How Honor is reimagining the home health care industry | Sit Down Startup

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Adam O'Donnell: Seth, thank you so much for being Adam O'Donnell: on sit down, startup founder podcast. Would Adam O'Donnell: you first just tell us what you're Adam O'Donnell: working on at honor? I know you've Adam O'Donnell: been working on it for a bit, Adam O'Donnell: but for anyone who doesn't know. Seth Sternberg: Yeah. So at honor, we help older Seth Sternberg: adults remain in their homes as they Seth Sternberg: age. And the way we do that Seth Sternberg: is we send a care professional into Seth Sternberg: the home of an older adult, and Seth Sternberg: they help that person with what are Seth Sternberg: called ADL's, or activities of daily living. Seth Sternberg: So it's like, get out of bed, Seth Sternberg: get food, get dressed. It can be Seth Sternberg: bathing. It's like anything where if you Seth Sternberg: can't do, like, two of those things, Seth Sternberg: you can no longer live in your Seth Sternberg: own home. And so you get someone Seth Sternberg: to help you out so you can Seth Sternberg: stay at home. Adam O'Donnell: I love the simplicity. I'm curious to Adam O'Donnell: learn if it's always been that simple. Adam O'Donnell: You always had that same mission. Seth Sternberg: Yeah. So, yes, but the mission is Seth Sternberg: actually a little broader than that. So Seth Sternberg: I built a company with some other Seth Sternberg: co founders, and we'd sold that one. Seth Sternberg: And the next company that we worked Seth Sternberg: on, we wanted to be look at Seth Sternberg: human in the eye and know we'd Seth Sternberg: make their lives fundamentally better. But then Seth Sternberg: we wanted to be millions of humans, Seth Sternberg: not just one. And then we wanted Seth Sternberg: a hard societal problem because we felt Seth Sternberg: like, as multi time founders, we could Seth Sternberg: kind of go for something that was Seth Sternberg: really difficult to accomplish. Right. And then Seth Sternberg: if we could win, then it would Seth Sternberg: be a big win for society. So Seth Sternberg: what we actually think about is, hey, Seth Sternberg: how do we change the way society Seth Sternberg: cares for our older adults? Like, we Seth Sternberg: have this big problem where the world's Seth Sternberg: aging very quickly. We are not very Seth Sternberg: good at taking care of older adults. Seth Sternberg: And we see home care is kind Seth Sternberg: of the first place on the, you Seth Sternberg: know, kind of, you know, travel or, Seth Sternberg: you know, voyage, if you will, um, Seth Sternberg: in order to achieve that ultimate goal. Adam O'Donnell: That's really cool. I appreciate you, like, Adam O'Donnell: kind of helping with that. Cause there's Adam O'Donnell: so many times where I hear just Adam O'Donnell: pivot stories as well, but taking it Adam O'Donnell: to, like, the personal piece. Cause I Adam O'Donnell: think when I first started this podcast, Adam O'Donnell: it was only just about the business, Adam O'Donnell: but I think there's such an interesting Adam O'Donnell: piece of, like, knowing where did you Adam O'Donnell: grow up? Maybe what made you first Adam O'Donnell: get excited about starting companies? I'd love Adam O'Donnell: to hear that story. Seth Sternberg: Yeah. So I grew up in Connecticut, Seth Sternberg: and why did I get excited about Seth Sternberg: starting companies? I guess I started my Seth Sternberg: first company maybe largely because I was Seth Sternberg: scared to work for anybody else. That Seth Sternberg: probably had a lot to do with Seth Sternberg: it. And then you have a product Seth Sternberg: that you come up with that you Seth Sternberg: want to exist and you find people Seth Sternberg: to help you build it. These days, Seth Sternberg: probably the only thing I think about Seth Sternberg: is how do you build more things Seth Sternberg: that will help society in some way Seth Sternberg: or another? Because I think that's a Seth Sternberg: good way to spend your time. But Seth Sternberg: yeah, I grew up in Connecticut and Seth Sternberg: I came up with this idea because Seth Sternberg: I ran into an issue with my Seth Sternberg: mother. Entrepreneurs, you probably hear this all Seth Sternberg: the time, they tend to solve their Seth Sternberg: own problems. And since I'd already built Seth Sternberg: one company and so therefore I was Seth Sternberg: older, I didn't have this much gray Seth Sternberg: hair, but I've gotten it on the Seth Sternberg: path of doing honor. But since I Seth Sternberg: was a little bit older, I'd already Seth Sternberg: done one company. My parents were no Seth Sternberg: longer my solution, but rather they were Seth Sternberg: now a thing that I was thinking Seth Sternberg: about how to solve for. So that's Seth Sternberg: how the idea of helping older adults Seth Sternberg: came to be. Adam O'Donnell: That's so cool. And so those are Adam O'Donnell: just, they seem like the best companies Adam O'Donnell: because you're like, hey, I'm just being Adam O'Donnell: real. I'm authentically trying to solve a Adam O'Donnell: real. Seth Sternberg: Need that I've felt, yeah, I think Seth Sternberg: the best ones. And I, you know, Seth Sternberg: what I say to entrepreneurs frequently is, Seth Sternberg: you know, it's, it's going to be Seth Sternberg: hard. It's probably going to be seven Seth Sternberg: years. And so to get yourself through Seth Sternberg: those hard points, you've got to really Seth Sternberg: care, right. Because it's so easy to Seth Sternberg: give up again. Like so many, there's Seth Sternberg: so many opportunities to give up and Seth Sternberg: you've got to have that reason why Seth Sternberg: you're going to keep fighting. So you Seth Sternberg: have to really, really care about the Seth Sternberg: problem that you're trying to solve. Adam O'Donnell: So, so good. Tell me about how Adam O'Donnell: you got to Silicon Valley, like the Adam O'Donnell: decision to move and why. Seth Sternberg: Yeah, so like I said, I grew Seth Sternberg: up in Connecticut and I guess I Seth Sternberg: was lucky. One of my best friends Seth Sternberg: moved to California for college and I Seth Sternberg: visited him and when I'd visit him, Seth Sternberg: this was, you know, he was, we Seth Sternberg: were class in college, we're a class Seth Sternberg: of zero one. So, right. We were Seth Sternberg: graduating when the world was falling apart Seth Sternberg: and being massive economic down cycle first, Seth Sternberg: bubble pop, blah, blah, blah. But I Seth Sternberg: visited him in 1998 and 1999 too. Seth Sternberg: And Im watching all these companies get Seth Sternberg: created and just feels so energetic and Seth Sternberg: so much is happening. And I knew Seth Sternberg: that if I wanted to start companies Seth Sternberg: growing up, honestly, growing up in Connecticut, Seth Sternberg: it was somewhat a culture of you Seth Sternberg: cant or heres why itll fail. And Seth Sternberg: that always really, actually chafed at me. Seth Sternberg: Like, I have these ideas all the Seth Sternberg: time, and everyone would tell me why Seth Sternberg: they'd fail. And when I was in Seth Sternberg: California and the people I was hanging Seth Sternberg: out with, there was more like, hey, Seth Sternberg: here's the reason why it could succeed, Seth Sternberg: or here's what you could do to Seth Sternberg: make it better. And so I really Seth Sternberg: wanted to get out there because I Seth Sternberg: could just tell that it had the Seth Sternberg: ecosystem to help me start building companies. Adam O'Donnell: That's like, I moved from the east Adam O'Donnell: coast as well, and I started how Adam O'Donnell: to start up there. And it is Adam O'Donnell: just a different, like, people just don't Adam O'Donnell: understand it as much. It just seems Adam O'Donnell: like kind of pie in the sky Adam O'Donnell: stuff that we're doing over here, whereas Adam O'Donnell: here it's like the whole ecosystem is Adam O'Donnell: set up, ready to help you run. Seth Sternberg: I think that is the difference. So, Seth Sternberg: like, in the east coast you can Seth Sternberg: do startups, right? And now more than Seth Sternberg: ever you can do, because remember, I'm Seth Sternberg: talking about the east coast 20 years Seth Sternberg: ago, but, you know, more than ever Seth Sternberg: you can do startups anywhere. But there Seth Sternberg: is something about the percentage of people Seth Sternberg: who you surround yourself with who are Seth Sternberg: kind of familiar with and helpful with Seth Sternberg: what you're trying to accomplish. And the Seth Sternberg: thing you have to remember when you're Seth Sternberg: doing a startup is it's really just Seth Sternberg: like, can you keep knocking down the Seth Sternberg: next barrier? It's like, it's, you know, Seth Sternberg: can you get a team together? Can Seth Sternberg: you find an office? Can you get Seth Sternberg: insurance in place? Can you find a Seth Sternberg: lawyer? It's like all these can you Seth Sternberg: do's, and it's just like a, you Seth Sternberg: know, it's a task list. And some Seth Sternberg: of those things are hard, some of Seth Sternberg: them are easy, but the more people Seth Sternberg: you have around you to kind of Seth Sternberg: ask, like, hey, how do you do Seth Sternberg: this? Or how would you approach this? Seth Sternberg: And to get like a, yeah, you Seth Sternberg: can. And here's how that's helpful. Adam O'Donnell: Getting the playbook. Here's how we did Adam O'Donnell: it. Boom, boom, boom. I love that. Adam O'Donnell: Help me with a low moment that Adam O'Donnell: you had in the journey that you'd Adam O'Donnell: be comfortable sharing, because a lot of Adam O'Donnell: founders just see the TechCrunch article and Adam O'Donnell: they get discouraged. But I know there's Adam O'Donnell: a lot more that's been happening. Seth Sternberg: Uh, yeah, I mean, so, you know, Seth Sternberg: one of our low points was COVID Seth Sternberg: breaks out. Um, and in our business, Seth Sternberg: you know, we're literally sending people, care Seth Sternberg: professionals into the homes of older adults Seth Sternberg: to help them. And as COVID was Seth Sternberg: breaking out and we're starting to understand Seth Sternberg: what COVID is, we're like, oh, my Seth Sternberg: God, we're sending people into the homes Seth Sternberg: of older adults who could infect them, Seth Sternberg: and that could be really dangerous. And Seth Sternberg: that was a big, low moment. We're Seth Sternberg: like, can we possibly survive this? Should Seth Sternberg: we keep operating this, et cetera? And Seth Sternberg: what we did is it's like anything. Seth Sternberg: It's just another barrier that you have Seth Sternberg: to decide if you're going to push Seth Sternberg: through or not. So the way we Seth Sternberg: push through it is we created all Seth Sternberg: of these kind of infection control protocols Seth Sternberg: where we got really strict about monitoring. Seth Sternberg: Did our care professionals have symptoms? Were Seth Sternberg: they reporting anything? We even put other Seth Sternberg: things like sick leave for the entire Seth Sternberg: country, even where it wasn't legally required Seth Sternberg: in place, because we wanted the care Seth Sternberg: post to not have any kind of Seth Sternberg: incentive to not tell us. We wanted Seth Sternberg: them to tell us if they were Seth Sternberg: not feeling well. And don't worry, you Seth Sternberg: will still be paid. We created policies Seth Sternberg: that, on the surface, looked like they Seth Sternberg: cost us a lot of money, but Seth Sternberg: they kept our employees and they kept Seth Sternberg: our clients safe. So, you know, you're. Seth Sternberg: You just have to recognize you're always Seth Sternberg: going to hit, like, brick walls. They Seth Sternberg: suck. And you just got to be Seth Sternberg: creative, right. And find a way to Seth Sternberg: bust through them or climb over them Seth Sternberg: or dig under them or something, some Seth Sternberg: way around. Adam O'Donnell: That's amazing. Could you take us into Adam O'Donnell: maybe a board conversation? Because I imagine Adam O'Donnell: that there might have been some pushback Adam O'Donnell: on even that strategy or even just Adam O'Donnell: into your head or before you got Adam O'Donnell: to that strategy, when you realized, like, Adam O'Donnell: the brick wall is there. Seth Sternberg: Yeah. You know, board meetings in that Seth Sternberg: time, I mean, every board was, you Seth Sternberg: know, looking at their portfolio and kind Seth Sternberg: of looking at this kind of disaster Seth Sternberg: or that kind of disaster. So there Seth Sternberg: was nothing abnormal about, hey, we've got Seth Sternberg: this big problem because of COVID and Seth Sternberg: we don't know how to deal with Seth Sternberg: it. Right. Other companies had other problems, Seth Sternberg: but very few were, like, problem free. Seth Sternberg: One of the things that I think Seth Sternberg: is kind of, like, a hallmark of Seth Sternberg: great boards is they do not try Seth Sternberg: to run the company, and they know Seth Sternberg: they shouldn't run the company because they Seth Sternberg: don't have the day to day data. Seth Sternberg: They're not there. They understand that they've Seth Sternberg: invested in a certain management team, and Seth Sternberg: they can choose to change the management Seth Sternberg: team, but they don't run the company. Seth Sternberg: And so I doubt we even brought Seth Sternberg: that one to the board. It doesn't Seth Sternberg: rise to the level where we'd feel Seth Sternberg: like, oh, we have to talk to Seth Sternberg: the board about this. Like, this is Seth Sternberg: the decision we're making as the people Seth Sternberg: running the company. Adam O'Donnell: Wow, that's really good. It sounds like Adam O'Donnell: you got great people around you, trust Adam O'Donnell: you. Seth Sternberg: Yes. And that's like, I kind of Seth Sternberg: was saying upfront, that's one of the Seth Sternberg: key parts of the game, right? Is Seth Sternberg: how do you surrender? And it's kind Seth Sternberg: of a key part of the game Seth Sternberg: of life. You often take on the Seth Sternberg: traits positive and negative, the people around Seth Sternberg: you. It's just the way it is. Seth Sternberg: And, you know, if you surround yourself, Seth Sternberg: you know, typically I try to surround Seth Sternberg: myself basically with people who are smarter Seth Sternberg: than I am. Like, I literally feel Seth Sternberg: like most of the people I hang Seth Sternberg: out with are smarter than I am. Seth Sternberg: And then if you hang out with Seth Sternberg: people who have really, like, diverse experiences Seth Sternberg: and perspectives, that makes you much stronger. Seth Sternberg: And, you know, a thing that you Seth Sternberg: have to remember. And I felt this Seth Sternberg: acutely, like you walk into a high Seth Sternberg: school or a college and you look Seth Sternberg: at who kids are sitting with and Seth Sternberg: like, almost just visually, each lunch table Seth Sternberg: looks like that table, right? Like, all Seth Sternberg: the kids at that table look like Seth Sternberg: all the other kids at that table. Seth Sternberg: It's kind of sad. And you have Seth Sternberg: to push if you want to. I Seth Sternberg: think if you want to be an Seth Sternberg: effective entrepreneur, you have to push out Seth Sternberg: of that, right. Because you just can't Seth Sternberg: understand everything about how to do everything. Seth Sternberg: You need to hang out with people Seth Sternberg: who are not like you and you Seth Sternberg: want those people to be smart, right. Seth Sternberg: And you want those people to pull Seth Sternberg: you up and make you more capable. Adam O'Donnell: That's really good advice. And, yeah, it's Adam O'Donnell: so easy to have that echo chamber Adam O'Donnell: piece as well, but. Seth Sternberg: Yeah, that's the human default. Adam O'Donnell: Yeah, yeah, unfortunately, that's really good. Well, Adam O'Donnell: the rest of the conversation, I love Adam O'Donnell: to prioritize talking about the moment that Adam O'Donnell: you hit product market fit and then Adam O'Donnell: the steps before that, not to replicate, Adam O'Donnell: but just to inspire a similar strategy Adam O'Donnell: for founders who haven't done it yet. Adam O'Donnell: So it's, if you could. I know Adam O'Donnell: this is tough, but like, with Sammy, Adam O'Donnell: I did this with trilio. Like, just Adam O'Donnell: like even getting a month where you Adam O'Donnell: were like, or that first moment where Adam O'Donnell: you're like this, we've hit this. There's Adam O'Donnell: something here. Seth Sternberg: Yeah. So I hate to do this Seth Sternberg: to you, but I would actually posit Seth Sternberg: to you that that's too simple a Seth Sternberg: heuristic. And there's actually this scale that Seth Sternberg: you have to look at startups on. Seth Sternberg: And one spectrum that you can kind Seth Sternberg: of plot almost every startup on is, Seth Sternberg: is it taking execution risk or is Seth Sternberg: it taking market risk? And if it's Seth Sternberg: taking market risk, your question's valid, right? Seth Sternberg: Like, hey, I don't know if people Seth Sternberg: want this thing, I'm going to keep Seth Sternberg: iterating until I find a thing that Seth Sternberg: they want. And at some point I Seth Sternberg: hit what people call product market fit, Seth Sternberg: right? Like, oh, I'm selling a thing Seth Sternberg: people want. There is a different kind Seth Sternberg: of risk, which is execution risk. It's Seth Sternberg: like, hey, if I build this, I Seth Sternberg: know everybody's going to want it, but Seth Sternberg: wow, is it really, really hard to Seth Sternberg: build. So that's execution risk. And what Seth Sternberg: I would argue is that you want Seth Sternberg: to do a startup that has either Seth Sternberg: market risk but very little execution risk Seth Sternberg: or execution risk with very little market Seth Sternberg: risk. Because you want to know the Seth Sternberg: reason you're failing. You want to know Seth Sternberg: the reason why it's not working. And Seth Sternberg: you don't want to have to debate Seth Sternberg: with yourself, do people want this or Seth Sternberg: not? Did I do a good job Seth Sternberg: of building or not? You kind of Seth Sternberg: want to know. So startups that are Seth Sternberg: kind of equally in the middle between Seth Sternberg: those two, I would say probably don't Seth Sternberg: do them. And so honor was very Seth Sternberg: much an execution risk company. We already Seth Sternberg: knew there was a $30 billion industry. Seth Sternberg: We already knew it was hyper fragmented. Seth Sternberg: We already knew the experience for care Seth Sternberg: pros and clients were totally broken. So Seth Sternberg: we didnt know why per se. It Seth Sternberg: didnt scale well, we didnt know why Seth Sternberg: it was so hyper fragmented. So that Seth Sternberg: was an execution risk problem. But we Seth Sternberg: knew, hey, if you can build good Seth Sternberg: home care thats better than what people Seth Sternberg: currently buy to $30 billion, then you Seth Sternberg: will be in a good spot. So, Seth Sternberg: sorry, threw you a curveball on your Seth Sternberg: PMF question. Adam O'Donnell: No, this is why I asked that Adam O'Donnell: question. And its amazing. Its way more Adam O'Donnell: insightful what youre saying. And I completely Adam O'Donnell: hear that its almost like a cancer Adam O'Donnell: drug. Well, people buy that. We know Adam O'Donnell: that. Seth Sternberg: All execution risk. Right, exactly. Adam O'Donnell: And you're saying you're a little bit Adam O'Donnell: off of the cancer example in that Adam O'Donnell: one. Seth Sternberg: Yeah, we're not quite the cancer example, Seth Sternberg: but you're really, really close to that, Seth Sternberg: right? Because if you one of the Seth Sternberg: models you can take as entrepreneurs just Seth Sternberg: say, look, there's this thing people already Seth Sternberg: do, but like. And they need it. Seth Sternberg: You know, in our case, we're like, Seth Sternberg: wow, people are spending $30 billion in Seth Sternberg: home care, but it sucks, right? Like Seth Sternberg: it really needs a reboot. Thats amazing. Seth Sternberg: Imagine how big the market would be Seth Sternberg: if you built really amazing home care. Seth Sternberg: Thats the way we looked at it. Seth Sternberg: There was no EMF do people want Seth Sternberg: it question. There was just, can we Seth Sternberg: actually do it? Had not historically been Seth Sternberg: done. Adam O'Donnell: Clay, that is really cool. So in Adam O'Donnell: that kind of execution risk company, I Adam O'Donnell: imagine that youre competing with a lot Adam O'Donnell: with larger incumbents who have a lot Adam O'Donnell: more money than you more frequently. Seth Sternberg: So in our case, it was a Seth Sternberg: little bit different because what we were Seth Sternberg: competing with is 20,000 mom and pops. Seth Sternberg: Now, half of them had joined franchise Seth Sternberg: networks and half of them were technically Seth Sternberg: independent, but they all really were just Seth Sternberg: independent. So what you're competing with actually Seth Sternberg: in this case is this market force. Seth Sternberg: It's okay, I'm going to hang a Seth Sternberg: shingle in the SFA area. You're competing Seth Sternberg: with 200 other agencies, literally 200 other Seth Sternberg: agencies. And really the competition is like, Seth Sternberg: why is it 200 other agencies? Why Seth Sternberg: are none of them bigger than in Seth Sternberg: a roughly $300 million market in the Seth Sternberg: SFB area? Why is it that none Seth Sternberg: of them have gotten bigger than like Seth Sternberg: five or $6 million? What is the Seth Sternberg: thing that's holding people back? So oftentimes Seth Sternberg: people worry about? So people always fixate Seth Sternberg: on the competitive company. And I think Seth Sternberg: what people should fixate on is that Seth Sternberg: as a startup, and I definitely am Seth Sternberg: not the one who coined this, but Seth Sternberg: I'm going to remind everybody, startups do Seth Sternberg: not die by homicide, they die by Seth Sternberg: suicide. Like, that's how startups die. You Seth Sternberg: didn't make it. You didn't succeed. And Seth Sternberg: in our case, it was very clear, Seth Sternberg: right? Like, the market was really hard. Seth Sternberg: Something about it was really hard to Seth Sternberg: scale in, and it would be on Seth Sternberg: us. It wouldn't be that one of Seth Sternberg: those other little agencies killed us. It Seth Sternberg: would be that we didn't figure out Seth Sternberg: how to address the market dynamic. And Seth Sternberg: what that does, by the way, is Seth Sternberg: kind of empowering. Right? Because you don't Seth Sternberg: get to outsource your failure on something Seth Sternberg: else. It is on you to succeed Seth Sternberg: or fail. Adam O'Donnell: This is interesting. I want to dive Adam O'Donnell: into how you analyze this, because I Adam O'Donnell: know you authentically had the problem. So Adam O'Donnell: it wasn't like you were just like, Adam O'Donnell: I'm going to pick the best possible Adam O'Donnell: thing to build. You want to do Adam O'Donnell: something in this, but what was different Adam O'Donnell: about this? And how, how did you Adam O'Donnell: look at it? Seth Sternberg: Yeah, so what we, it's a great Seth Sternberg: question. What we saw very clearly is Seth Sternberg: the needs of my mom and your Seth Sternberg: mom are probably different. The wants of Seth Sternberg: one care pro versus another care pro Seth Sternberg: are also probably different. Different schedules, different Seth Sternberg: skills. They live in different places, et Seth Sternberg: cetera. They like different kinds of people Seth Sternberg: to work for. So it's a two Seth Sternberg: sided, heterogeneous marketplace because both sides are Seth Sternberg: heterogeneous. Like your mom, my mom are Seth Sternberg: different. That care pro and that care Seth Sternberg: pro are different. And so what you Seth Sternberg: can say is that almost certainly with Seth Sternberg: more market liquidity on both sides, you Seth Sternberg: will have better matches, right? Because that Seth Sternberg: heterogeneity means you benefit from a lot Seth Sternberg: of supply and a lot of demand. Seth Sternberg: And yet it had never happened. And Seth Sternberg: so we had a going in theory Seth Sternberg: on the reason why it had never Seth Sternberg: happened. But we knew we couldn't be Seth Sternberg: sure. We only had research, and research Seth Sternberg: is not as good as actually seeing Seth Sternberg: it and doing it. Touch, feel. So Seth Sternberg: what we did is we built some Seth Sternberg: thin veneer technology that made our initial Seth Sternberg: home care company that we launched in Seth Sternberg: the SF area look modern, but under Seth Sternberg: the surface it was run by humans. Seth Sternberg: We didn't try to fix these difficult Seth Sternberg: logistical challenges because we just had to Seth Sternberg: see, like, why the heck did this Seth Sternberg: thing not work, right? And so the Seth Sternberg: way we approached trying to validate, like, Seth Sternberg: what is it that has kept this Seth Sternberg: thing that should consolidate from consolidating? We Seth Sternberg: just needed to experience those problems ourselves. Seth Sternberg: And let me tell you, we grew Seth Sternberg: quickly. We experienced those problems big time. Seth Sternberg: They were really, really painful. It was Seth Sternberg: like, okay, we now see exactly why Seth Sternberg: this thing never scales. We almost shut Seth Sternberg: down. There is this point where we Seth Sternberg: hit about 10 million in revenue. And Seth Sternberg: I literally was saying to myself, this Seth Sternberg: is not a technology tractable problem. I Seth Sternberg: just don't see how this can possibly Seth Sternberg: be solved in technology. It's so impossible Seth Sternberg: and humans are so heterogeneous. But it Seth Sternberg: turned out that at that scale, we Seth Sternberg: had just enough data to start running Seth Sternberg: some real ML against the problems, and Seth Sternberg: we're able to figure it out. Adam O'Donnell: Wow, what a story. It's so unique. Adam O'Donnell: But I. So you basically just built Adam O'Donnell: like a mom and pop on steroids Adam O'Donnell: in the beginning as an experiment with Adam O'Donnell: the scalable mindset. And you got, you Adam O'Donnell: were able to raise money on that. Adam O'Donnell: Did you have any investors who were Adam O'Donnell: like, hey, how do we know we're Adam O'Donnell: not just going to be investing in Adam O'Donnell: a lifestyle company that stays like this Adam O'Donnell: forever? Seth Sternberg: So, fortunately, since I had built a Seth Sternberg: previous company that had gotten pretty large, Seth Sternberg: it was a little bit easier for Seth Sternberg: us to raise money. This is why Seth Sternberg: I actually said we wanted a hard Seth Sternberg: problem, because one of the things about Seth Sternberg: being a second time entrepreneur, if you've Seth Sternberg: had a first successful company, is you Seth Sternberg: both can raise money easier. But let's Seth Sternberg: throw that one out. That's important for Seth Sternberg: what I'm about to say. But what's Seth Sternberg: really important is that you already have Seth Sternberg: the basics down. You know how to Seth Sternberg: build a team, you know how to Seth Sternberg: incorporate, you know, which lawyers to use, Seth Sternberg: like, a lot of the blocking and Seth Sternberg: tackling that you have to your first Seth Sternberg: time around. You just know. And so Seth Sternberg: you can focus on a harder problem Seth Sternberg: as a second time entrepreneur, because a Seth Sternberg: lot of the, like, rote stuff you Seth Sternberg: already know how to do and that Seth Sternberg: lets you put more of your brain Seth Sternberg: cycles into. Hey, but this is a Seth Sternberg: really, really challenging problem. How could I Seth Sternberg: unlock it? Adam O'Donnell: It makes a lot of sense. Yeah. Adam O'Donnell: You want to move closer, essentially, to Adam O'Donnell: the execution risk side. Seth Sternberg: Execution risk as a second time. That's Seth Sternberg: exactly right. As a second time entrepreneur, Seth Sternberg: you are incented to be more on Seth Sternberg: the execution risk side than on the Seth Sternberg: market risk side. Because market risk, who Seth Sternberg: knows? It doesn't matter if you're first Seth Sternberg: time, second time entrepreneur, you just don't Seth Sternberg: know until you try. But execution risk, Seth Sternberg: you are disproportionately likely to be able Seth Sternberg: to solve an execution risk thing. As Seth Sternberg: a second time entrepreneur, that's so good. Seth Sternberg: You know, one thing, sorry. That I Seth Sternberg: would just say, and I feel this Seth Sternberg: really strongly, is a bunch of my Seth Sternberg: friends are second time entrepreneurs and have Seth Sternberg: done exactly this. They have launched companies Seth Sternberg: that are healthcare or some other kind Seth Sternberg: of, like, hard problem that's aimed squarely Seth Sternberg: at societal good. And I really, really Seth Sternberg: respect that. And I wish, like, I Seth Sternberg: kind of wish, honestly, all entrepreneurs would Seth Sternberg: focus on that. Like, especially second timers. Seth Sternberg: It's like, hey, if you have the Seth Sternberg: capability, for whatever reason, you're a second Seth Sternberg: timer, or some other capability you have, Seth Sternberg: and it's an entrepreneur, you're a first Seth Sternberg: timer, solve societal problems that matter. Right. Seth Sternberg: Like, something that's really going to help Seth Sternberg: move the world forward in the right Seth Sternberg: way because, like, we need it. Adam O'Donnell: That's so good. And, you know, the Adam O'Donnell: death rate's 100%, so there's only so Adam O'Donnell: much time. Seth Sternberg: Yep. Adam O'Donnell: I really appreciate that. The, the next Adam O'Donnell: question I wanted to just double tap Adam O'Donnell: on, like, what were some of the Adam O'Donnell: problems that you saw when you're at Adam O'Donnell: that 10 million state that, like, overwhelmed Adam O'Donnell: you to the point where, like, we Adam O'Donnell: might need to shut down and this Adam O'Donnell: might not be solvable. Seth Sternberg: Jeff. So, like, one example would be, Seth Sternberg: you know, you'd have a client, misses Seth Sternberg: Smith, and she would love this care Seth Sternberg: professional, Janet. But then your other client, Seth Sternberg: misses Jones, hated Janet, the care pro. Seth Sternberg: And so it's like, well, is Janet Seth Sternberg: good or bad? And the answer is, Seth Sternberg: she's good for some people and bad Seth Sternberg: for other people. Right. And that shouldn't Seth Sternberg: be surprising because that's the way humans Seth Sternberg: work. But then you'd have these other Seth Sternberg: sets, one kind of problem, another kind Seth Sternberg: of problem would be, you know, you'd Seth Sternberg: talk to Janet and you'd say, hey, Seth Sternberg: Janet, when can you work? One example, Seth Sternberg: what days do you not want to Seth Sternberg: work? And Janet says, well, Saturdays, I Seth Sternberg: just don't want to work. And so Seth Sternberg: then you show Janet, like, three clients Seth Sternberg: that Janet could choose from same day. Seth Sternberg: Three clients. Here they are. Here are Seth Sternberg: their schedules. Which one would you like Seth Sternberg: to work for? And Janet picks a Seth Sternberg: client that has care on Saturdays, and Seth Sternberg: you're like, but, janet, you just told Seth Sternberg: me that you don't want to work Seth Sternberg: on Saturdays. And Janet's like, oh, well, Seth Sternberg: that's different, because blah, blah, blah. And Seth Sternberg: you're just like, oh, my God. So Seth Sternberg: you can't figure out who's a good Seth Sternberg: and bad care pro. You can't figure Seth Sternberg: out how to ask care pros even Seth Sternberg: when they want to work. So we're Seth Sternberg: talking about, like, a totally, what, seemingly Seth Sternberg: impossible problem, right? Like, you can't get Seth Sternberg: these most basic things down. Like, can Seth Sternberg: I figure out if this is a Seth Sternberg: good or bad care pro? Can I Seth Sternberg: figure out when this care pro wants Seth Sternberg: to work? And in retrospect, when you Seth Sternberg: start putting ML against it, you can Seth Sternberg: actually make it work. Every one thing Seth Sternberg: you have to remember is products and Seth Sternberg: industries tend to happen when society is Seth Sternberg: ready and when technology platforms are ready. Seth Sternberg: Like, those two things have to converge Seth Sternberg: for a new product category to emerge, Seth Sternberg: like social networks or car share or Seth Sternberg: whatever. One of the things that had Seth Sternberg: to emerge for home care was AI, Seth Sternberg: because there is no one right answer. Seth Sternberg: There's no static algorithm on who's a Seth Sternberg: good care pro. The answer is, it Seth Sternberg: depends based on people and heterogeneity. So Seth Sternberg: AI is good at that. I'm not Seth Sternberg: talking about Genai. We use that in Seth Sternberg: other ways. I'm talking about ML, statistical Seth Sternberg: regressions, AI, it can be very good Seth Sternberg: at that. And that was necessary to Seth Sternberg: unlock kind of scaling home care. Adam O'Donnell: Did you know that going in, like, Adam O'Donnell: when you were evaluating this in the Adam O'Donnell: research phase? Seth Sternberg: Definitely not. No. We knew logistics was Seth Sternberg: the reason why, or we were pretty Seth Sternberg: sure logistics was the reason why. Home Seth Sternberg: care agencies could not scale. They got Seth Sternberg: to what's called the Dunbar number. So Seth Sternberg: in someone's head, they were running a Seth Sternberg: group of 150 people. It's like 30 Seth Sternberg: clients, 40 care pros, 40 sons and Seth Sternberg: daughters, and some office staff. It was Seth Sternberg: 150 people. And that's as big as Seth Sternberg: they could ever get because the owner Seth Sternberg: was kind of solving it in their Seth Sternberg: head. But we didn't know until we Seth Sternberg: got there that if you could actually Seth Sternberg: use what at the time was kind Seth Sternberg: of this novel AI thing where you Seth Sternberg: could say, hey, I'm not going to Seth Sternberg: have a static definition of what a Seth Sternberg: good care pro is, but I'm going Seth Sternberg: to be flexible about that based on Seth Sternberg: who the care pro is and what Seth Sternberg: the client's needs are. Adam O'Donnell: What an amazing, so in your research, Adam O'Donnell: like, going back before you actually, like, Adam O'Donnell: launched the company that became a $10 Adam O'Donnell: million SMB, essentially, what did you, how, Adam O'Donnell: how did that fall short? Because I Adam O'Donnell: imagine that you interviewed some owners of Adam O'Donnell: these care, of these organizations already. Seth Sternberg: Yeah. So we talked to owners. We Seth Sternberg: talked to a lot of care pros, Seth Sternberg: actually. We went to Phoenix, interviewed 25 Seth Sternberg: of them. Sacramento, interviewed 25 of them. Seth Sternberg: We didn't do it in the Bay Seth Sternberg: Area because the Bay Area is too Seth Sternberg: weird. Right. We felt like the market Seth Sternberg: day won't be good. And we interviewed Seth Sternberg: agency owners as well. Obviously, one thing Seth Sternberg: you have to just remember, when you're Seth Sternberg: doing initial research, users tell you what Seth Sternberg: they think they want. They definitely don't Seth Sternberg: know how to build it. The most Seth Sternberg: helpful people that we talked to were Seth Sternberg: actually the care professionals. One of the Seth Sternberg: things this really poignant one interview in Seth Sternberg: Phoenix at Starbucks, that care professional said, Seth Sternberg: look, I am a professional. I want Seth Sternberg: to be treated like a professional, but Seth Sternberg: I'm treated like dirt. It was actually Seth Sternberg: in the flight home that we said, Seth Sternberg: you know what we're going to actually Seth Sternberg: call these people care pros. Care professionals. Seth Sternberg: That's what we came up with. The Seth Sternberg: word they said, like, in a very Seth Sternberg: basic sense, we're going to call care Seth Sternberg: pros what they want to be, not Seth Sternberg: caregivers, but care pros, care professionals. So, Seth Sternberg: you know, no agency owner. The other Seth Sternberg: challenge in this complexity is agency owners Seth Sternberg: usually will say, hey, the thing that Seth Sternberg: keeps me from scaling is I can't Seth Sternberg: find enough care pros. They have like, Seth Sternberg: caregivers, but like, and the problem with Seth Sternberg: that, of course, is if you say, Seth Sternberg: then, well, what percentage of your market Seth Sternberg: do you have? They'll say some really Seth Sternberg: low number, like one or 2%. And Seth Sternberg: you'll say, okay, so for like, every Seth Sternberg: two care pros you employ, someone else Seth Sternberg: is employing 98 care pros. So it's Seth Sternberg: not that they don't exist. Right. Like, Seth Sternberg: it's that somehow something in the way Seth Sternberg: you're running your agency is not enabling Seth Sternberg: you to be able to either find Seth Sternberg: them or scale to finding them or, Seth Sternberg: you know, match them with customers. You're Seth Sternberg: experiencing it as, I can't find care Seth Sternberg: pros, but it's actually a logistics problem Seth Sternberg: because you don't have your full market. Adam O'Donnell: This is amazing. I, I have thoroughly Adam O'Donnell: enjoyed this. And so thank you for Adam O'Donnell: just, like, going under the hood here. Adam O'Donnell: I'm. The next phase that I'm just Adam O'Donnell: curious about is, like, how do you Adam O'Donnell: approach customer experience? And, yeah, you know, Adam O'Donnell: everyone knows this is in desk podcast. Adam O'Donnell: I usually don't directly ask these, but Adam O'Donnell: I'm. But I think because of what Adam O'Donnell: you're working on, it must have been Adam O'Donnell: so essential to be able to have Adam O'Donnell: that quality experience that you don't fully Adam O'Donnell: control. Seth Sternberg: Yep. So the first thing that we Seth Sternberg: started with is what we call, we Seth Sternberg: started calling care for the care pro. Seth Sternberg: And the idea was if we created Seth Sternberg: better jobs and a better life for Seth Sternberg: the care pros, that they would end Seth Sternberg: up providing better care to our customers. Seth Sternberg: And we really stayed with that for Seth Sternberg: a really long time. Like, we, we Seth Sternberg: kind of like, you know, squeezed that, Seth Sternberg: you know, orange or whatever, as much Seth Sternberg: as we could to get all the Seth Sternberg: juice out of it. And the reason Seth Sternberg: is, is that we really deeply believed Seth Sternberg: in it, and it got us a Seth Sternberg: lot of gains around client experience. It's Seth Sternberg: just creating a more stable, better job Seth Sternberg: for care pros where we truly treated Seth Sternberg: them like a professional. What we then Seth Sternberg: moved on to is kind of this Seth Sternberg: defect framework that we use today where Seth Sternberg: we would say, hey, what are the Seth Sternberg: defects that clients really care about? As, Seth Sternberg: as represented in statistics, like, but based Seth Sternberg: on client behavior, we can see this Seth Sternberg: thing really bothered, bothers clients en masse, Seth Sternberg: and then we can kind of rank Seth Sternberg: them and we can look at how Seth Sternberg: they interact with each other. And then Seth Sternberg: once we know what those things are, Seth Sternberg: we can then change the way the Seth Sternberg: system works to try to address those Seth Sternberg: problems. And so that's kind of our Seth Sternberg: latest state of the art that's more Seth Sternberg: client focused because we have built this Seth Sternberg: really solid foundation on the care for Seth Sternberg: the care pro. Right? So, like, first Seth Sternberg: part was care for the care pro. Seth Sternberg: Build a really solid foundation there, then Seth Sternberg: switch over to a client view and Seth Sternberg: look at basically a defects framework. Adam O'Donnell: Wow. That is. So what was the Adam O'Donnell: client view? If you could tell me Adam O'Donnell: more about that one. I love hearing, Adam O'Donnell: like, prioritizing the employee. The customer is Adam O'Donnell: not always, the customer is not always Adam O'Donnell: right in a lot of examples. Seth Sternberg: So, yeah, actually, oddly, that was sometimes Seth Sternberg: quite true in care for the care Seth Sternberg: pro. Right? Especially if you have clients Seth Sternberg: who have dementia, for example. And they Seth Sternberg: might say, hey, this care pro stole Seth Sternberg: something. But that care pro has a Seth Sternberg: stellar record otherwise. And you can say, Seth Sternberg: hey. Or they'd often say, hey, the Seth Sternberg: care pro was late or whatnot. And Seth Sternberg: we used gps tracking, and we could Seth Sternberg: say, you know what? The care pro Seth Sternberg: actually literally was there at this time. Seth Sternberg: Like, we know it's gps verified. So Seth Sternberg: we, early on, we found a lot Seth Sternberg: of cases where we really had to Seth Sternberg: care for the care pro, and that Seth Sternberg: had to be the base on the Seth Sternberg: client side. One of the top things Seth Sternberg: that's super interesting that we found is Seth Sternberg: clients really care about what we call Seth Sternberg: consistency. And consistency is they want to Seth Sternberg: see the same care pro again and Seth Sternberg: again. They want to form a relationship Seth Sternberg: with that person. So our systems seek Seth Sternberg: very much to create these really stable Seth Sternberg: relationships between care pros and clients. And Seth Sternberg: it turns out that the care pros Seth Sternberg: really like that, too. Adam O'Donnell: Wow. Yeah. And that's a human tendency Adam O'Donnell: that we could, like, quarterback and look Adam O'Donnell: behind and say, oh, that makes sense. Adam O'Donnell: But, um, I I wonder. Like, it Adam O'Donnell: just seems like that shouldn't be insightful, Adam O'Donnell: but I imagine how it's interesting that Adam O'Donnell: it was. Seth Sternberg: I mean, a lot of stuff. I Seth Sternberg: think the problem is this. I could Seth Sternberg: throw, like, five things at you that Seth Sternberg: sound right. Right? Like, clients like a Seth Sternberg: reliable care pro. Clients like the same Seth Sternberg: care pro. Clients like a care pro Seth Sternberg: who cooks the kind of food they're Seth Sternberg: used to eating. Like, I could throw Seth Sternberg: a bunch of stuff at you. The Seth Sternberg: problem is that we'd have no way Seth Sternberg: to know which ones actually matter if Seth Sternberg: we're just bantering about it. When you Seth Sternberg: get powerful is when you look to Seth Sternberg: the data and you can find the Seth Sternberg: patterns in the data that tell you, Seth Sternberg: hey, what a client really cares about Seth Sternberg: is blah. Or these three things, and Seth Sternberg: here's even how they interact, et cetera. Seth Sternberg: And I even can know how much Seth Sternberg: better I'll grow if I fix this Seth Sternberg: thing, because I've statistically analyzed its impact Seth Sternberg: on experience. Like, that's when you get Seth Sternberg: powerful, right? When, you know, you stop Seth Sternberg: the debate. And you know what things Seth Sternberg: clients truly care about. Prioritizing another way Seth Sternberg: of saying it's another way of saying Seth Sternberg: everything. In retrospect, of course, seems obvious, Seth Sternberg: but before you have the data, you'd Seth Sternberg: be debating whether or not it's the Seth Sternberg: one. Adam O'Donnell: That is so good. Well, just a Adam O'Donnell: final question, like, what would you tell Adam O'Donnell: yourself before you started? Honor, if you Adam O'Donnell: could go back and give yourself, like, Adam O'Donnell: one big piece of advice that you've Adam O'Donnell: learned, it'll be even. Seth Sternberg: Harder than you think. Probably that. Don't Seth Sternberg: worry about it. You'll get through it, Seth Sternberg: but it'll be harder than you think. Adam O'Donnell: Wow. Even in those low moments, which Adam O'Donnell: I know you had, and this has Adam O'Donnell: been amazing. Thank you so much, Seth, Adam O'Donnell: for taking the time. And I can Adam O'Donnell: just tell you have a scientific approach Adam O'Donnell: to this that is really interesting. Seth Sternberg: Yep. It's been fun. Yeah, it's great Seth Sternberg: to chat. Thank you so much for Seth Sternberg: having me on, Adam. I appreciate it. Adam O'Donnell: Thank you.
Info
Channel: Zendesk
Views: 96
Rating: undefined out of 5
Keywords: home health care, zendesk, customerservice, customer experience, ai, help desk, ticketing software, crm, salesforce, freshdesk, freshworks, intercom, zendeskai, artificial intelligence, home health care business, health care, healthcare, home healthcare, entrepreneurship, startup, sit down startup, business growth, podcast, founder podcast, home health care services, home health care nurse, home health care agency, home health care business startup guide, home health care training videos
Id: CNSKRR-55fQ
Channel Id: undefined
Length: 32min 16sec (1936 seconds)
Published: Wed May 15 2024
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