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Initial business idea:
Phone-based on-demand concierge service for older adults
Lessons learned presentation | 120 interviews
John
Deniston
MBA1
Deborah
Stamm
MBA1
Quinlan
Jung
MS CS
Eli
Bildner
MBA1
Suzanne
Adatto
MBA2/
MA Ed.
Silver Concierge
Total available market
(TAM):
Americans age 75+ not
living in nursing homes or
other full-care facilities
(US Census, US Dept. of HHS)
~18.1M
in the
beginning,
we had a lot
of ideas...
Total available market
(TAM):
Americans age 75+ not
living in nursing homes or
other full-care facilities
(US Census, US Dept. of HHS)
~18.1M
But then we
SPOKE with
customers and
tested
hypotheses
with our MVP
Would you call
us to order
transportation
and meals?
Total available market
(TAM):
Americans age 75+ not
living in nursing homes or
other full-care facilities
(US Census, US Dept. of HHS)
~18.1M
most of our
hypotheses,
it turns out,
were wrong*
*though a few were right
Total available market
(TAM):
Americans age 75+ not
living in nursing homes or
other full-care facilities
(US Census, US Dept. of HHS)
~18.1MThis is the story of how
we moved from
fiction to fact
The outline
Initial
needfinding
week 0 week 1 week 2 week 3
Continued
needfinding
tested value prop
(Landing Page)
prep’d MVP
& recruited
participants
week 4
pilot MVP
(Meals, online
shopping)
week 5
refine MVP
(+ Rides &
Groceries)
week 6
refine acquisition
Little House +
B2B Channels
week 7
pivot
nerdwallet for senior
care | B2B service for
assisted living
week 8
MVP feedback
structured diagnostic
quiz vs
open-ended chat
week 9
MVP feedback
caregiver
needfinding and
MVPs
Chapter 1: Silver Concierge
Chapter 1 Chapter 2: B2B Chapter 3: CareCoach
chapter 1:
silver concierge
customer =
adult children
key value
proposition:
access to on-
demand
services
chapter 1: silver concierge
week 3: 41 interviews
- target user ≠ economic buyer
- “seniors” ≠ a customer archetype
- being a caregiver is hard
- lack of access to services is a problem — & others are
noticing
Even before we launched
our MVP, we’d learned a lot
about our business.
Competitive
landscape
chapter 1: silver concierge
week 3: 41 interviews
MVP #1:
Silver
Concierge
chapter 1: silver concierge
week 4: 54 interviews
We get lots of interest from
caregivers, but sign up only
one older adult user
This is wonderful —
I’m going to tell all of
my friends!
chapter 1: silver concierge
week 4: 54 interviews
What we probably should
have done...
Let’s do in-depth
interviews with
the caregivers
and older adults
we weren’t able
to convert!
chapter 1: silver concierge
week 4: 54 interviews
What we did instead...
Let’s pilot for
another
week!
chapter 1: silver concierge
week 4: 54 interviews
(John working his
charm with the good
people of The Little
House)
chapter 1: silver concierge
week 5: 71 interviews
But not even John’s charm
can get us to product-market
fit...
chapter 1: silver concierge
week 5: 71 interviews
Customer (“care coordinator”)
Customer acquisition
Call to concierge
Service delivery
On-demand service
providers
Medical providers &
case managers
Friends & peers Senior communities
“The handoff between older adults and children, unless
the older adult is really incapacitated, is basically
impossible.”
- Laura Connors, ED Beacon Hill Village
“My grandmother is hugely stubborn and will not change
anything unless she absolutely has to.”
- Remote caregiver in Pennsylvania
Gain Creators
Customer Jobs
Independence
- Eat healthy meals
- Get safe rides
- Human connection
- Lack awareness of
current solutions
- Don’t want to be “needy”
- Senior care solutions expensive
- Tech solutions complicated &
lack help
- Lack of trust is major barrier
- Desire personal,
human interaction
User Segment
- Empowering (can use on own)
- Easy; no new tech required (phone)
- Trusted; satisfaction guaranteed
- Responsive & schedulable
- Affordable, clear pricing
- Provides human touch
Products
& Services
Phone access to:
- Meal delivery
- Ride services
- Access to previously unknown
resources, incl those otherwise
unreachable by phone
- Reduce life pressures; create
convenience
- Enable budgeting w/clear,
predictable pricing
- Preserve independence;
reduce anxiety about aging
- Trusted & guaranteed;
reduce uncertainty
- Remove barrier of tech
adoption
- Provide human connection
Customer
Jobs
Peace of mind
- Busy & balancing priorities
- Geographic separation
- Lack of tech adoption by
senior
- Crisis-driven solution finding
- Senior care solutions
expensive
- Reduced anxiety over care
- Reduced schedule burden
- Increased connection to senior
- Predictable spending
Gains
Users
Buyers
Pains
Gains
Pains
Gain
Creators
Pain
Relievers
Our value propositions simply
weren’t resonating...
Gain Creators
Customer Jobs
Independence
- Eat healthy meals
- Get safe rides
- Human connection
- Lack awareness of
current solutions
- Don’t want to be “needy”
- Senior care solutions expensive
- Tech solutions complicated &
lack help
- Lack of trust is major barrier
- Desire personal,
human interaction
User Segment
- Empowering (can use on own)
- Easy; no new tech required (phone)
- Trusted; satisfaction guaranteed
- Responsive & schedulable
- Affordable, clear pricing
- Provides human touch
Products
& Services
Phone access to:
- Meal delivery
- Ride services
- Access to previously unknown
resources, incl those otherwise
unreachable by phone
- Reduce life pressures; create
convenience
- Enable budgeting w/clear,
predictable pricing
- Preserve independence;
reduce anxiety about aging
- Trusted & guaranteed;
reduce uncertainty
- Remove barrier of tech
adoption
- Provide human connection
Customer
Jobs
Peace of mind
- Busy & balancing priorities
- Geographic separation
- Lack of tech adoption by
senior
- Crisis-driven solution finding
- Senior care solutions
expensive
- Reduced anxiety over care
- Reduced schedule burden
- Increased connection to senior
- Predictable spending
Gains
Users
Buyers
Pains
Gains
Pains
Gain
Creators
Pain
Relievers
Tech isn’t as big a
barrier to adoption
as we thought; but
trust is huge
“[They] do not want to do anything that will shut them in
the house more. Independence is not just about access
to basic needs, it is about getting out and being a part of
the larger world.”
- Bay Area Caregiver
Gain Creators
Customer Jobs
Independence
- Eat healthy meals
- Get safe rides
- Human connection
- Lack awareness of
current solutions
- Don’t want to be “needy”
- Senior care solutions expensive
- Tech solutions complicated &
lack help
- Lack of trust is major barrier
- Desire personal,
human interaction
User Segment
- Empowering (can use on own)
- Easy; no new tech required (phone)
- Trusted; satisfaction guaranteed
- Responsive & schedulable
- Affordable, clear pricing
- Provides human touch
Products
& Services
Phone access to:
- Meal delivery
- Ride services
- Access to previously unknown
resources, incl those otherwise
unreachable by phone
- Reduce life pressures; create
convenience
- Enable budgeting w/clear,
predictable pricing
- Preserve independence;
reduce anxiety about aging
- Trusted & guaranteed;
reduce uncertainty
- Remove barrier of tech
adoption
- Provide human connection
Customer
Jobs
Peace of mind
- Busy & balancing priorities
- Geographic separation
- Lack of tech adoption by
senior
- Crisis-driven solution finding
- Senior care solutions
expensive
- Reduced anxiety over care
- Reduced schedule burden
- Increased connection to senior
- Predictable spending
Gains
Users
Buyers
Pains
Gains
Pains
Gain
Creators
Pain
Relievers
“Improved” access to
services doesn’t mitigate
concerns about aging — it
amplifies them!
“I don’t want to be a part of a service where I wouldn't
know the driver.”
- Older adult, Palo Alto
chapter 2:
silver concierge (b2b)
chapter 2: b2b concierge
week 6: 84 interviews
Hypothesis:
If caregivers won’t intermediate to deliver
Silver Concierge to older adults, perhaps
elder living companies and facilities might….
chapter 2: b2b concierge
week 6: 84 interviews
Independent-living
facilities, senior
apartments, and
55+ villages will
want to partner
with us to outsource
service delivery
chapter 2: b2b concierge
week 6: 84 interviews
Volunteers are
enough to fill most
of our service
requests...
sounds interesting,
but we’re only doing
a few Uber rides a
month...
chapter 2: b2b concierge
week 7: 96 interviews
Positive feedback, but no one is really
grabbing this out of our hands...
chapter 2: b2b concierge
week 7: 96 interviews
(PIVOT)
chapter 3:
CareCoach | the pivot
chapter 3: CareCoach
week 7: 96 interviews
What we knew
- Older adults often don’t think there’s a problem
- Acquiring older adults as users is really hard (high CAC)
- Service provision doesn’t address loneliness/isolation
- Extreme price sensitivity
- High-touch service important => unit economics tough
- Caregivers are overwhelmed, overworked, and want support
Research and mastery of
latest senior-tech and
pricing
Logistics of on-demand
response to questions
Product and service
providers
AARP
Senior Activity Centers
Senior-housing
advisory+referral services
Caregiver Cara is 40-50
with a parent who is 75-90
and still living
independently but starting
to struggle
Cara is employed, busy
and has children of her
own
Cara is overwhelmed
Cara is worried about
affording care
Our customers are
product and service
providers (uber, lyft,
nursing homes, gadgets)
hoping to reach caregivers
and seniors
Personalized, expert
support to help you
navigate caring for an
older loved one
Trusted resource would
reduce time and stress
associated with
“becoming an expert”
caregiver
Transparent pricing
Emotional need- Guilt and
fear
Acquisition via web search
Mommy blogs
Caregiver blogs
Hospitals
Senior-housing
advisory+referral services
Employees committed to
providing gold-standard
content and service
Effective branding
Get: “acquire via online
search
Keep: quality product,
emails on latest tech
advances/products
Grow: Viral loop is critical;
“up-sell” to consulting
services
Referral fee from service providers
“Premium” personalized coach/consultant (could build in house or
partner with other service)
Biggest cost driver (unit economics/variable costs) is customer
acquisition
chapter 3: CareCoach
week 7: 96 interviews
CareCoach
BMC
What we found…
- Local knowledge critical
(scalability challenge)
- Acquisition is still challenging
(caregivers don’t necessarily
look online)
- “There are so many things I
know I should be doing, I don’t
even know where to start.”
- BUT: Huge, pressing pain points
around being a caregiver
chapter 3: CareCoach
week 8-9: 118 interviews
Focus on Caregivers
so what
comes next?
We didn’t find product-market
fit. But we uncovered a whole
lot of lessons.
THANK YOU
the teaching team: steve, steve, and jeff
our wonderful mentors: justin wickett & mar hershenson
our LLP classmates
our interviewees, testers, and supporters
Silver Concierge
Appendix:
Market Sizing and Customer Relationship Funnel
The
Opportunity
Total available market
(TAM):
Americans age 75+ not
living in nursing homes or
other full-care facilities
(US Census, US Dept. of HHS)
~18.1M
Served available market
(TAM):
...living in urban and major
suburban areas (50%) with
access to family or friend
caregivers (65%)
(US Admin. on Aging, Institute
on Aging )
~5.9M
Target market:
...with household incomes of
>$50,000 (49%)
(US Admin. on Aging)
~2.9M
Get
our B2C
Customer Relationships
Keep GrowAcquire:
Online Advertising
Traditional
Advertising:
Radio, print
(AARP)
Activate:
Create account +
pay first monthly fee
CAC:$100 LTV Revenue: $3,900 LTV Profit: $1,060*
Parent/Child connection
Deals from partners
Upsell:
Additional Services (if
partner revenue model)
Premium: In-person;
Tech support
Cross-Sell:
Lead-generation for
other products+
services: Evolve home
Modification,
Lindycare
*Lifetime @ 4 years
Get
our B2B2C
Customer Relationships
Keep GrowAcquire:
Direct Sales to
Independent Living
communities
Partnerships with
Senior Centers
Activate:
Activated accounts
with communities
CAC:$16,800 LTV Revenue: $457,500 LTV Profit: $97,500*
Sales leverage
Bulk pricing
Upsell:
Additional services
Tech support
Cross-Sell:
Lead-generation for
the independent
communities from
outside customers?
*Lifetime @ 5 years
CareCoach Appendix:
What would be next
What (would be) next:
TurboTax for Caregivers
Customer: Caregivers
Pain:
“Holy Cow, I now need to take care of my parent, I don’t even
know where to start or what to do”
Pain reliever:
A trusted platform to guide caregivers who are just getting
started and perhaps to help manage their finances as their
loved ones age further.
Revenue: Advertisement (likely through placement and
lead generation rather than banner ads). Potential to upsell for
finance management (fee basis) in future product iteration.

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Silver Concierge Stanford 2016

  • 1. Initial business idea: Phone-based on-demand concierge service for older adults Lessons learned presentation | 120 interviews John Deniston MBA1 Deborah Stamm MBA1 Quinlan Jung MS CS Eli Bildner MBA1 Suzanne Adatto MBA2/ MA Ed. Silver Concierge
  • 2. Total available market (TAM): Americans age 75+ not living in nursing homes or other full-care facilities (US Census, US Dept. of HHS) ~18.1M in the beginning, we had a lot of ideas...
  • 3. Total available market (TAM): Americans age 75+ not living in nursing homes or other full-care facilities (US Census, US Dept. of HHS) ~18.1M But then we SPOKE with customers and tested hypotheses with our MVP Would you call us to order transportation and meals?
  • 4. Total available market (TAM): Americans age 75+ not living in nursing homes or other full-care facilities (US Census, US Dept. of HHS) ~18.1M most of our hypotheses, it turns out, were wrong* *though a few were right
  • 5. Total available market (TAM): Americans age 75+ not living in nursing homes or other full-care facilities (US Census, US Dept. of HHS) ~18.1MThis is the story of how we moved from fiction to fact
  • 6. The outline Initial needfinding week 0 week 1 week 2 week 3 Continued needfinding tested value prop (Landing Page) prep’d MVP & recruited participants week 4 pilot MVP (Meals, online shopping) week 5 refine MVP (+ Rides & Groceries) week 6 refine acquisition Little House + B2B Channels week 7 pivot nerdwallet for senior care | B2B service for assisted living week 8 MVP feedback structured diagnostic quiz vs open-ended chat week 9 MVP feedback caregiver needfinding and MVPs Chapter 1: Silver Concierge Chapter 1 Chapter 2: B2B Chapter 3: CareCoach
  • 8. customer = adult children key value proposition: access to on- demand services
  • 9. chapter 1: silver concierge week 3: 41 interviews - target user ≠ economic buyer - “seniors” ≠ a customer archetype - being a caregiver is hard - lack of access to services is a problem — & others are noticing Even before we launched our MVP, we’d learned a lot about our business.
  • 11. chapter 1: silver concierge week 3: 41 interviews MVP #1: Silver Concierge
  • 12. chapter 1: silver concierge week 4: 54 interviews We get lots of interest from caregivers, but sign up only one older adult user This is wonderful — I’m going to tell all of my friends!
  • 13. chapter 1: silver concierge week 4: 54 interviews What we probably should have done... Let’s do in-depth interviews with the caregivers and older adults we weren’t able to convert!
  • 14. chapter 1: silver concierge week 4: 54 interviews What we did instead... Let’s pilot for another week!
  • 15. chapter 1: silver concierge week 4: 54 interviews (John working his charm with the good people of The Little House)
  • 16. chapter 1: silver concierge week 5: 71 interviews But not even John’s charm can get us to product-market fit...
  • 17. chapter 1: silver concierge week 5: 71 interviews Customer (“care coordinator”) Customer acquisition Call to concierge Service delivery On-demand service providers Medical providers & case managers Friends & peers Senior communities
  • 18. “The handoff between older adults and children, unless the older adult is really incapacitated, is basically impossible.” - Laura Connors, ED Beacon Hill Village “My grandmother is hugely stubborn and will not change anything unless she absolutely has to.” - Remote caregiver in Pennsylvania
  • 19. Gain Creators Customer Jobs Independence - Eat healthy meals - Get safe rides - Human connection - Lack awareness of current solutions - Don’t want to be “needy” - Senior care solutions expensive - Tech solutions complicated & lack help - Lack of trust is major barrier - Desire personal, human interaction User Segment - Empowering (can use on own) - Easy; no new tech required (phone) - Trusted; satisfaction guaranteed - Responsive & schedulable - Affordable, clear pricing - Provides human touch Products & Services Phone access to: - Meal delivery - Ride services - Access to previously unknown resources, incl those otherwise unreachable by phone - Reduce life pressures; create convenience - Enable budgeting w/clear, predictable pricing - Preserve independence; reduce anxiety about aging - Trusted & guaranteed; reduce uncertainty - Remove barrier of tech adoption - Provide human connection Customer Jobs Peace of mind - Busy & balancing priorities - Geographic separation - Lack of tech adoption by senior - Crisis-driven solution finding - Senior care solutions expensive - Reduced anxiety over care - Reduced schedule burden - Increased connection to senior - Predictable spending Gains Users Buyers Pains Gains Pains Gain Creators Pain Relievers Our value propositions simply weren’t resonating...
  • 20. Gain Creators Customer Jobs Independence - Eat healthy meals - Get safe rides - Human connection - Lack awareness of current solutions - Don’t want to be “needy” - Senior care solutions expensive - Tech solutions complicated & lack help - Lack of trust is major barrier - Desire personal, human interaction User Segment - Empowering (can use on own) - Easy; no new tech required (phone) - Trusted; satisfaction guaranteed - Responsive & schedulable - Affordable, clear pricing - Provides human touch Products & Services Phone access to: - Meal delivery - Ride services - Access to previously unknown resources, incl those otherwise unreachable by phone - Reduce life pressures; create convenience - Enable budgeting w/clear, predictable pricing - Preserve independence; reduce anxiety about aging - Trusted & guaranteed; reduce uncertainty - Remove barrier of tech adoption - Provide human connection Customer Jobs Peace of mind - Busy & balancing priorities - Geographic separation - Lack of tech adoption by senior - Crisis-driven solution finding - Senior care solutions expensive - Reduced anxiety over care - Reduced schedule burden - Increased connection to senior - Predictable spending Gains Users Buyers Pains Gains Pains Gain Creators Pain Relievers Tech isn’t as big a barrier to adoption as we thought; but trust is huge
  • 21. “[They] do not want to do anything that will shut them in the house more. Independence is not just about access to basic needs, it is about getting out and being a part of the larger world.” - Bay Area Caregiver
  • 22. Gain Creators Customer Jobs Independence - Eat healthy meals - Get safe rides - Human connection - Lack awareness of current solutions - Don’t want to be “needy” - Senior care solutions expensive - Tech solutions complicated & lack help - Lack of trust is major barrier - Desire personal, human interaction User Segment - Empowering (can use on own) - Easy; no new tech required (phone) - Trusted; satisfaction guaranteed - Responsive & schedulable - Affordable, clear pricing - Provides human touch Products & Services Phone access to: - Meal delivery - Ride services - Access to previously unknown resources, incl those otherwise unreachable by phone - Reduce life pressures; create convenience - Enable budgeting w/clear, predictable pricing - Preserve independence; reduce anxiety about aging - Trusted & guaranteed; reduce uncertainty - Remove barrier of tech adoption - Provide human connection Customer Jobs Peace of mind - Busy & balancing priorities - Geographic separation - Lack of tech adoption by senior - Crisis-driven solution finding - Senior care solutions expensive - Reduced anxiety over care - Reduced schedule burden - Increased connection to senior - Predictable spending Gains Users Buyers Pains Gains Pains Gain Creators Pain Relievers “Improved” access to services doesn’t mitigate concerns about aging — it amplifies them!
  • 23. “I don’t want to be a part of a service where I wouldn't know the driver.” - Older adult, Palo Alto
  • 25. chapter 2: b2b concierge week 6: 84 interviews Hypothesis: If caregivers won’t intermediate to deliver Silver Concierge to older adults, perhaps elder living companies and facilities might….
  • 26. chapter 2: b2b concierge week 6: 84 interviews Independent-living facilities, senior apartments, and 55+ villages will want to partner with us to outsource service delivery
  • 27. chapter 2: b2b concierge week 6: 84 interviews Volunteers are enough to fill most of our service requests... sounds interesting, but we’re only doing a few Uber rides a month...
  • 28. chapter 2: b2b concierge week 7: 96 interviews Positive feedback, but no one is really grabbing this out of our hands...
  • 29. chapter 2: b2b concierge week 7: 96 interviews (PIVOT)
  • 31. chapter 3: CareCoach week 7: 96 interviews What we knew - Older adults often don’t think there’s a problem - Acquiring older adults as users is really hard (high CAC) - Service provision doesn’t address loneliness/isolation - Extreme price sensitivity - High-touch service important => unit economics tough - Caregivers are overwhelmed, overworked, and want support
  • 32. Research and mastery of latest senior-tech and pricing Logistics of on-demand response to questions Product and service providers AARP Senior Activity Centers Senior-housing advisory+referral services Caregiver Cara is 40-50 with a parent who is 75-90 and still living independently but starting to struggle Cara is employed, busy and has children of her own Cara is overwhelmed Cara is worried about affording care Our customers are product and service providers (uber, lyft, nursing homes, gadgets) hoping to reach caregivers and seniors Personalized, expert support to help you navigate caring for an older loved one Trusted resource would reduce time and stress associated with “becoming an expert” caregiver Transparent pricing Emotional need- Guilt and fear Acquisition via web search Mommy blogs Caregiver blogs Hospitals Senior-housing advisory+referral services Employees committed to providing gold-standard content and service Effective branding Get: “acquire via online search Keep: quality product, emails on latest tech advances/products Grow: Viral loop is critical; “up-sell” to consulting services Referral fee from service providers “Premium” personalized coach/consultant (could build in house or partner with other service) Biggest cost driver (unit economics/variable costs) is customer acquisition chapter 3: CareCoach week 7: 96 interviews CareCoach BMC
  • 33. What we found… - Local knowledge critical (scalability challenge) - Acquisition is still challenging (caregivers don’t necessarily look online) - “There are so many things I know I should be doing, I don’t even know where to start.” - BUT: Huge, pressing pain points around being a caregiver chapter 3: CareCoach week 8-9: 118 interviews
  • 34. Focus on Caregivers so what comes next?
  • 35. We didn’t find product-market fit. But we uncovered a whole lot of lessons.
  • 36. THANK YOU the teaching team: steve, steve, and jeff our wonderful mentors: justin wickett & mar hershenson our LLP classmates our interviewees, testers, and supporters
  • 37. Silver Concierge Appendix: Market Sizing and Customer Relationship Funnel
  • 38. The Opportunity Total available market (TAM): Americans age 75+ not living in nursing homes or other full-care facilities (US Census, US Dept. of HHS) ~18.1M Served available market (TAM): ...living in urban and major suburban areas (50%) with access to family or friend caregivers (65%) (US Admin. on Aging, Institute on Aging ) ~5.9M Target market: ...with household incomes of >$50,000 (49%) (US Admin. on Aging) ~2.9M
  • 39. Get our B2C Customer Relationships Keep GrowAcquire: Online Advertising Traditional Advertising: Radio, print (AARP) Activate: Create account + pay first monthly fee CAC:$100 LTV Revenue: $3,900 LTV Profit: $1,060* Parent/Child connection Deals from partners Upsell: Additional Services (if partner revenue model) Premium: In-person; Tech support Cross-Sell: Lead-generation for other products+ services: Evolve home Modification, Lindycare *Lifetime @ 4 years
  • 40. Get our B2B2C Customer Relationships Keep GrowAcquire: Direct Sales to Independent Living communities Partnerships with Senior Centers Activate: Activated accounts with communities CAC:$16,800 LTV Revenue: $457,500 LTV Profit: $97,500* Sales leverage Bulk pricing Upsell: Additional services Tech support Cross-Sell: Lead-generation for the independent communities from outside customers? *Lifetime @ 5 years
  • 42. What (would be) next: TurboTax for Caregivers Customer: Caregivers Pain: “Holy Cow, I now need to take care of my parent, I don’t even know where to start or what to do” Pain reliever: A trusted platform to guide caregivers who are just getting started and perhaps to help manage their finances as their loved ones age further. Revenue: Advertisement (likely through placement and lead generation rather than banner ads). Potential to upsell for finance management (fee basis) in future product iteration.