Akash M.

One of my proudest moments as an investor occurred today as Alaffia Health announced its series A because it shows how the Aperture® Venture Capital vision of multi-level, multi-generational #impactinvesting is succeeding in the marketplace. Here’s the model in its most basic form : ✅As diverse fund managers with meaningful capital to allocate, we are changing the VC landscape every day just by doing our day jobs. ✅As Black/Brown investors with ~40 years experience collectively, Aperture GPs have access to talent /excellence that others do not, so our portfolio *organically* is more inclusive by race, gender and geography even while optimizing for financial outcomes (all about the alpha). ✅Our most successful portco’s are using financial #innovation to solve market problems that impact underrepresented demographics and underserved communities. Alaffia Health is a shining example of the impact portion of our overall fund thesis, and we couldn’t be prouder of TJ Ademiluyi and Adun Akanni, MPH, PMP - the dynamic brother-sister founder duo whose vision we have steadfastly supported on their journey. Congratulations to TJ and Adun from William Crowder and myself, as well as the whole Aperture team- Marjorie King Philip McKenzie Yves Louis-Jacques Tanvi Lal Michelle Dhansinghani Lisha Bell Katie Kelly Amy Chung Cindy Chong, CFA Brian Fernandes-Halloran Monroe France Jayden Pantel Darren Herman Evan Wladis Neal Triplett Thomas Scriven Peter Ammon Irina Bit-Babik Tim Milanich Rob Rahbari

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Someone broke down the estimated costs of a $15 Sweetgreen salad. We need these cost graphics for digital health to help future founders. Especially for tech enabled cos, the greatest cost is labor. Much of the "value created" is in curation and matching, which means the gross margins are reliant on labor arbitrage. Pay someone $X, but get paid $X+Y% per visit. The challenge with healthcare is that you often have to pick one of two business models: 1. specialized, low volume, high cost, low gross margin % 2. generalized, high volume, low cost, high gross margin % I'd argue founders should focus on gross dollars over the lifetime of the customer (like Jeff Bezos said) instead of gross margin %'s, but we'll leave that for another time. The challenge is that many tech enabled digital health cos have high cost of goods sold (labor) and moderately high product, design, and engineering budgets. We must build differentiated solutions for patients, clinicians, and clients to be out incumbents, however, we're realizing that companies are ultimately valued on the discounted value of future cash flows. And the high SG&A costs at most organizations might be inbalanced to the unit economics of the business. I'm not sure the math pencils out for everyone unfortunately. But I'm just a guy on the internet, would love to hear the thoughts from those smarter than I (you!). Comment below. --- p.s. I have no idea the accuracy of the graphic and not an investor in Sweetgreen. Cheers. Credit: David Crowther

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What's been happening in mental health? ⏺ Vitalic Health raised a $4M seed round for its geriatric behavioural health care platform. ⏺ Kooth Digital Health landed a $1.45 million pilot contract to provide their Soluna platform to over 50,000 students across New Jersey. ⏺ Peer support startup Fello , led by former Uber Eats executive Alyssa Pollack, raised $10.4M for virtual, app-based peer support designed to combat the loneliness epidemic. ⏺ Oceans Healthcare acquired Haven Behavioral Healthcare , expanding to 5 new U.S. states and adding 7 new locations. ⏺ Mabel raised a €600K pre-seed round to help improve women's mental health through microdosing programs and mushroom-based supplements ⏺ Wysa published a paper on the impact of their early stage digital mental health interventions for Singaporeans. ⏺ Applications for the KHP Ventures Mental Health immersion programme close tomorrow (Jan 7th) (All links below) __ If you liked this and want insights on the mental health industry in your inbox every week, subscribe to The Hemingway Report newsletter and follow me Steve Duke 📩 #MentalHealth #BehavioralHealth

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LAUNCHING A VC FIRM AS AN UNDERREPRESENTED MANAGER: COURAGEOUS, CRAZY, OR BOTH? 🤔 I read that only 2%-3% of all VC funds are led by Black General Partners (GPs). Maybe that’s why people keep calling me courageous for launching a VC firm as a new Black fund manager. Truthfully though, my whole life feels like one big exercise in doing the hardest $h!t imaginable. But here’s the thing: If you want to make a real dent in the universe, you can’t expect the path to be easy, right? For me, launching Kabila Ventures isn’t just about building a firm—it’s about leveling the playing field for overlooked founder teams worldwide. 🌎 It’s a calling, not a choice. So, to answer the question: Is it courageous? Maybe not. But I’ll admit... I’m definitely a little crazy. Here’s to the crazy ones—the ones who dare to do what others won’t. 🙌🏾 If you’re bold (or crazy) enough to consider launching your own VC firm as an underrepresented manager, check out my video for three tips to help you get started. Let’s build something that matters. 💪🏾 Together. Tally ho! 🤠 #VentureCapital #Entrepreneurship #DiversityInVC #VCtips #VC

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The (Healthcare) Ground Beneath Our Feet… This year it is likely that over $10 billion will be invested in the digital health sector – a robust amount, no doubt, but inconsequential when compared to the amount of capital tied up in healthcare real estate assets, which is estimated to be $1.2 trillion by Jones Lang Lasalle. Of that amount, approximately $790 billion is in the hospital sector while the remaining $490 billion is in medical office assets. It is estimated that there are 48.6k facilities with 3.4 billion square feet of healthcare real estate, 42% of which are owned by REITs and another 33% held by other private investment vehicles. Much of the digital health investment is meant to make the physical healthcare infrastructure more productive: greater operating efficiencies, greater patient throughput, more relevant personalized care models with better outcomes. As the healthcare system is being pushed to be more distributed to lower cost sites of care, accelerated now by the rapid proliferation of automation and AI capabilities, the potential impact on healthcare infrastructure assets will be profound. Thoughts on what that might look like... https://lnkd.in/eTfAdUbS #digitalhealth Flare Capital Partners

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Excited to announce Frist Cressey Ventures' investment in Qualified Health and privileged to partner w/ SignalFire, Healthier Capital, Town Hall Ventures and others!   Healthcare costs are increasing at a faster rate than ever before, with the US spending nearly twice as other wealthy countries and still ranking bottom in outcomes. It's a story you've all heard - - US healthcare is known for astronomical inefficiencies, waste, workforce supply constraints, fragmented access, appalling patient experiences, and driving patients and businesses into debt.   Yes these problems present opportunities. But opportunities are limited to the system's appetite for change, desire and incentive to try something new and the innovation available. At FCV we believe we've hit the trifecta with Generative AI. Generative AI has given us truly transformational tools in the toolkit and the healthcare ecosystem is demanding to absorb its benefits. This perfect collision of supply and demand means healthcare is poised for big change.   Generative AI is everywhere, it's buzzy, it dangles hope and opportunity. But many things need to be true for the Gen AI transformation in healthcare to take hold, such as but not limited to:   💡 Patient lives and data need to remain safe: We believe in a highly regulated and human life-touching sector such as healthcare we must ensure Gen AI can drive to unrivalled savings and improvements in the quality of care WHILE not putting patient lives or data at risk.   💡 Systems need to own their utilization of Gen AI: We believe systems will use some hybrid of external partners and homegrown solutions but importantly will want full control of data provisioning and utilization as well as the ability to solve an unlimited number of nuanced issues and not cookie cutter algorithms.   💡 Costs need to be looked at on an enterprise level: We believe the speed of innovation in Gen AI means costs will continue decreasing dramatically but at an enterprise level this will still not be a small detail. Systems will want the ability to understand costs and delegate as needed for the outcomes desired at the organizational level.   Enter Qualified.   We knew when we met Justin Norden, MD, MBA, MPhil and team we were standing in front of changemakers. These individuals have lived and breathed the true application and implementation of Generative AI far before we were asking ChatGPT to write our emails. In fact, if you’ve ever driven in a Waymo you’ve benefited from past products this team has built.   Qualified Health is on a mission to enforce governance in Gen AI, allow systems to rapidly build for their needs, monitor and make decisions for all GenAI (homegrown and external) and accelerate the value the sector can glean from these new technologies.   Huge shout out to William T., Tommaso Auerbach and Jamie Kuntz for their hard work!

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Funding down dramatically to Black founders in 2023 across early stages - Sign the Community Development Investment Tax Credit Act and Expanding American Entrepreneurship Act before 5 PM TODAY. Peter Walker of Carta shared this on the state of funding to Black Founders -"2023 was the lowest share of fundraising for Black founders in our Carta dataset since 2020. The declines were consistent across pre-priced, Seed, and Series A rounds. One underreported thesis is that as VCs sought to reduce risk in the venture downturn of the last year or two, they funded repeat founders to an even larger degree than in prior timeframes. And Black founders are less represented among repeat founders (who would have had to found their companies in a less diverse VC ecosystem) than they are among founders as a whole." This is critical and all hands are required to advocate for Black Founders and reverse the anemic numbers around funding. The Center for American Entrepreneurship & Engine | Advocacy & Foundation are asking founders and ecosystem builders of color to sign a letter urging US Congress to pass: Community Development Investment Tax Credit Act: Boosts investment in Community Development Financial Institutions (CDFIs). "The legislation would create a new tax credit for private sector investors that make hashtag equity or equity equivalent investments in, or that provide long-term patient capital (i.e., loans with a minimum term of at least 10 years) to CDFIs." Expanding American Entrepreneurship Act: "The legislation would raise the cap on funds organized under a 2018 sub-category of section 3(c)(1) of the Investment Company Act of 1940 from $10 million to $50 million, and double the number of permitted investors from 250 to 500. Together, these changes will enable emerging fundmanagers to raise larger funds." Thanks to John Dearie for your tireless efforts and advocacy. Please add your your name to this letter before 5pm ET Today 🔗https://lnkd.in/grrzAeWG Samantha Katz Dominic-Madori Davis

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🚀 Healthcare investing: Not for the faint of heart, but for the visionaries who dare to change the world! 💡 Why it's unique: 🔄 Pivoting isn't just costly—it's potentially catastrophic 📊 Metrics as complex and sub-sector specific 🌐 A delicate ecosystem of stakeholders tugging in different directions 😃 But get it right, and you might just revolutionize healthcare while reaping substantial returns. 💰🏥

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✨ Breaking: Halogen Ventures Announces New Fund.- Halogen Ventures Halogen Ventures focuses on early-stage consumer technology startups with at least one woman on the founding team. The fund announced a $10 million investment to support female founders in Alabama. https://halogenvc.com/ Please share to let other #Founders know For the ❤️ of Startups #Fusion42 #Startups #Venturecapital

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Hot take on a lot of early-stage digital health companies out there: You're not a tech company. Most tech-enabled care companies I've seen over the past two years are only tech-enabled in the sense that they use telehealth as their delivery mechanism for care. There are exceptions to this, of course - companies who build computer vision and applied AI tools to better the doctor-patient experience, companies who build tooling around risk scoring and stratification to enable more personalized medicine, companies who build truly novel intakes to better route patients to the appropriate care, etc. These companies have real technology chops and, if they sell it right to the market, can get credit for this from investors. But if you're truly a telehealth provider, you need to realize now that the goal post has shifted dramatically from 2021 and you're going to be valued at maturity at something like 3x EBITDA. That's profit. Not revenue. Throw a revenue multiple out the window. That's not the world we live in if you're a virtual doctor's office. Think of how that impacts venture math. If you're raising a seed round at $15M post-money (or $12M pre-money), it means you'll have to generate something like $150-200M in annual EBITDA to be a fund returner for your seed investors. Maybe even more with dilution, since telehealth businesses are not traditionally capital efficient and will likely need to raise material additional capital to reach that scale. You need to be ridiculously profitable (probably on $800M-$1B in annual revenue since you're likely going to be a 40% gross margin business). Here's the good news: you can set yourself up well (and probably be a contrarian founder relative to your peers), by talking about EBITDA growth and how you can grow into a fund-returning outcome based on realistic mature market comps. This will stand out for the investors you're pitching, even at the early stage. This is how you can beat the malaise of the tech-enabled care market. Focus on the right metrics and the right type of growth. You don't have to have all the answers (no founder does), but you need to make sure the ship is headed in the right direction. A focus on profitability for "tech-enabled care" (*ahem* telehealth) businesses is a good first step.

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✨ Breaking: Redesign Health Announces New Fund.- Redesign Health Redesign Health has closed a $175 million fund to create dozens of healthcare startups over the next few years. The fund focuses on addressing key areas such as healthcare labor solutions, value-based care, and data interoperability, supporting innovation in these critical healthcare sectors. https://lnkd.in/dGavkab4 Please share to let other #Founders know For the ❤️ of Startups #Fusion42 #Startups #Venturecapital

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VC funding in healthcare has been more resilient than in other industries. Here are some key takeaways from recent Carta data: 👉 At the priced seed, Series A, and Series B stages, dilution for health startups has noticeably decreased, while dilution for SaaS startups has stayed flat or increased slightly. 👉 In priced seed rounds, median dilution for healthcare companies dipped to 14.2%, compared to 20% for SaaS.  👉 The frequency of bridge rounds surged in the health sector in Q1, jumping to 44.3% from 36.9% in Q4 2023. This is the first significant increase in bridge rounds in healthcare over SaaS since early 2022. 👉 More founder-friendly terms for health startups may result from enduring VC interest since COVID. Healthcare has remained strong through economic turmoil, enabling higher valuations with smaller round sizes. What are the implications? The healthcare sector might see a rise in new ventures due to favorable investment conditions and lower dilution rates. The surge in bridge rounds suggests that certain sectors within healthcare face unique challenges that require interim financing solutions. Founders and investors in the healthcare space- what are your thoughts on this? I’d love to hear from you. If you know a founder innovating in healthcare, tag them in the comments! The Artemis Fund is especially interested in groundbreaking care tech companies. You can check out Carta’s full blog linked in the comments. If you haven’t read our latest blog on care tech, you’ll find that there too. #healthcare #caretech #fundraising

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HUGE opportunity

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Create Health Ventures Launches Inaugural $21M Fund for Early-Stage Digital Health Startups  Create Health Ventures, a venture capital firm focused on early-stage digital health companies, has closed its debut fund, raising $21 million, surpassing its initial target. Launched in 2024, Create Health Ventures is based in Austin, TX, and Chicago, IL. The firm focuses on technologies that enhance healthcare access, improve patient experiences, and deliver value across payers, providers, and pharmaceutical companies. *Its primary focus includes:   1. Payer-Facing Technologies: Solutions that improve member experiences, enable seamless data and workflow integration, and scale technology across geographies.   2. Clinical Trial Enablement: Tools to help pharmaceutical companies recruit and retain participants for late-stage clinical trials as demand increases. *Founders and Approach:   Create Health Ventures was co-founded by Emma Cartmell and Amit Aysola, healthcare veterans with over 45 years of combined experience. They bring operational expertise, regulatory insight, and an extensive network to portfolio companies. The firm exclusively invests in startups led by healthcare industry founders, leveraging its unique value-added platform for scaling businesses.  *The platform includes: - Business development support   - Access to executive coaches   - Connections to healthcare leaders   - Cross-selling opportunities among portfolio companies  *Key Quotes by GPs:  - Emma Cartmell: “Founders from the healthcare industry understand the challenges and opportunities to improve patient outcomes. Supporting them is the most impactful way we can positively transform healthcare.”   - Amit Aysola: “Payers and pharmaceutical companies are driving demand for connected, scalable solutions, and we are investing in companies to meet these needs.”  *Investments and Impact:  The firm has made five investments so far and partners with foundations, impact investors, and strategic healthcare veterans to mentor portfolio companies.  *Portfolio CEO Feedback:   - Dr. Chip Grant (Watershed Health): “Create Health Ventures has been invaluable in scaling operations and fundraising.”   - Shara Cohen (Carallel): “They are the most collaborative and active investor team I’ve worked with.”   - Neil Batlivala (Pair Team): “They’ve helped us manage growth and reach underserved communities.” If you are experiencing difficulties in raising fresh capital and would require warm introductions to new LPs, contact G+QUANT     ▶ Please use G+QUANT's link for inquiries and fund decks, or send your inquiry directly to [email protected] #VentureCapital #DigitalHealth #HealthcareInnovation #Startups #ClinicalTrials #PatientCare #HealthTech #HealthEquity #CreateHealthVentures

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#Longevity Tech is on the rise ✌️ -Endeavor BioMedicines raised $135M at a $795M valuation in April 2024. -Humanaut Health secured an $8.7M Seed round, valued at $52M in May. -Superpower raised $4M, reaching a $24M valuation in May as well. These are just 3 of the 90+ #longevity startups highlighted in Dealroom.co's latest report (Link in the comments). In this newsletter, I dive into the Longevity Technology Market and the emerging trends shaping the future of health! 👉 https://lnkd.in/e3EZrAPH #Longevity #HealthTech #StartupFunding #Innovation

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Excited to join Blackout Tuesday # 18 at LocalGlobe this coming Tuesday centered around the theme: 'Increasing Venture-backed Black Founders: Journey from Seed to Series A and Beyond'. This event will focus on the challenges Black founders face when scaling startups and provide insights on navigating growth stages from Pre-seed to Series A. After a panel of founders sharing their experiences, the breakout session will dive into practical strategies for scaling. ✏ Register here: https://lnkd.in/eHZpMDN2 Launched in 2020, Blackout Tuesday aims to: 1. Increase Black representation in VCs 2. Boost venture funding for Black founders 3. Elevate Black employees in venture-backed companies 4. Support Black GPs 5. Increase Black or Black-aligned LP representation Balderton Capital Phoenix Court Blackout Tuesday

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Two of healthcare’s most-funded startups raised well over half a billion dollars—then shut down this year. So, does raising big bucks really lead to success? 🤑 SignalFire‎ teamed up with FierceHealthcare‎ to take a closer look at the 20 most-funded #HealthTech startups and the 20 largest recent HealthTech funding rounds. The top 20 #HealthTech startups raised $16.8B+ collectively. Where’s the money going? We unpacked: 📈 How #AI is driving a surge in funding for improving efficiency and outcomes. 💣 Lessons learned from flameouts like Olive and Forward Health. 🚀 From telehealth to value-based care, see how these startups are transforming healthcare—and what it takes to thrive. Check out the article from Heather Landi at Fierce Healthcare‎, who covers insights from YY at SignalFire's Health & PharmaTech practice below, and Danielle Z. on our data science team👇 Congrats to my former team at Devoted Health, who is at the top of this list, and our portfolio companies Ro, Grow Therapy, Color, PayZen on raising successful rounds!💸🎉 #Healthech #VentureCapital #Startups #AI #PharmaTech #Healthcare

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"In H1 2024, U.S. digital health startups raised $5.7B across 266 deals🤑. If investment patterns continue, 2024 could exceed 2019 and 2023 year-end totals ($8.2B and $10.7B, respectively)." - sounds promising and inspiring, doesn't it? [Link to report in comments👇] As our company builds customer software solutions for various industries, including HealthTech🏥, I've been diving deep into recent reports. And I've compiled a list of some insightful HealthTech reports and resources!📈 Just drop a comment with "HealthTech"✍ and I'll send this list of useful resources to you📩 #healthtech #startup #startups #healthtechindustry #digitalhealth #healthtechsoftware #healthtechstartups

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