it focuses specifically, it's
best at from a clinical standpoint some
of the harder to find cancers, uh,
prostate, pancreatic, ovarian, and
cancer. Um, and it's a simple blood
test. Uh, you know, we, this blood test
was thousands of dollars for the last
few years. We were able to work directly
with with Grail, bring that test, I
think it's in market now in his and hers
at like 600 bucks. Um, and my hope is
over the coming years I'll continue to
come down to a few hundred bucks where
everybody could do this on an annual
basis like going to the dentist, right?
It's just check to see if there's any
early signs, any early protein
indicators of of stage one cancer
tumors. So, so there's an arc, right?
When the GLP1s first came out, it was
$2,000 list price. We pli applied
incredible pressure to the drug
companies. Um, I think the current
administration, the US did an amazing
job. Um and and thanks to the drug
companies, they actually agreed to bring
them down from the thousands of dollars
to $150 to $200 cash pay prices. I mean,
that is like completely transformative.
It's not something that's really
happened in pharmaceutical uh history
that the blockbuster drug of the century
gets cut by 80% in 18 months, right? And
and the reason for that, I think the
reason it happened in part is because
companies like us and consumers applied
massive pressure to change the
distribution model, right? In 18 months,
the distribution model has completely
changed in pharmaceuticals in the US.
Instead of going through PBMs and
insurance, they're going straight to
customers through platforms like ours at
prices everyday people can afford. And
so there's an arc to that price uh
reduction, but I think for us, we want
to have the absolute best um and also
want to be able to apply pressure to
bring that cost down as much as we can.
Do you think like a pill pack sold too
soon when you think about the erosion of
PBM's power that you mentioned there and
how challenging it was for a business
like pill pack?
>> You know, I don't I don't know too much
about pillac to be totally honest. I I I
I don't what I what I don't believe is
that the pharmacy fulfillment part of
our business independently is a
particularly valuable business. How
should I think about the preventative
health care companies that I'm pitched
every day? Whether it's your prenovos or
your necos in the UK, which is expanding
to you,
>> is that the future? Some are much
deeper, some are much shallower, some
are much more expensive. How do you
understand analyze that space? Is that
something that HIMS would do?
>> We spend a ton of time looking at that
space and and have actually we did a
partnership with Pernovo that was
announced just a couple of weeks ago. Um
I I think where there's a lot of
interesting companies right now is in
highly specialized levels of testing for
clinical areas that are that are um
meaningfully unmet. Right? So you look
at things like uh cardiovascular disease
um right still one of the number one
killers. Most dads die of a heart
attack. Um yet a statin is you know two
cents for me to manufacture. And if you
take a statin every day, um, then you
won't die of a heart attack or you're
meaningfully less likely to have a heart
attack. Yet, nobody does it. And so
there's there's, you know, biotech
companies right now working on therapies
where a single injection quarterly or a
single injection annually can absolutely
obliterate your cardiovascular risk. And
if you can do something like that, you
meaningfully, you know, curve that rate
of death and you get ahead on prevention
for cardiovascular disease. Prennovo, I
think, is is another interesting one,
right? It's it's how do we get ahead of
detection for things like cancer and and
early tumor detection. You know, my my
dad, you know, had stage 4 colon cancer
when he was 39. It then costs the health
care system, you know, hundreds and
hundreds of thousands of dollars, if not
millions of dollars to have surgery and
then treat him for many years with
chemotherapy, right? And then
afterwards, the care involved to to kind
of get him back to a steady state. The
idea of an annual exam that can scan
your body for early signs, early
proteins through blood testing or early
actually imaging signs that can detect,
you know, a millimeter size tumor is
incredibly fascinating. Now, I think a
lot of clinical people um and they're
smart, you know, believe something like
that is not yet ready for mainstream and
it might not be, right? I I kind of
choose to be opportunistic in giving
people um uh the ability to make those
trade-offs for themselves. I take
Prennovo annually. So, you know, I
recommend it to my family. Is it
perfect? Absolutely not.
>> How much is POV?
>> I think now it's maybe about a,000 or
1,500 bucks a month a year.
>> Okay, that's better than I thought.
>> Yeah. And so I think and again these are
these are machines that cost $500,000
onetime purchase to to buy. Um but then
you're charging, you know, a,000 or
$2,000 a month or a year. Um and so the
idea that this cost could come down
dramatically is very real, right? A 500k
machine capitalized over a decade, you
know, that co the cost could come down
to something like $300 a year to do this
test eventually. Um, and that's where my
brain goes when I'm thinking about the
future is what are the the Swiss cheese
layers we can give people that together
make up really great prevention working
backwards from what we know causes uh,
you know, shortening of life and and
health span. is the biggest threat to
your business not actually open AI and
if chat GPT is the kind of consumer
interface with a lot of healthcare
questions that people have today which
you know it is in most cases actually
and that's why obviously health is a big
focus for them is it not the most
natural extension ever that they extend
that into delivery supply being your
ondemand doctor
>> something that people have been talking
about a lot actually Dario was
mentioning this recently I think some of
the most defensible businesses in the
age of, you know, anthropic and open AI
are businesses that actually do
something physical. Like they they
require actual specialization and they
require infrastructure.
And uh a huge part of what we do every
single day is treat tens of thousands of
patients with thousands of doctors that
are specialized and licensed in every
state or country in the world and then
actually help make people medicine. Um
and this is a million square feet of
pharmacy fulfillment. This is, you know,
hundreds of pharmacists and robotic
machines that are actually compounding
treatments or fulfilling branded
pharmaceuticals. So when I actually
think about the most uh the most
defensive businesses, the businesses
that can thrive in the age of AI and
actually be enabled by them are ones
where the conversation of something like
Chat GBD massively expands the funnel of
people engaging in health and wellness,
but then can be driven to a platform
that actually connects them with the
specialist and connects them with the
products and actually can get that
delivered to their door. Um, and
ultimately I think we're a combination
of all of those businesses together. So
uh you know I think there's there's a
lot of opportunity with with that funnel
that opens up with things like uh
chatbt.
>> I agree with you in terms of like
physical infrastructure and real world
requirements meaning there's just
inherently more value there cuz it's
harder to do. So does that look like a
partnership then? Say I come in and I
say hey I've got a I don't know a rash
here um and I'm worried about it and
then they siphon it off to him. So how
what does that relationship look like?
Yeah, I mean I think it's similar to
what you see on Google. I don't think
it's going to be all that much
different, right? That you'll be able to
to partner directly with uh anthropic
and chatbt and and find patients that
are looking for certain services and
then have handoffs to specialized
implementations, right? It's it's going
to be um I think there's great
opportunities to partner with all of
these players.
>> We mentioned kind of transition of how
people like consume healthcare. in terms
of how people find you. I actually had
Eran from Monday on the show which was a
fascinating show and he said that with
AI overview on Google that they've lost
18% or I might be butchering maybe 15 15
to 18% of their uh adwords in terms of
acquisition.
>> How are you seeing the way that people
find him change?
you know, it hasn't had particularly
dramatic changes since um since, you
know, some of these new AI companies
have have grown. I think for us, a huge
number of people that come to us are are
firsttime patients interested in some of
these care categories. And so, they're
hearing about it through, you know,
watching Fox News. They're hearing about
it through watching uh NFL on Thursday
nights. They're hearing about it from
their friend who all of a sudden is
feeling great. and the friend is talking
about the treatments that they're on or
or the fact that they're getting care
from him and hers. So, I think more and
more for us, the brand and the the spend
is moving towards channels where you're
talking about the opportunity to feel
great. You're not relying on, you know,
maybe the the AdWords Google funnel that
that you mentioned. I do think those
businesses inevitably will have struggle
in transitioning to some of the the um
you know the chatbased interfaces but
there will be ad networks that are built
through those chatbased interfaces that
that eventually just replace them. So um
ultimately I'm not sure it will matter
but for us I think a increasing amount
of spend is actually going towards just
telling people about all of the new
things him and hers is doing. The fact
that you can feel great the fact that
it's affordable and you can come check
it out. Um, and it's it's a lot of
market creation both in the US and
globally versus latent demand that
you're capturing through through some of
these more streamlined channels.
>> If I gave you an unlimited checkbook,
what would you spend on today that
you're not currently spending on?
>> I would definitely sponsor
um Ferrari F1 because I I' I've told my
wife that if I were to have one job that
wasn't my current job, it would be a
Ferrari driver. Um, uh, but she did not
really like that that answer. Um, no,
but I think we were probably
>> Do you think that would be a net
positive for HIMS as a business? Don't
laugh.
>> The Ferrari sponsorship.
>> Yeah,
>> at this point probably not because I'm
not sure we're we're live in every
market with the penetration we would
want where that that global footprint
matters. Um, I think eventually it
would. I think eventually in the coming
years, you know, World Cup and and
global sponsorship opportunities
actually do matter because we are, you
know, this year was a a huge level of
commitment to win internationally. I
mean, we we did not dip our toe. I mean,
we we acquired three or four companies
very large.
>> Eucalyptus for like one and a half
billion in cash
>> somewhere around there.
>> So, I mean, how does that come to be,
dude?
You know what? It it comes to be because
you get to know the people really well.
I've known Tim probably four or five
years. I think he was the best operator
overseas. No question. I mean, his
understanding of the customer, his
ability to build a team that just moves
fast, experiments,
um is willing to take risks and fail. I
mean, when I first met Tim, he was live
in like six or seven markets and it was
all failing. And he was telling me how
chaotic it was and I was like, "I don't
know, man. This sounds crazy. You're in
like Indonesia, you're in Japan, you're
in all these different places. is like,
"Is it going to work?" He's like, "I'm
not sure, but we're going to try it."
And then a year later, he's like, "Okay,
it didn't work. We're we're like toning
it back. We're going to focus here."
Like his his his humility and his
willingness to experiment and test and
learn is incredible. And and because of
that, they've just moved so much faster
than everybody else. I mean, they're the
dominant player in Australia, dominant
player in the UK, dominant player in
Germany, uh you know, quickly growing in
Japan. I mean, it's just a phenomenal
business. And I think the power of what
we built in the US from a cash flow
standpoint has enabled us in the last
four or five years to buy that business
with pretty, you know, moderate
dilution, right? Because you can
actually just fund the purchase of it
off the balance sheet um over the next
couple of years, which is incredible.
And so we have committed a huge amount
of dollars in focus internationally
because I just think the opportunity for
the brand um is pretty consistent
whether there's a national system in in
the UK or or not. People are
>> they give you is they give you cold
sweats at night being as aggressive as
you have been as quickly as you have
been. You know I remember interviewing
Dax from Lightseed Dax to Silver and he
mentioned the challenge Lightseed the
POS system in a lot of restaurants and
he mentioned the challenge in acquiring
so much so quickly. I think they made
like 18 acquisitions in like 2-year
period. Are you worried of like oh [ __ ]
I now have to integrate Eucalyptus and
these three other businesses? Definitely
you you there is a very fine line of of
uh driving so fast that you're losing
control. There's no question about that.
Um what I found at least in running this
business is is if you don't feel like
you are getting close to that line,
you're probably not pushing hard enough.
And so I do think um that uncomfortable
gut feeling where you're constantly
questioning, constantly evaluating,
constantly tweaking the strategy or the
tactics, like that feeling is what uh uh
success feels like. And so I've I've
kind of taught my team that we're going
to get really comfortable with that
feeling. we're going to get really
comfortable sitting in that feeling and
questioning and and re-evaluating and
pushing um because I think that's how
you win, right? Like um I was a rower in
high school and I remember, you know, my
coach saying, you know, the the the
group of guys out there that is willing
to be the most uncomfortable and in the
most pain are going to win this race.
And and that's actually true in that
sport. And that's true in in you know,
in most sports. said, I didn't think
that's true in business is like if you
can put yourself in environments where
you're being aggressive but smart,
taking the right bets, but have a team
that is, you know, bought into the
mission and comfortable with that level
of of aggressive risk and I think I
think it's the right formula. So to me,
that's what makes this fun.
>> When with the benefit of hindsight did
you push too hard and you had to pull
back
>> in the early years? And and I think we
still I still, you know, try to moderate
this with our business. Like we could
launch we could launch so many things
within like a month. You know, you could
launch a um a skincare routine. You
could launch like a makeup brand. You
could launch sleep vitamins. You could
launch like a wearable device. You I
mean there's just like anything people
are doing in health and wellness could
live in the Hims and Hers brand, which
is pretty powerful and also extremely um
risky, right? because if you if you do
too much and you you move into the wrong
areas, you you waste a ton of resource.
So in the early years um you know I
thought just having everything on the
platform was how you win. And so we
invested in uh skinincare regimens and
we invested in vitamin supplements and
we invested in you know so many things
that in retrospect were were fairly
commodity products. um and and for
pretty much the same price or even less,
you could walk across the street to
Walgreens and get something that was
pretty much the same thing. And I think
that that was a massive mistake. You
know, I think it was it was a belief
that just assortment won. And I think
there's a more nuance perspective that
the right assortment wins. And and so um
we're we're really careful about
categories we enter, products we launch
to make sure that they're products and
offerings that that are actually
differentiated for people that are hard
for other people to receive and get get
access to. And maybe that means it's
pharmaceutical grade, it's manufactured
in in a way that is is you know very
very challenging to get quality um or
there's a level of personalization that
is required in this care of treatment
that makes it unique to you. But when I
think about some of the early DTOC
brands um that launched, you know, they
were selling commodity products and
those products capped out at you know a
billion in revenue or you know a couple
hundred million in Facebook spend and
the curves were like this and that's my
nightmare you know and and so um in the
early years made a lot of those mistakes
and and you know try to try to make sure
we we don't do that again. I I do want
to go back to the brand marketing
element just because I I suppose you
mentioned obviously brand being a core
component of like the defensibility.
Yeah. When I when I interviewed Nick at
Revolute, he said brand marketing was
the single biggest thing he's changed
his mind on in the journey of Revolute,
which I thought was an interesting
statement.
>> What do you know now about brand
marketing and spend on things that seem
fasile? What do you know now that you
wish you'd known?
You know, I think what you what you gain
confidence in with brand marketing over
time is that consistency
um
consistency is required. So I think in
the early years with brand marketing as
companies are growing, they throw some
dollars, you know, let's do an out of
home campaign in New York because it's
like really cool. It's like take over
subways, right? Which we did a ton of.
and they do it once and every this team
is so [ __ ] excited because it's so
cool and you can see it and you take
pictures of it. Um but you do it once um
and then like months go by and and it
gets taken off and then and then that's
it, right? Um because you did it and it
was fun and cool and you look at the
numbers and like ah maybe there's like a
little spike in New York City maybe on
this day like you can't really tell
probably not but you you hopeful. Um and
then the next year like okay what are we
going to do this year right? Like that's
just like it's a guaranteed way to just
lose money. It's a great way to feel
good and it's super fun. It's like so
much fun and we've done a ton of it and
it's really fun. But like that's not a
business strategy. I think in order to
have brand marketing work, I think it
has to be consistent. It has to be
consistently random if that makes sense.
Like you have to be appearing in
different places for people in a
randomized way but with consistency
because it's the multiple hits. like you
have to be hit 10 different times in 10
different ways for all of a sudden that
to say hey there's like a cultural
zeitgeist association with hymns right
now that I need to pay attention to like
what are they doing that is that is
showing up in so many ways in my life
where your brand trust elevates your
cultural relevancy elevates so it isn't
a one-off thing and I think in the early
years you know you hope it is um and you
try to track it but it does require a
level of of dollars it requires metal
level of consistency. And actually, you
know, Kathy, our chief comms officer,
told me this when I when we were
interviewing, which I completely
believe. She's like, "The the thing
early companies struggle with when it
comes to communications and their brand
is they get they get bored of saying the
same thing and then they move on to the
next thing, right? Like early companies,
we're excited, we're young, we're
changing. So like here's our vision and
here's what we stand for." And then 3
months later, like it's changed up a
little bit. I want to say something
different because I already said that
thing in that last podcast. Let me say
something new in this new one. And in
fact, what makes great brands great is
the fact that everybody knows why they
exist, why they fight, who their
customer is, what the value is they
deliver. And it's because they say the
same damn thing in 20 different ways
every single week. And so I think that's
one of the key parts about brand
marketing or or comms in general. um is
consistency is uh uh making sure that
that message and that narrative is not
changing out of which requires an
immense amount of discipline. Um and in
many ways it's like a lot less fun. It's
much more of an engine. Um but but over
many many years I do think it it builds.
>> I agree with you. I also think like
everyone when you're bored of saying it,
you've got to remember that there's a
new team member that's never ever heard
it before. That's right. And so you need
to deliver it with the same passion and
gusto that you did. I also think not
enough for opinionated enough. If you
look at the Hims and Hers brand today,
>> where would you say you are not
opinionated enough?
>> I think Hims and Hers will increasingly
have a stronger perspective of what
great health care looks like.
And I think as we grow, you know, we are
building an understanding of patients at
a scale that I don't think most have,
right? When you think about the fact
that we're treating 10 20,000 patients a
day, like the largest health systems in
the world are not treating 10 to 15,000
patients per day. So there there's an
immense amount of knowledge that's being
built around um different types of
patients, their demographics, their risk
factors, their biomarkers, what
medicines and treatments work, why, what
side effects they have, how much they
feel better. Um combination therapies
that are beneficial, like there's just
an immense amount of knowledge base
growing where I think we're going to be
able to start having stronger
perspectives of what excellence looks
like in healthcare. What do we believe
the gold standard in preventative care
is? Like if you Harry want to be the
absolute healthiest 29-year-old, right,
and be ahead of the curve, right? What
are the 10 things you should be doing?
What are the tests you should be doing
specifically for you? What are the the
treatments, whether they're holistic
supplements or maybe sauna, right, that
you should be doing? Um, and what's that
exact regimen and get ahead of it? And
there you go. Just you're going to be a
you're going to be gold standard, right?
But more and more like
>> you're so far off gold standard, dude.
>> You're doing great. You're doing great.
And I think that that's the point of
like to me that's such a key part of the
Hims and Hers brand is like everybody
feels that way. Everyone feels so far
away from optimal. And it's really
[ __ ] hard to take the first step to
have that confidence to to like make a
change. And so most people that come to
him and hers are first-time customers
because I think we as a brand try really
hard to empower you and say, "Hey, that
first step is going to be easy. We're
going to make it easy." It's kind of
like that old Marine or Navy Seal story
of like you make your bed in the
morning, right? Because when you make
your bed in the morning, you've
completed something like a very tactical
action. You've had success. There's like
positive adrenaline. And then from
there, you're going to do other great
things throughout the day like him and
hers. I want to make it so easy for
everyone to take that first step in
feeling great that that it empowers a
lot of people to do so. And from your p
from your your question, we're going to
have a stronger opinion about what great
actually looks like.
>> So for anyone wondering, that is General
McCraven's commencement speech. One of
the greatest speeches I think recorded
on the internet. I've listened to it
probably a thousand times. It used to be
the start of every single run because
it's 16 minutes, which is always the
most painful of any run, the first 16.
So amazing. aligned. I've got an out
there idea for you. You said there you
want to make it easier. Why do you not
have him preventative assessments in
every city and say, "Hey, we'll tell you
what's wrong with you." Like a prenovo
does or like any other prevent and you
can choose to buy with us or not. But by
doing that, you're building up the
world's largest set of healthcare data
for free. And you give it for free and
the treatment's what they pay for. It's
like you're a loss leader. Also, what a
goodwill engine. I would go to the
dinner party, even if I didn't talk
about even if I didn't buy products.
I'll go to all my friends and be like,
"You'll never guess. I found this out
about myself when I went to HIMS."
>> Yeah.
>> Oh, what's him?
>> I think we are we are um very close to
that being a reality. Um in the last
>> Are you a do you have the elasticity and
budget to do that? I don't mean that
really.
>> It requires two tangible things. So last
year we acquired uh your bio health
which is one of the the few athome blood
collection devices. I have it right here
on my desk. Um and this device costs
just a couple bucks to manufacture and
you can click it on your arm and it's
got 30 micro needles in inside of it.
Each of the micro needles smaller than
an eyelash. So if you feel nothing, you
click a button, you feel nothing and
then a small tube of blood gets
extracted from your arm in about a
minute or two. You can then peel that
off and you can mail it to New Jersey
which is where we have a lab processing
facility and we'll have a couple others
in the next year and two um and run a
full panel you know 50 biomarkers and it
will cost us like almost nothing. Now
today if you go to to Quest or Lab Corp
and try to get that panel uh cash pay
maybe cost you a,000 bucks or 2,000
bucks. if you you know uh go online and
go to different competitors maybe it
costs like 300 or 500 bucks for that
panel. Um uh and and my my goal my
vision is like very quickly I want to
give that away as a part of the HMS and
hers membership for free. Um because if
you can get a sense of those metrics and
and I'm not talking about just like
baseline metrics like you know your
cholesterol and things I'm actually
talking about things that are even more
sophisticated like genetic
predisposition risks which you know very
few people get access to um or or cancer
risks or polygenic risk stores. if you
have a really accelerated risk of colon
cancer, there's things you should be
doing that are different. Um, so to me,
that is the vision, a preventative front
door that is near cost or free. And that
requires us to spend hundreds of
millions of dollars, which we're doing
right now to totally verticalize this
stuff and actually own the devices, the
lab processing, and that fulfillment.
Um, but then a platform that says,
"Here's everything we know. Here's what
we can help you with, right?" and and
give guidance and again make that next
step really really easy.
>> I thought it was really interesting.
Goal Rajaram who's amazing. I don't know
if you know this but he basically said
his biggest lesson from Square where he
was for many years was that when you're
running a multi-product company not
every product line has to be profitable.
>> That's so right. Yeah. And I I think for
us um I I think that entry point and
that data collection it serves two
purposes. one, most people just don't
even have access to this stuff. So, they
don't even know if they're like doing
well. You know, I'll give you an
example. One of my best friends, um, you
know, he's mid30s. He's trying to live
healthy. He was telling me the other day
how he's running a lot and he he looked
at his cholesterol numbers and they were
they were like kind of out of whack. So,
he's like now starting to eat more
salmon and going for a run. I'm like,
"Oh, that's great. Awesome." And then I
told him, "Hey, have you done testing
for this specific genetic risk factor
for heart disease? It's it's called
lipoprotein little a." Uh he's like,
"No, I've never done that test." So he
ran he and did that test and he came
back and he's like, "My number is like
450." I was like, "Well, that's a
problem because that number should be
like under 70." And if it's 450, it
means there's a pretty good chance
you're going to have a heart attack at
like 50 or 60. And he looked at me. I'm
like, "Do you have has anyone ever had a
heart attack in your family?" He's like,
"Well, my my dad died when he was 60 and
my dad and my grandfather died at 55.
Both of heart attacks." Like to me that
moment was why all of this matters
because he went to his doctor. He went
to a cardiologist because he was trying
to do well. They gave him a set of panel
and blood tests and his numbers were a
little bit off. So he started to go for
runs. Great first step. What they didn't
test was a genetic predisposition marker
that we now know is so much more
important. And if you have that high
genetic predisposition number, your
cholesterol numbers need to be like
amazing, not good. They have to be
incredible or you're going to have a
heart attack. there are so many
therapies he should be starting now
because he now has access to that
number. That's the kind of stuff I want
to give away for free. Like that that
level of information helps people
actually like get preventative, not
reactive and and put it on a care
spectrum where if somebody wants to be
aggressive, they can. If somebody wants
to be conservative, they can. But I want
to give people information and then I
want to give them choice and assortment
and a doctor to help navigate that um
for a cost that that that isn't
overwhelming. I'm sorry to be and this
may be a total tangent but is it not
like totally [ __ ] that doctors get
incentivized by drug companies on
>> yeah the whole thing is totally [ __ ]
right if you look at the existing system
in the US almost nothing has to do with
patient outcomes or patient happiness
right so many people make money
everybody makes money but none of them
make money in any way that's actually
reflective of success of the customer or
patient um and I think that's where our
model is most powerful Like we only make
money at Hims and Hers if you are
happier and healthier. Period. Because
you pay us. You pay us to be healthier.
If you don't feel healthier, if you
don't feel happier, you stop paying us.
And so our incentive is only aligned
with with you. And we then fight behind
the scenes, the drug companies. We fight
the diagnostic companies. We fight
everybody. And we work with them, but we
apply pressure to them to get the best
stuff at the best price to bring it to
you. But ultimately, we only succeed if
you succeed. In a way though, we're like
we we don't your your your business is
like my business,
which is like we don't want you to be
too successful where you don't need us.
A world where businesses don't need
venture capital is a problem for me.
That's not a good thing. A world where
humans don't need any medication,
Andrew, I hate to say it, is not a good
business for you.
>> Well, for us, it's not necessarily about
medication, right?
You will always need somebody to help
quarterback your wealth and your health,
right? Like as you grow, as you age,
you're always going to want to have
somebody who's an expert partner that's
available to you 24/7 that you trust
that can help you navigate how you feel
in life. And and this changes, right?
Like at different milestones, like you
might not be there yet, but in the 10
years from now though, things will be
popping up all the time. and and that
that trusted partner becomes so
valuable. Um, and it could be super
cute, it could be something small, but
but I don't think that changes. And so
that relationship that can last decades
with him and hers is what matters,
right? Like me just getting you a
specific treatment today and making the
most money I can from you today, that
actually isn't what matters to me long
term, right? I'm 37. I've got like a
multi-deade perspective on how big this
business can be. in order for it to
reach that that maximum value, you have
to build a brand that people trust to
have with you for a very long time. And
that means often saying, "Hey, right now
this treatment might not be for you, you
know, um but we're here for you when
something else pops up and here's more
information and here's more diagnostics
and here's maybe a wearable device and
here's some other habits and food and
nutritional support um to help you along
the way."
>> What is your least profitable product
that is most important? Do you remember
we said about multi-product companies
don't have to
>> Yeah.
>> Right. Right now it's the lab testing
offering. We offer it essentially uh at
cost. We haven't verticalized any of
this infrastructure. So it costs us you
know you know pretty much just as much
money as we we sell it for. Um and again
it's because I believe the loss leader
value to the patient is incredibly
important. And that margin will continue
to be terrible because what we're going
to do is continue to reduce the cost as
we verticalize it. and then actually
reduce the cost to the consumer. Um so
that that will always be I think um a
platform benefit from my standpoint
where we try to make nothing on um but
give patients information and access and
and that ultimately can be really
transformative for them.
>> What do you think not enough people know
about hymns that they should know?
>> I think a lot of people um are still
trying to understand why we are fighting
so hard, right? People see us in the
headlines all the time, right? Um,
recently seeing us in the headlines for
for GLP1s and, you know, with drug
company conversations. Um, and so
>> why do we see like negative connotations
with you and not Row? It seems like the
world likes to dunk on you more than
Row.
>> Yeah. I I think when it comes to hymns
as a disruptor,
we are actually disrupting. I think we
are pushing buttons that structurally
change how people get access to care in
this country. If you look in the last 18
months, like we were talking about, um
the most important medicines of the
century got cut by 80%. Not only did
they get cut in cost, but now they're
available through consumer channels at
prices everyone can afford. Um I think
we played a part of that intentionally,
right? We applied massive pressure,
regulatory pressure, consumer pressure.
We leveraged, you know, hundreds of
thousands of patients to to raise their
voices to say, "Hey, these medicines
could save our lives. Like, let's
actually get them to us in ways we can
afford." And coverage is now expanding
dramatically and the prices are tanking.
And so, I think our willingness to be at
the at the forefront of disruption and
push on behalf of consumers, I think
causes friction, right? Um, and I think
we're comfortable with that friction. I
think people understand why we're doing
it is is super important because, you
know, we like to push where it's
important to customers and I think
ultimately that is going to benefit how
the ecosystem works
>> and row isn't innovating in that way.
Hence, they don't get the criticism. I
don't I don't know if I you know I won't
talk specifically about any other brand
because I'm not sure their strategy but
but I would say um you know in order to
actually disrupt the system you have to
break part of the system and and I think
our strategy is is is doing that. Uh
>> what system would you what part of the
system would you most like to break that
you haven't broken yet?
>> I think we are in the middle right now
of breaking how uh healthcare is
distributed entirely. So instead of
going through the PBMs and then through
insurance and then through
reimbursements, all of that complexity
that nobody understands in the US, I
don't think any of it makes sense. I
think all of it or as much of it as
possible will go through consumer
channels like him and hers where you can
pick up your phone, have on demand
access, have total price transparency,
have complete choice of which doctor,
which specialists, which treatment,
complete information access, and then
and then control. The system in the US
is entirely paternalistic, right? you
get treated with whatever they they they
want to to give you and and the
incentives and reimbursements and costs
are so convoluted that it's it's wildly
overwhelming. And so when I think of
every other industry we love food
delivery, you know, financial services,
banking, uh retail, everything is
simple. It's on demand from your mobile
device. Price transparency, customer
choice. Yet the one thing that is the
most important part of our life doesn't
have any of those elements and it's the
biggest industry in the US. It's where
we spend the most money too. And so I
think that's entirely going to change.
And so I don't think HIMS is a DTOC
company. I think HIMS is disrupting how
healthcare is delivered in in a consumer
focused fashion. And and I think we're
in the midst of that change. I think
people are are are just coming around to
it and you're starting to see it with
with the GLP1s as a prime example. But I
think in the next 5 years it's going to
accelerate dramatically.
>> The lock in and power of Epic is just
mind-boggling.
Does that progress or prevent innovation
in the healthcare industry?
>> I don't think it's relevant. Actually,
when you look at the patients coming to
Hims and Nurses today, the patients
starting their healthcare journey, the
majority of them do not have legacy data
and systems within old EMR platforms,
right? They they moved to a new city,
they moved to New York, and they're 22
and they're like, I don't have a doctor
yet. I'm feeling a little sad. What do I
do? Right? And they're their first time
entry into the health care system is him
and hers. And so the the wave of of
health care for the future, for the next
20 years, for the 50 years after that, I
is going to be a po patient population
that's starting today. Um, and that's
why I think uh, you know, you have to
you have to build a relationship early.
You have to have an assortment of care
that starts young for people so that you
can give them uh, an example of what
great looks like and then build with
them over many, many years.
>> Final one and then I promise we'll do a
quick fine. I know I've jumped around
the whole thing, but that's why I love
what I do these days. Um, like I think
your food industry is at the root of all
your healthcare problems. What you guys
do to your food is not [ __ ] natural.
Like apples are not meant to be that
large. You know, salmon is not meant to
be that cut. Do you agree that food is
at the root of a lot of your healthcare
problems? And
>> 100%. 100%. I think the team
>> and how do how genuinely, dude, how do
you eat healthfully and sustainably in
New York today when it's all completely
artificial?
>> Yeah, it's really challenging. I I I I
think the current administration is
doing an amazing job on that issue. I
really do. Right. Like the the push to
eat real food, the push to normalize the
fact that all of the ingredients on
these labels is garbage. It's chemicals.
uh the the push to educate people to
actually see what is good for you and
look at those labels and and require
food companies to disclose it and to
force changes on high processed foods or
or uh corn syrup use. Like it's poison.
Uh you know, my wife is my wife is
French and so when when we're visiting
her family overseas, I look at the
labels. It's crazy. I mean, you know,
when you look at a French fried bag of
in a French grocery store, it's potatoes
and it's olive oil and that's it. you
know, you you go to Safeway here in the
US and you look at it and it's 40
different things. So, I think there's a
huge problem with the food industry. I
think the the government applying
pressure and regulation there is a
wonderful idea for people because
undoubtedly that's a massive part of of
the obesity epidemic in the country and
also probably the mental health epidemic
and and many many other things.
>> Yeah, I'm totally with you. I feel and
actually on this one I feel really sorry
for I don't know how it says about being
classist, wealthist, whatever, but I
feel really sorry if you don't have
money because I think it's really hard
then.
>> Oh yeah, it's so difficult. I mean I'
we've got three little boys and I you
know we try to you know feed them well
and and so we'll buy like a carton of
organic blueberries, right? And that
carton is expensive. Organic blueberries
in San Francisco it might be like seven
bucks. Um, and I'll I'll open it and
I'll put it in front of the boys for
breakfast and they'll grab handfuls and
and it'll be done in 15 seconds. The
idea that, you know, healthy food costs
this much and is consumed that easily is
a real challenge uh right now. And so,
anything people can be doing to eat
locally, to have local farms, to to make
sustainability in their communities
easier and better, I think is is is all
positive.
>> Dude, I want to do a quick firearm with
you. Okay. So I'm going to say a short
statement. You give me your immediate
thoughts. Does that sound okay?
>> Sounds good.
>> What decision have you made in the last
two years that you would reverse today?
>> I think I was too slow to force the
company to invest in completely
uh disrupting their team processes with
AI.
>> Which process was disrupted most? I
think customer care, provider quality,
all patient interactions.
I think we we were a year or two uh too
slow on on totally changing the model of
how patients interact with the platform.
>> CAC goes up or retention goes down.
Which scares you more?
>> Retention going down. There are always
ways to optimize efficiency on
acquisition. There are always new
channels, new brand campaigns, new new
growth avenues. But if you don't have a
sticky customer and for some reason
they're becoming less sticky, your
product market fit, your patient
happiness, your customer happiness is
going in the wrong direction.
>> CAC only ever goes one way. Agree or
disagree?
>> Disagree.
>> Why?
>> At scale, I think uh with scale, with
assortment, with brand value, uh new
channels become unlocked, new efficiency
grows.
uh leverage accelerates with assortment.
Um
I think uh it often only goes one way
but I don't think always.
>> Other than Ferrari,
what do you not sponsor that you would
most like to
>> World Cup?
>> Like the event itself
>> or like like the FIFA World Cup brought
to you by him. Mhm. Yep.
Well, you got the US one coming, dude.
It's not too late to spend some dollars.
>> Great,
>> dude. I I love that. Um, what advice
would you give to yourself starting
hymns again? You mentioned Jack and
Atomic and starting it as part of
Atomic. What do you tell yourself going
back to the very start? I would tell
myself to trust my instincts as we
continue to build and get bigger and
bigger. Continue to trust my instincts
and also remember that it's going to be
a long journey and the ups and downs are
going to come and go. Um, but that the
persistence is going to be most
important.
>> Now, I think, you know, we do meaningful
jobs and you do a hugely meaningful job,
but I think the most meaningful job that
you probably do, which you'll agree
with, is being a father. Um,
>> what's your final one? What's your
biggest advice
on being a great father now having three
boys?
>> You know, there's a there's a um
something I watched once where they
asked a whole bunch of little kids um
what their absolute perfect afternoon
was. And these are like two, three,
four, 5 year olds. And the perfect
afternoon was all these kids answered
the same way, just playing with their
mom and dad. Just like sitting with
blocks and playing with their mom and
dad or drawing with their mom and dad or
or something with their mom and dad. And
I don't think, you know, when you're
exhausted and you're a parent and you're
trying to do everything and pulled so
many different ways, you realize that
actually all the kids want to do is just
have you present and and and truly
present. And so my greatest advice I
think would be to to try really really
hard to just play with them. Like
actually play like get down on your on
your knees on your butt in whatever
they're doing. Uh and just ask what
they're doing and ask if you can do it
with them. Um because they'll like they
light up. Uh because in parenting like
it's it's hard to actually h make time
for that. But I found that that that's
that's really the most important and
valuable stuff.
>> Dude, I I so appreciate you. I so
appreciate the friendship. I so
appreciate you putting up with my
incredibly wayward com. I mean, real
breath to the conversation. You got to
give me credit. Um, but you've been
fantastic.
>> Appreciate you having me, buddy. Good to
see you again.
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