Filed under: Uncategorized
I have a feeling we are going to be posting a lot over the course of the next few months on the unsustainable pressure on angel investors – but for now, let’s celebrate the fact they are stepping up to the plate when the guys getting paid to do the job shy away. John Cook writes this today in TechFlash:
Despite the struggles in the economy in the latter half of 2008, members of the Alliance of Angels still invested near record totals last year. The Seattle angel group said today that its members invested $6.4 million last year, a 64 percent increase over 2007 and the second highest investment total since the organization was founded 11 years ago.
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For those in Seattle – or those who are looking for an excuse to hop the next flight – check out the meeting of innovateHealth tomorrow night. We will be joined by Michael Burcham (Paradigm Health, Theraphysics) and will be discussing the opportunities for innovation created by the Obama administration’s health care reform plans and the bottomless cratering of the economy.
It will be a great chance to see all those folks who you had no idea were working in health care too and to strike up a vigorous debate about health care issues without embarrassing yourself in front of your friends.
RSVP to events@innovate-health.org.
InnovateHealth blog: innovatehealth.wordpress.com
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John Cook posted a very interesting piece on VC deal terms last week – for those of your that missed it, take a look:
Of the 128 companies surveyed by Fenwick & West, 41 percent of the deals included liquidation preferences — special rights that allow VCs to cash out first if the startup is acquired. That’s about the same level as the previous quarter. Even more interesting, is that VCs increasingly got liquidation preferences that required two to three times of the initial investment. Fenwick found that 23 percent of VCs got multiple liquidation preferences last quarter, up from 16 percent in the third quarter. That’s bad news for entrepreneurs, since if a positive sale occurs there can be little leftover for the founders who conceived the business.
To read more, click here.
Since liquidation preferences are a term that always gets under our skin, we posted a few comments to John’s article. Since so many of our colleagues use these preferences (and we know they have a place) we tried to be nice. However, I would bet that data would show these preferences have a surprisingly destructive impact on value. Since they only really “matter” in underperforming companies – or at least deals which were unrealistically assessed at the time of the investment – one has to wonder what impact knowing they are going to see disproportionally less of the upside has on management teams. Someone has to come in and run the business every day… and I don’t know any VCs who want to have to step in and do that work.
…Terms like liquidation preferences have grown in popularity to offer downside protection – and in certain cases (especially in overly complex capital structures) they can serve an important purpose.
However, they have become emblematic of the personality disorder facing the venture capital industry over the past decade. Ours should be a business of aligning incentives with entrepreneurs and getting actively involved in building value. As preferences layer on top of preferences, however, it is not uncommon to see the returns gobbled up before management can even get a seat at the table.
While there is a need to mitigate downside risk and protect later stage investors, I worry that this deal term is over used – and often times used incorrectly. When success is created by motivating entrepreneurs (or at least not “demotivating” them), deal structuring is important. As is the perception of being “in this together”.
I remind myself often that “getting it because we can” can not be the basis for VC/entrepreneur negotiations -even during this sort of an economy.
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Since posting last week about our memories of Rick Carlson, I have been overwhelmed with the response from Rick’s friends and colleagues. Accordingly, I thought it would be valuable to link to The Personal Genome, a blog where Rick would occasionally post. He was working on a regular column there – and TPG posts the rough draft here.
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As usual, John Cook is stirring up an interesting debate over at Seattle’s TechFlash blog.
Yesterday, he linked back to a piece I wrote in early January on the need for the government to include support of early stage ventures in the stimulus plan. You can find that thread on TechFlash here. This post generated considerable commentary, including our response:
…many comments ignore the fact that if there wasn’t a substantial capital constraint facing early stage investing there wouldn’t be so many high quality companies starved for capital.
Many of the comments are correct to point out that in some situations angel networks and incubators may better serve the early stage than traditional VCs. Even better, many point out that ‘built to flip’ VCs are not the proper agents to drive recovery/stimulus investing.
However, there are regional and industry specific investment networks and firms that have considerable infrastructure (around process, network and human capital) which could be leveraged to get government dollars to work in the early stage. Each of these groups could efficiently put a fraction of the dollars Friedman references to work ($50-100 million). This would have extremely positive implications for the innovation economy.
Without focus on efforts like this – as well as attention to the stalled exit environment … the outlook for those of us focusing on new start ups and early stage venture is looking increasingly bleak.
John then went out an interviewed many of Seattle’s top VCs and posted this piece on the blog. The tone of the VC community was decidedly negative and we posted the following retort:
…Private equity is moving through an industry wide identity crisis – culminating in this week’s upcoming screaming match over the tax treatment of private equity manager’s carried interest. When all of these managers are heard for the first time, complaining in unison about their tax rate, I fear it will be the nail in the coffin for the reputation of our industry.
This is especially true for venture capitalists – who have been relatively innocent of the abuses of our gluttonous big brothers in buy out funds. However, we certainly have abdicated responsibility for the early stage (and to our investors) as we have rushed to support later stage investments with significant revenue and years of positive EBITDA.
While your panelists are correct to point out that angels have been recently left with responsibility for “filling the funnel” with early stage investments, it is important to note that these angel networks are strapped, have inherent limitations and can not bear the full burden for fueling the innovation sector.
Brad Silverberg is correct in pointing out that start ups can benefit from significant capital efficiency. Technology costs continue to come down and, in this economy, people and space cost considerably less. However, existing VC funds (that some argue are “flush with cash”) are not taking advantage of these market opportunities. And for obvious reasons.
Investors in existing VC funds are not certain to reinvest (and the prospect gets less certain by the week). 2009 promises to be a low point for LP commitments to funds. VCs are incented to keep powder dry and see their existing portfolio companies through the long winter. Accordingly, the few new investments that are made in these portfolios will face intense scrutiny.
This is exactly why additional capital, unfettered by these considerations and guided by experienced venture fund or angel network managers, is so needed.
As Andy Sack points out, changes to fund structures will be needed (especially around management fees – perhaps this is an area to more widely introduce budget based management fees). However these necessary tweaks are no reason to throw the baby out with the bathwater.
Stimulating a resurgence in back-to-basics venture capital (serious value added from roll-up-their-sleeves VC managers) would have a positive impact not only on the economy but also on the public perception of our asset class.
A big thanks to John Cook and the folks at TechFlash for keeping such a relevant and vigorous debate going…
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We are on a short year-end break …
We greatly appreciate all your support as we launched the blog this year! We are looking forward to more spirited discussion (and perhaps even finding some solutions to the health care and venture capital messes) in 2009.
Best,
Rob, Charlotte and all of us at Faultline
Filed under: Uncategorized | Tags: economy, health it, start-ups, venture capital
[Fearing this might get lost in the comments, I wanted to highlight Henry's note... we agree completely with his views: capital efficiency is king and start ups that combine the right mix of opportunism and discipline can survive and thrive in this environment. However, I do think there is a difference between disciplined capital efficiency (which relates to internal company decisions) and the systemic misalignment (e.g. mess) we seem to have now (which is all about external factors)... something to think about... Rob]
Yep, it’s true. “Money’s too hard to mention.” Silver lining? The benefits of undercapitalization are many. You hew closer to the most urgently needed customer value, delivering features and benefits in a very agile way (i.e. monthly and quarterly, not annually), and setting your company up for explosive growth when the alligator arms re-grow. (Alligator arms are what some people get when the bill comes to the table and their wallet suddenly is out of reach). Also, well-capitalized companies often end up overspending, delivering too much complexity, and learning bad habits that are hard to unlearn later. Yes, 2009 may be an endurance test. The companies with the most money are often the most risk-averse. But the risk takers, mavericks, angels, and (just maybe) a select few health industry innovators will reap the rewards in 2-3 years of some huevos today.
Posted by Henry Albrecht, CEO, limeade.com
Filed under: Uncategorized | Tags: Health Care Technology Network, health it, nashville market, seattle, seattle market, start-ups, venture capital
A few weeks ago, my colleagues at iMedExchange hosted the first meeting of the Health Care Technology Network. It was a remarkable event, especially considering that given the local density of health care-oriented start-ups this was the first time we had all had the excuse to be at the same table.
I was asked to speak about why I chose to move to Seattle to set up Faultline Ventures (if you are inteersted in reading more about the event and my comments, iMedExchange blogs about the event here).
Despite the crticial mass of resources in this region (human capital, entrepreneurial culture, academia, innovative payor and provider organizations, etc), there was broad agreement that it is difficult (if not impossible) to raise venture capital for health care companies locally. One of the most interesting comments of the evening came from the CEO of an early stage company that is actively raising money and has intentionally positioned itself in the software as a service industry (not health care) with potential investors… because there are more of them.
The sheer number of innovative early stage health care companies in the region should be enough to draw outside capital to the region (it is why we moved here)…and I believe capital it is the last key ingredient needed for this regional cluster to see explosive growth… but with the lack of new investment activity by exisiting funds it is unclear that the venture market will (or can) respond to the opportunity.
If the Health Care Technology Network catches on as a formal group for regular networking (and potentially the promotion of the opportunities in this cluster) it could help the cause of attracting capital. It could certainly provide an platform for raising awareness of companies operating in this region. The most successful organization of this type, the Nashville Health Care Council, has succeeded in bringing cohesion and a professional framework to the Nashville market place.
As someone said at the first meeting of the Network: “Seattle is a brand”. Now, for those of us in the health care business, we need to make sure we agree on what that brand is conveying to our industry and begin turning up the volume.
(By the way, visit some of the very interesting companies in attendance at the first meeting of the Network: iMedExchange, Array Health Solutions, Clarity Health Services, Health Phone Solutions, Health Unity, Limeade, QTrait, Raffetto Herman and SnapForSeniors.)
Posted by RobC
Filed under: Uncategorized | Tags: economy, health it, medicaid/medicare, Obama Administration, politics, uninsured/underinsured
The Center for American Progress, Obama transition team chairman John Podesta’s think tank, has just released a blue print for health care reform (The Health Care Delivery System: A Blueprint for Reform).
The book’s goal is clear – even stated right up front:
This book offers recommendations and path¬ways to systematically promote quality, efficiency, patient-centeredness, and other salient characteristics of a high-performing health system. The blueprint it lays out is a vision of how different parts of the system should be structured and how they should function. Even more specifically, it proposes policies that the next administration and Congress could enact over the next five years to improve our health system.
Since the people involved in creating this report are almost certain to end up in (or in close orbit around) the new Administration – and since every sign suggests that health care “reform” is going to be top of Obama’s list of priorities – this is an essential read for people in the industry.
We would love to hear your thoughts: from the perspective of health care’s importance to economic recovery to its role in the decline of American manufacturing; from the fiscal impossibility of continuing growth in spending to the moral imperative of taking care of our older and sicker populations. The ways that the public and private sector work together to “reform” and “change” the system will create a range of opportunities for innovators and have the potential to impact America’s social and economic well-being for generations to come.
Posted by RobC
As blogger Merrill Goozner writes over at GoozNews.com, the only bright spot in the recent jobs numbers came from the health care industry:
Looking for a bright spot in Friday’s dismal job report? Think how bad it would have been had the health care sector not added 52,100 jobs last month.
That’s right. While the rest of the economy was shedding nearly 600,000 jobs and the nation’s once-proud automobile industry went begging for a bailout so it could continue to pay for, among other things, its employees and retirees health care bills, hiring remained robust at the nation’s hospitals, physician offices, diagnostic labs, nursing homes, and home health care agencies.
This raises an interesting conundrum for health care reformers who are primarily concerned about the unsustainable rise in health care costs. Who in the midst of a deep recession will be willing to whack away at medical waste when it is one of the only sectors generating lots of new jobs for thousands of fearful Americans?
Read through Goozner’s full post for some interesting analysis. We feel strongly that – especially during the economic downturn – segments of the health care industry are positioned well for growth. With the announcement of major (if still undefined) federal investments in health care technology, there is a possiblity these fundamental trends will be augmented by government spending.
Posted by RobC