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Better Health raises $3.5M seed round to reinvent medical supply shopping through e-commerce
The home medical supply market in the U.S. is significant and growing, but the way that Americans go about getting much-needed medical supplies, particularly for those with chronic conditions, relies on outdated and clumsy sales mechanisms that often have very poor customer experiences. New startup Better Health aims to change that, with an e-commerce approach to serving customers in need of medical supplies for chronic conditions, and it has raised $3.5 million in a new seed round to pursue its goals.
Better Health estimates the total value of the home medical supplies market in the U.S., which covers all reimbursable devices and supplies needed for chronic conditions, including things like colostomy bags, catheters, mobility aids, insulin pumps and more, is around $60 billion annually. But the market is obviously a specialized one relative to other specialized goods businesses, in part because it requires working not only with customers who make the final decisions about what supplies to use, but also payers, who typically foot the bill through insurance reimbursements.
The other challenge is that individuals with chronic care needs often require a lot of guidance and support when making the decision about what equipment and supplies to select — and the choices they make can have a significant impact on quality of life. Better Health co-founder and CEO Naama Stauber Breckler explained how she came to identify the problems in the industry, and why she set out to address them.
“The first company I started was right out of school, it’s called CompactCath,” she explained in an interview. “We created a novel intermittent catheter, because we identified that there’s a gap in the existing options for people with chronic bladder issues that need to use a catheter on a day-to-day basis […] In the process of bringing it to market, I was exposed to the medical devices and supplies industry. I was just shocked when I realized how hard it is for people today to get life-saving medical supplies, and basically realized that it’s not just about inventing a better product, there’s kind of a bigger systematic problem that locks consumer choice, and also prevents innovation in the space.”
Stauber Breckler’s founding story isn’t too dissimilar from the founding story of another e-commerce pioneer: Shopify. The now-public heavyweight originally got started when founder Tobi Lütke, himself a software engineer like Stauber Breckler, found that the available options for running his online snowboard store were poorly designed and built. With Better Health, she’s created a marketplace, rather than a platform like Shopify, but the pain points and desire to address the problem at a more fundamental level are the same.
Better Health head of Product Adam Breckler, left, and CEO Naama Stauber Breckler, right. Image Credits: Better Health
With CompactCath, she said they ended up having to build their own direct-to-consumer marketing and sales product, and through that process, they ended up talking to thousands of customers with chronic conditions about their experiences, and what they found exposed the extent of the problems in the existing market.
“We kept hearing the same stories again, and again — it’s hard to find the right supplier, often it’s a local store, the process is extremely manual and lengthy and prone to errors, they get the surprise bills they weren’t expecting,” Stauber Breckler said. “But mostly, it’s just that there is this really sharp drop in care, from the time that you have a surgery or you were diagnosed, to when you need to now start using this device, when you’re essentially left at home and are given a general prescription.”
Unlike in the prescription drug market, where your choices essentially amount to whether you pick the brand name or the generic, and the outcome is pretty much the same regardless, in medical supplies which solution you choose can have a dramatically different effect on your experience. Customers might not be aware, for example, that something like CompactCath exists, and would instead choose a different catheter option that limits their mobility because of how frequently it needs changing and how intensive the process is. Physicians and medical professionals also might not be the best to advise them on their choice, because while they’ve obviously seen patients with these conditions, they generally haven’t lived with them themselves.
“We have talked to people who tell us, ‘I’ve had an ostomy for 19 years, and this is the first time I don’t have constant leakages’ or someone who had been using a catheter for three years and hasn’t left her house for more than two hours, because they didn’t feel comfortable with the product that they had to use it in a public restroom,” Stauber Breckler said. “So they told us things like ‘I finally went to visit my parents, they live in a town three hours away.’ ”
Better Health can provide this kind of clarity to customers because it employs advisors who can talk patients through the equipment selection process with one-to-one coaching and product use education. The startup also helps with navigating the insurance side, managing paperwork, estimating costs and even arguing the case for a specific piece of equipment in case of difficulty getting the claim approved. The company leverages peers who have firsthand experience with the chronic conditions it serves to help better serve its customers.
Already, Better Health is a Medicare-licensed provider in 48 states, and it has partnerships in place with commercial providers like Humana and Oscar Health. This funding round was led by 8VC, a firm with plenty of expertise in the healthcare industry and an investor in Stauber Breckler’s prior ventures, and includes participation from Caffeinated Capital, Anorak Ventures and angels Robert Hurley and Scott Flanders of remote health pioneer eHealth.
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Polytomic announces $2.4M seed to move business data where it’s needed
There is so much data sitting inside companies these days, but getting data to the people who need it most remains a daunting challenge. Polytomic, a graduate of the Y Combinator Winter 2020 cohort set out to solve that problem, and today the startup announced a $2.4 million seed.
Caffeinated Capital led the round with help from Bow Capital and a number of individual investors including the founders of PlanGrid, Tracy Young and Ralph Gootee, the company where Polytomic founders CEO Ghalib Suleiman and CTO Nathan Yergler both previously worked.
“We synch internal data to business systems. You can imagine your sales team living in Salesforce and would like to see who’s using your product from your customer data that lives in other internal databases. We have a no-code web app that moves internal data to the business systems of the office,” Suleiman told me.
Data lives in silos across every company, and Polytomic lets you build the connectors by dragging and dropping components in the Polytomic interface. This new data then shows up as additional fields in the target application. So you might have a usage percentage field added to Salesforce automatically if you were connecting to customer usage data.
The company actually sells the product to business operations teams, who would be charged with setting up a catalogue or menu of data sources that live in Polytomic. This is usually handled by someone like a business analyst who can configure the different sources. Once that’s done, anyone can build connectors to these data sources by selecting them from the menu and then choosing where to deliver the data.
The founders came up with the idea for the company because when they were at PlanGrid, they faced a problem getting data to the people who needed it in the company. The problem became more pronounced as the company grew and they had ever more data and more employees who needed access to it.
They left PlanGrid in 2018 and launched Polytomic a year later to begin attacking the problem. The two founders joined YC as a way to learn to refine the product, and were still working on it on Demo Day, delivering their presentation off the record because they weren’t quite done with it yet.
They released the first iteration of the product last September and report some progress getting customers and gaining revenue. Early customers include Brex, ShipBob, Sourcegraph and Vanta.
The company has no additional employees beyond the two founders as of yet, but with the seed funding in the bank, they plan to begin hiring a few people this year.
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This serial founder is taking on Carta with cap table management software she says is better for founders
Yin Wu has co-founded several companies since graduating from Stanford in 2011, including a computer vision company called Double Labs that sold to Microsoft, where she stayed on for a couple of years as a software engineer. In fact, it was only after that sale she she says she “actually understood all of the nuances with a company’s cap table.”
Her newest company, Pulley, a 14-month-old, Mountain View, Ca.-based maker of cap table management software aims to solve that same problem and has so far raised $10 million toward that end led by the payments company Stripe, with participation from Caffeinated Capital, General Catalyst, 8VC and numerous angel investors.
Wu is going up against some pretty powerful competition. Carta was reportedly raising $200 million in fresh funding at a $3 billion valuation as of the spring (a round the company never official confirmed or announced). Last year, it raised $300 million. Morgan Stanley has meanwhile been beefing up its stock plan administration business, acquiring Solium Capital early last year and more recently purchasing Barclay’s stock plan business.
Of course, startups often manage to find a way to take down incumbents and a distraction for Carta, at least, in the form of a very public gender discrimination lawsuit by a former VP of marketing, could be the kind of opening that Pulley needs. We emailed with Yu yesterday to ask if that might be the case. She didn’t answer directly, but she did mention “values,” as well as sharing some more details about what she sees as different about the two products.
TC: Why start this company? Has Carta’s press of late created an opening for a new upstart in the space?
YW: I left Microsoft in 2018 and started Pulley a year later. We skipped the seed and raised the A because of overwhelming demand from investors. Many wanted a better product for their portfolio companies. Many founders are increasingly thinking about choosing with companies, like Pulley, that better align with their values.
TC: How many people are working for Pulley and are any folks you pulled out of Carta?
YW: We’re a team of seven and have four people on the team who are former Y Combinator founders. We attract founders to the team because they’ve experienced firsthand the difficulties of managing a cap table and want to build a better tool for other founders. We have not pulled anyone out of Carta yet.
TC: Carta has raised a lot of funding and it has long tentacles. What can Pulley offer startups that Carta cannot?
YW: We offer startups a better product compared to our competitors. We make every interaction on Pulley easier and faster. 409A valuations take five days instead of weeks, and onboarding is the same day rather than months. By analogy, this is similar to the difference between Stripe and Braintree when Stripe initially launched. There were many different payment processes when Stripe launched. They were able to capture a large portion of the market by building a better product that resonated with developers.
One of the features that stands out on Pulley is our modeling feature [which helps founders model dilution in future rounds and helps employees understand the value of their equity as the company grows]. Founders switch from our competitors to Pulley to use our modeling tool [and it works] with pre-money SAFEs, post-money SAFEs and factors in pro-ratas and discounts. To my knowledge, Pulley’s modeling tool is the most comprehensive product on the market.
TC: How does your pricing compare with Carta’s?
YW: Pulley is free for early-stage companies regardless of how much they raise. We’re price competitive with Carta on our paid plans. Part of the reason we started Pulley is because we had frustrations with other cap table management tools. When using other services, we had to regularly ping our accountants or lawyers to make edits, run reports or get data. Each time we involved the lawyers, it was an expensive legal fee. So there is easily a $2,000 hidden fee when using tools that aren’t self-serve for setting up and updating your cap table.
TC: Is there a business-to-business opportunity here, where maybe attorneys or accountants or wealth managers private label this service? Or are these industry professionals viewed as competitors?
YW: We think there are opportunities to white label the service for accountants and law firms. However, this is currently not our focus.
TC: How adaptable is the software? Can it deal with a complicated scenario, a corner case?
YW: We started Pulley one year ago and we’re launching today because we have invested in building an architecture that can support complex cap table scenarios as companies scale. There are two things that you have to get right with cap table systems, First, never lose the data and second, always make sure the numbers are correct. We haven’t lost data for any customer and we have a comprehensive system of tests that verifies the cap table numbers on Pulley remain accurate.
TC: At what stage does it make sense for a startup to work with Pulley, and do you have the tools to hang onto them and keep them from switching over to a competitor later?
YW: We work with companies past the Series A, like Fast and Clubhouse. Companies are not looking to change their cap table provider if Pulley has the tool to grow with them. We already have the features of our competitors, including electronic share issuance, ACH transfers for options, modeling tools for multiple rounds and more. We think we can win more startups because Pulley is also easier to use and faster to onboard.
TC: Regarding your paid plans, how much is Pulley charging and for what? How many tiers of service are there?
YW; Pulley is free for early-stage startups with less than 25 stakeholders. We charge $10 per stakeholder per month when companies scale beyond that. A stakeholder is any employee or investor on the cap table. Most companies upgrade to our premium plan after a seed round when they need a 409A valuation.
Cap table management is an area where companies don’t want a free product. Pulley takes our customers’ data privacy and security very seriously. We charge a flat fee for companies so they rest assured that their data will never be sold or used without their permission.
TC: What’s Pulley’s relationship to venture firms?
YW: We’re currently focused on founders rather than investors. We work with accelerators like Y Combinator to help their portfolio companies manage their cap table, but don’t have a formal relationship with any VC firms.
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Airtable raises $185M and launches new low-code and automation features
The spreadsheet-centric database and no-code platform Airtable today announced that it has raised a $185 million Series D funding round, putting the company at a $2.585 billion post-money valuation.
Thrive Capital led the round, with additional funding by existing investors Benchmark, Coatue, Caffeinated Capital and CRV, as well as new investor D1 Capital. With this, Airtable, which says it now has 200,000 companies using its service, has raised a total of about $350 million. Current customers include Netflix, HBO, Condé Nast Entertainment, TIME, City of Los Angeles, MIT Media Lab and IBM.
In addition, the company is also launching one of its largest feature updates today, which starts to execute on the company’s overall platform vision that goes beyond its current no-code capabilities and brings tools to the service more low-code features, as well new automation (think IFTTT for Airtable) and data management.
As Airtable founder and CEO Howie Liu told me, a number of investors approached the company since it raised its Series C round in 2018, in part because the market clearly realized the potential size of the low-code/no-code market.
“I think there’s this increasing market recognition that the space is real, and the space is very large […],” he told me. “While we didn’t strictly need the funding, it allowed us to continue to invest aggressively into furthering our platform, vision and really executing aggressively, […] without having to worry about, ‘well, what happens with COVID?’ There’s a lot of uncertainty, right? And I think even today there’s still a lot of uncertainty about what the next year will bear.”
The company started opening the round a couple of months after the first shelter in place orders in California, and for most investors, this was a purely digital process.
Liu has always been open about the fact that he wants to build this company for the long haul — especially after he sold his last company to Salesforce at an early stage. As a founder, that likely means he is trying to keep his stake in the company high, even as Airtable continues to raise more money. He argues, though, that more so than the legal and structural controls, being aligned with his investors is what matters most.
“I think actually, what’s more important in my view, is having philosophical alignment and expectations alignment with the investors,” he said. “Because I don’t want to be in a position where it comes down to a legal right or structural debate over the future of the company. That almost feels to me like the last resort where it’s already gotten to a place where things are ugly. I’d much rather be in a position where all the investors around the table, whether they have legal say or not, are fully aligned with what we’re trying to do with this business.”
Just as important as the new funding though, are the various new features the company is launching today. Maybe the most important of these is Airtable Apps. Previously, Airtable users could use pre-built blocks to add maps, Gantt charts and other features to their tables. But while being a no-code service surely helped Airtable’s users get started, there’s always an inevitable point where the pre-built functionality just isn’t enough and users need more custom tools (Liu calls this an escape valve). So with Airtable Apps, more sophisticated users can now build additional functionality in JavaScript — and if they choose to do so, they can then share those new capabilities with other users in the new Airtable Marketplace.
Image Credits: Airtable
“You may or may not need an escape valve and obviously, we’ve gotten this far with 200,000 organizations using Airtable without that kind of escape valve,” he noted. “But I think that we open up a lot more use cases when you can say, well, Airtable by itself is 99% there, but that last 1% is make or break. You need it. And then, just having that outlet and making it much more leveraged to build that use case on Airtable with 1% effort, rather than building the full-stack application as a custom built application is all the difference.”
Image Credits: Airtable
The other major new feature is Airtable Automations. With this, you can build custom, automated workflows to generate reports or perform other repetitive steps. You can do a lot of that through the service’s graphical interface or use JavaScript to build your own custom flows and integrations, too. For now, this feature is available for free, but the team is looking into how to charge for it over time, given that these automated flows may become costly if you run them often.
The last new feature is Airtable Sync. With this, teams can more easily share data across an organization, while also providing controls for who can see what. “The goal is to enable people who built software with Airtable to make that software interconnected and to be able to share a source of truth table between different instances of our tables,” Liu explained.
Image Credits: Airtable
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InCountry raises $18M more to help SaaS companies store data locally
We’re seeing a gradual expansion of national regulations that require data from SaaS applications to be stored locally in the country where it’s sourced and used. Today a startup that’s built a service around that need — specifically, data residency-as-a-service — is announcing some funding to continue building out its company amid strong demand.
InCountry, which provides a set of solutions — comprising software as well as some consultancy — that helps companies comply with local regulations when adopting SaaS products, has raised $18 million in funding.
This is technically an extension to its Series A, but in keeping with the growth of its business, it comes with a big bump to its valuation: the startup is now valued at “north” of $150 million. Founder and CEO Peter Yared said this is more than double the valuation of its previous round a little over a year ago.
The money is coming from a mix of strategic and financial investors. It’s being led by Caffeinated Capital and Abu Dhabi’s Mubadala, with participation from new investor Accenture Ventures and previous investors Arbor Ventures, Felicis, Ridge Ventures, Bloomberg Beta and Team Builder Ventures. Accenture is one of InCountry’s key channel partners, reselling the software as part of bigger data management and integration contracts, Yared tells me.
The company has seen a decent bump in its business in the last year, expanding to 90 countries from 65, where it provides guidance and services to store and use data in compliance with legal requirements. Alongside that it has an increasingly long list of software packages that it covers with its products. The list currently includes Salesforce, ServiceNow, Twilio, Mambu and Segment, with customers including a large list of enterprises including stock exchanges, banks and pharmaceutical companies.
“This company was based off a crazy thesis,” Yared said with an almost incredulous laugh (he has a very jocular way of talking, even when he’s being serious). “Now it’s 20 months old, and our customers are banks, pharma giants, stock exchanges. We are proud that large institutions can trust us.”
A big bump in its business in recent times has been in Asia Pacific and the Middle East, which are two main regions when it comes to data residency regulations and therefore ripe ground for winning new customers — one reason why Mubadala is part of this round, Yared said.
“At Mubadala we are committed to backing visionary founders whose innovations fuel economies,” said Ibrahim Ajami, head of Ventures at Mubadala Capital. “Since day one, InCountry’s cloud solution has addressed a massive challenge in this era of regulation by giving businesses the tools to grow internationally while remaining compliant with data residency regulations. We’re doubling down on our investment and are supporting InCountry’s expansion into the MENA region because we believe they are the best team to help drive global business forward.”
Partly due to the growing ubiquity, flexibility and relatively cheap cost of cloud computing, software as a service has been on a fast growth trajectory for years now. But even within that trend, it has had a huge boost in 2020 as a result of the global health pandemic.
COVID-19 has given the need for remote computing, and being able to access data wherever you happen to be — which in many cases today is no longer in your usual office space. On top of that, we have a lot more “wiggle room” in business, with organizations quickly scaling up and down with demand.
The knock-on effect has been a big boost for SaaS. But that growth has come with some caveats, and one of the biggest alongside security has been around data protection, and specifically national requirements in how data is stored and used. Arguably, SaaS companies have been more concerned with scaling their software and business funnels than they have been with how data is handled and how that has changed in keeping with local regulations, and that’s the opportunity that InCountry has stepped in to fill.
It provides not just a set of software to store and handle data in a secure way, but also an extensive list of legal advisors with expertise at the local level to help companies get their data policies in order. It’s an interesting model: While InCountry’s been an early mover in identifying this market opportunity and building technology to address it, it’s buffered its competitive position not with a sole focus on technology, but an extensive amount of human capital to get each implementation right.
That can prove to be a costly thing to get wrong. In the EU in July, the Court of Justice of the European Union (CJEU) put down the EU-US Privacy Shield — a framework that let businesses transfer personal data between the European Union and the United States while ensuring compliance with data protection regulations. This has impacted some 5,000 companies, which now have to rethink how they handle their data. The fine for not complying with storing data locally means that they can be fined up to 4% of their revenues.
Yared tells me that for now, the main competitor to something like InCountry has been companies building their own policies in house. Some of those solutions would have been done completely in house and some in partnership with integrators, but all of them were hard to scale and were painful to maintain, one reason why companies and their business partners are turning to working with his startup.
“Accenture Ventures is pleased to support InCountry as it continues to expand globally,” said Tom Lounibos, managing director, Accenture Ventures, in a statement. “InCountry’s software solutions are helping companies address the critical issue of becoming and remaining compliant with a multitude of data residency laws. This expansion will help support enterprises as they unlock their business across borders.”
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