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Fruit Street

by Lawrence GerardLaunched 2014-05via Nathan Latka Podcast
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MRR$15k/mo
Growthcommunity
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The Spark

Lawrence Gerard studied pre-med in the Harvard University Extension School before deciding to pursue Fruit Street full-time. His interest in health traced back to his high school years playing goalkeeper, and he later spent a year volunteering in an emergency room, which pushed him toward a career focused on social impact.

Building the First Version

Fruit Street is a HIPAA-compliant telemedicine software product licensed to healthcare professionals. It lets clinicians hold video consultations with patients and monitor their health, diet, and lifestyle through connected devices such as FitBit products, wireless bathroom scales, FDA-approved blood pressure cuffs, and a mobile app where patients photograph their food for feedback from a registered dietitian. The company started in May 2014. Gerard described 2016 as the year of building the minimum viable product that people were willing to pay for, and 2017 as the year focused on scaling.

The company is a public benefit corporation, and its social mission is written into its bylaws: to prevent and treat lifestyle-related disease using telemedicine, wearable devices, and mobile applications. Development is handled through a joint venture with VSee, which owns a portion of the company and provides about 10 of its staff on design and engineering.

Finding the First Customers

Fruit Street raised about $6 million from roughly 180 physicians rather than from venture capital firms. Gerard said physicians offered product feedback from real practice use and acted as a sales network. Physicians were reached mainly through LinkedIn advertising, followed by one-on-one calls with a full business and product presentation. Customers were mostly small medical practices at an average price of about $200 per month, with some discounts, and the company had begun institutional pilots with larger organizations.

What Worked (and What Didn't)

The physician-funded model gave Fruit Street both capital and a built-in network of potential customers. The company had not yet fully tracked churn or lifetime value. Gerard said churn was roughly 10% of customers, though he acknowledged the metric was still being measured more carefully, and he could not yet give a reliable lifetime value figure.

Where They Are Now

At the time of the interview, Fruit Street was at $15,000 in monthly recurring revenue with about 100 customers. Gerard said total revenue to date was about $130,000, mostly earned in 2016. The stated 2017 goal was to scale toward $100,000 in monthly revenue while reducing churn, increasing lifetime value, and generating more referrals.

Why It Worked
  • •Funding from about 180 physicians turned the company's earliest backers into a built-in sales and feedback network, which is harder to replicate with a traditional venture round.
  • •Mission-driven structure as a public benefit corporation helped attract investors, employees, and partners motivated by social impact rather than only financial return.
  • •Charging a predictable monthly subscription of about $200 per practice produced recurring revenue that reached $15,000 per month from roughly 100 customers.
  • •Delegating development to a joint venture partner with an established HIPAA telemedicine product let a small team of about 20 ship and maintain the product.
How to Replicate
  • 1.Identify a professional group whose members have both the budget and the domain influence to act as investors, advisors, and referrers, such as physicians for a medical software product.
  • 2.Use LinkedIn advertising to reach that professional group, then follow up with one-on-one calls that give a full business and product presentation.
  • 3.Price the product as a flat monthly licensing fee, around $200 per customer, so revenue scales predictably with each practice signed.
  • 4.Keep decision-making fast by structuring voting control early, so a large investor base does not slow product execution.

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