How Oura Ring is redefining health tech, with CEO Tom Hale

9 Jan 2025 · 32 min

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In short

Masters of Scale: How Oura Ring is Redefining Health Tech with CEO Tom Hale

Episode Overview In this episode of *Masters of Scale*, host Jeff Berman interviews Tom Hale, CEO of Oura, a health tracking company known for its innovative wearable technology, the Oura Ring. Hale discusses his journey leading the company since 2022, the remarkable growth in sales, and the strategies deployed to redefine health tech.

Key Themes

Transformation and Growth

  • Sales Growth: Under Hale's leadership, Oura's sales have increased from approximately 1 million to over 2.5 million rings sold.
  • Luxury Partnerships: The introduction of high-profile partnerships, notably with Gucci, showcased a surprising demand for premium-priced versions of the Oura Ring, illustrating the brand’s luxury appeal.
  • The Gucci edition was priced at about $1,000, and its success challenged traditional pricing strategies.

Personal Journey and Insights

  • Personal Experience: Hale's initial experience with the Oura Ring stemmed from a personal health crisis that made him prioritize sleep and wellness. This led him to advocate for the product he found transformative.
  • Key Insights Gained:
  • Effects of alcohol, high-intensity workouts, and caffeine on sleep were identified through usage.

The Oura Ring

Technology and Functionality

  • Device Design: The Oura Ring is a small, lightweight device with advanced tracking capabilities for core biometrics, syncing with mobile apps to provide health insights without overwhelming notifications.
  • Daily Insights: Users receive scores related to sleep, activity, and readiness, promoting healthier choices through passive tracking.

Business Strategy and Market Positioning Subscription Model

  • Transition to a subscription model priced at $6/month has proven successful, seen as a means to enhance customer engagement and value delivery.
  • Focus on women’s health has been a pivotal market strategy, recognizing women’s better retention rates and product affinity.

Partnerships and Distribution

  • Retail Strategy: Collaborations with major retailers like Best Buy and Amazon have expanded accessibility.
  • Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA): Inclusion of Oura products in these programs encourages consumer adoption by allowing pre-tax spending on health products.

Leadership Approach Building Trust

  • Hale emphasizes the importance of trust in leadership and customer relations, advocating for transparency and engagement with early adopters to foster loyalty and community.

Data-Driven Decisions

  • The company's strategy leans heavily on understanding user data to tailor insights and health recommendations, pushing the concept of personalized health management.

Regulatory Considerations

  • Hale discusses the complexities of operating in a regulated health industry, emphasizing the need for innovation while navigating these constraints.
  • He envisions a future where wearable technology plays a crucial role in preventative health care, potentially transforming patient engagement in chronic illness management.

Future Outlook

  • Hale reflects on the broader vision of health technology integration and the importance of personalized solutions over generalized healthcare approaches.
  • He notes that the future will likely involve multiple platforms addressing diverse health needs across various demographics.

Conclusion Tom Hale’s energetic leadership and strategic approach have positioned Oura as a key player in health tech. His emphasis on personal connection, innovative partnerships, and customer-centric data management highlights a transformative vision for the future of health monitoring and wellness.

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This structured note provides a comprehensive summary and analysis of the podcast episode, highlighting significant insights into Tom Hale's leadership at Oura as well as the company's growth and strategies in the health tech landscape.

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Transcript

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1:17The ring looked like something that a Roman emperor might wear to a coliseum.

1:26black with gold. It was very Gucci. And it was like a rocket ship.

1:37Gucci put it into their stores and priced it at about a thousand euros for each one, a thousand dollars. So two and a half times roughly. Roughly. Yeah, it was more expensive. As the new CEO of Aura, Tom Hale was eager to experiment with partnerships for the health tracker ring. But Tom says even he was surprised that the luxury model of their wearable tech did so well. And they flew off the shelves. My jaw dropped to the floor because I couldn't. I was like, wait, you triple the price and it goes faster? Yeah. How does that work? By the way, like the thing about Gucci that was so surprising was that like we learned that people wanted to touch the ring and they wanted to put it on.

2:16They want to see it against their skin. They want to see how it looked on their hand because it's a very physical and intimate product. Since joining Aura in 2022, CEO Tom Hale has led the company to more than double the number of rings sold. It's up to more than 2.5 million now. This unicorn wearable tech business is a stunning example of scale.

2:44You've got to have incredible talent at every position. It's like this huge push. There are fires burning when you're going home. Can you believe it? Such an idiot. And then you go back to, this is totally going to be amazing. There are so many easy ways. I have no idea what to do. Sorry, we made a mistake. But you have to time it right. Oops. Working out of a three-bedroom apartment. Stuff that just seems absolutely nut balls. Ten years later, we're like, well, that's just how you do it. We haven't made it just how you do it. This is Masters of Scale. I'm your host, Jeff Berman. Tom Hale's history of success in the software industry has informed how he's scaling Aura to new heights now.

3:28But it took some convincing for the company to let someone like Tom, with virtually no experience in hardware, take the helm.

3:42Tom, welcome to Masters of Scale. Thank you, Jeff. I'm thrilled to have you for lots of reasons, not least of which being I have my aura ring with me. You're representing. Thank you. I'm representing. It is circa 2020. Wow. Gen 2 or Gen 3? Gen 2. Wow. Old school. So I am due for an upgrade soon. And I'm keen to hear about the Gen 4 and how my life is going to change. But before we get there, for those who haven't yet worn an Oura ring, haven't tried one, what is the ring? So the Oura ring is a very small device. It's very light. It's a couple of grams. Kind of a miracle of modern technology. There's a ton of technology packed in here.

4:19A very small battery, much, much smaller than the battery on your Apple Watch. And what it is, is you wear it on your body, which turns out to be a really good place for measuring some core biometrics. If you think about it, you ever been to a hospital and they put a clamp on your finger and that's because they're shining light into your body and then determining your pulse ox, which is your blood oxygenation. They're also determining your pulse and other things. That's why they do it there. And it doesn't beep or bloop or talk to you. It doesn't have a screen. It's not trying to notify you about somebody talking about you on Twitter or LinkedIn.

4:51It's just very sort of silently, calmly, passively tracking your body in the background. And it's coupled with an app on your mobile phone. And the device syncs your data from your biometrics to the mobile phone. And on the mobile phone, there's a lot of computing that's going on that's making insights about your health. And every day it gives you three basic scores. It tells you about how you slept, how much activity you had, and what your readiness for the coming day is. The whole idea is to sort of give you insights about how to make healthy choices and healthy habits without being too much of a load.

5:22You joined the company just a few years ago. So when did you first encounter the product? I first bumped into it. I guess it was the fall of 2022. Okay. And there's a little bit of a story here, which is I had just been part of a company that we had sold to Zendesk. The company was called Momentive, but it was really SurveyMonkey was the main product. We had sold it and we were high-fiving all around. And then it was in the process of getting unsold. Basically, the shareholders of Zendesk rejected the deal. very stressful time. Not an easy moment. Very difficult moment. And I think, you know, a lot of things were happening during that timeframe.

6:01I had some challenges with my family. I, you know, I was getting older, all these things that were going on. And for the first time in my life, I lost sleep. I don't know if you've ever had this experience where like, I'm a championship sleeper. I mean, my entire life, I could probably fall asleep, you know, in five seconds and stay asleep for 12 hours. Yeah. I long for those days. Okay. Well, yeah. So this was the moment when those days ended. And I was really, I was like, I've never had a hard time sleeping and this is a real, I should really pay attention to this. And what am I going to do?

6:28So I was researching and looking for things to do and trying to learn, you know, educate myself about sleep and bumped into the aura ring and like, well, I'll give it a try. I gave it a try. And I had worn wearables before. I'm kind of fitness adjacent. So, you know, I like to try and, you know, get two or three workouts. I like to drive by the gym. I'm, I'm, you know, and I do my best, But, you know, I'm a busy person and it's hard to fit it in. So I kind of knew what the deal was with wearables. And I put this thing on and within the space of about three or four weeks, one, I'd learned a ton.

7:00I'd learned a lot about like what was going on for me when I did certain behaviors, when I drank alcohol, when I had too much coffee, when I didn't take a walk or work out. Like I could see all these things in my body. And then secondary, I learned a lot about sleep. I learned a lot about how sleep can really improve your life because within three or four weeks, I kind of had improved my sleep. Yeah. And it was like night and day. It is fascinating. The three biggest aura insights for me were alcohol kills my sleep. It's a massive sleep disruptor to high intensity workouts late in the day. Bad news.

7:33Brutal for me. Like my heart rate's just up too high and I can't come down. And then the third one, oh, it was caffeine after about 2 p.m. And so like those three changes have completely changed my sleep profile. Yeah. And it's all aura driven. It was for me, it was like I was living in a black and white movie. Basically, since the time I'd had my kids, you know, I'd had them in my 30s and I'd been sleep deprived more or less up until that moment. Yeah. And then made us a few key behavior changes. And it was like walking into like a 4K technicolor movie. I was like, whoa, this is what life could be like.

8:06Yeah. Where has it been? So, I mean, one of the great things about Aura is you get all this insight from the data that doesn't make it necessarily actionable. So how does Aura help the customer close the loop and actually act on the data to improve their health? There's three ways. The first way is the daily insights that we give you contain kernels of behaviors that might be healthy for you. So for example, your heart rate lowered late last night. Did you eat a late meal? And that's a sort of a reinforcing and education of, hey, you should eat three hours before you go to bed because if you go to bed and your body's still digesting, your deep sleep will be reduced and less effective.

8:45And deep sleep is how your body repairs and grows. And so if you want to be giving as much value to each minute of sleep you get, don't eat too early. So insights that sort of come up and they come up sort of on a couple times a day or they come up within the experience in a really sort of very subtle way, insights is the first way. The second way is this idea of the advisor. And the advisor is an AI chat kind of coach that knows all about you and makes recommendations and does education and gives you visibility to trends and helps you understand and maybe place a context around that and then makes suggestions.

9:21And those suggestions are things that would be better for your health. And then the third way, and this is probably the earliest, but maybe it could be compelling, I think, is something called experiments. And an experiment is basically a protocol. Like try doing this for two weeks and then see what the impact on your metrics are. And then we'll show you actually how you compare it to everybody else. And we'll also show you what the impact was on you. And the classic one is we have this stop drinking coffee experiment. And so stop drinking coffee for two weeks and let's show you what happens. And those three things are really potent because what's measured is managed, but you also need some context and you need some instruction.

9:55Well, and also that lets you isolate variables, right? As you do one experiment at a time that you're recommending and everything else is largely consistent, you're able to see, oh, this is the impact from that. So the leadership position at Aura came open and you did not get a call out of the blue from a recruiter. Yeah, actually, I think when I learned that there was a search going on, I might have said something like, hey, this seems really interesting. And they're like, yeah, no, that's a little out of your range. But you've been a serial tech executive. You've had a lot of experience in Silicon Valley.

10:26I am probably what you would call kind of a software person by train. I've come up the ranks in various software companies and have worked almost exclusively in software. I have a couple of investments in hardware, but mostly in software. And I think the board had this view that what they were looking for was a CPG, you know, consumer product goods person, maybe with a sports background, you know, really like, you know, somebody who had a real name profile. And there were certainly candidates in the mix. And so I didn't fit the profile. And they kind of told me that. And I basically, you know, kind of did something.

11:00It's very uncharacteristic for me, which is I ended up saying, like, you guys really you really need to hire me. Like, this is I love this product. This product has changed my life. I can see the impact that it can have on other people's lives. I am aligned with this mission. And by the way, I think I know what we need to do to take it to the next level. How did you do that? What was the format for that? Somebody advised me to write a letter and put your thoughts down, make the case for why you think it's a good fit and what you should do. And that's very uncharacteristic of me. I tend to be someone who I'm happier being pursued than pursuing.

11:32But I really just went out there and I wrote this letter that said, listen, I think you guys, this is a software problem and a data problem. And it's data at scale, which is something that I know because of my days at SurveyMonkey and Momentive. And it's a user experience problem. And it's about transforming people's lives and behavior. And I've spent my entire life thinking about how much the product experience matters for people. And here's the case. You should have a software person leading this company. Every company is a covered dish. You think you know what it is. You come in, you lift the top off and it's something different.

12:04So how do you have such confidence. I think for me, the sort of foundational belief was wearables are going to be a thing. Everyone's going to have one. And a wearable that's tracking your health and continuously monitoring your health, which is what the Oura Ring kind of does, is going to be a thing that everyone's going to have. And the thing that was different about the Oura Ring, and I knew this because I'd worn a bunch of other wearables, was a seven-day battery life, unobtrusive, and it's just on your body producing this stream of data. And then making sense of it is something that software and data analytics and machine learning is going to have to do.

12:38And by the way, the whole point of this is that on the averages, it's personalized to you. And so the sort of vision of an AI intelligence that was tuned to your needs and understand everything about you and understands all your context and then can make recommendations about your health, whether it's an intervention or a prevention, that's an incredibly powerful idea. And I think at the heart of it, that's a software and data problem. Yeah. And that's what convinced the board. You know, I think so. Yeah. Yeah. My winning personality, maybe. I don't know. Naturally. Naturally. When you came into the company, I believe the company had sold about a million rings to date and you're now like two and a half million.

13:13That's right. Right. So you have this significant jump in a very short period of time on the hardware side, which still accounts for what, like 80 plus percent of your revenue. So what did you do? What did you bring to the company? What did your team bring in that accelerated this growth? so extraordinarily? Yeah, well, let's set the scene. Okay. Yeah, please. Because it is like early 2023, there's still kind of a growth at all costs mindset going on where like, we, you know, keep spending money, keep hiring people, spend more money on marketing, you know, like you've just got to break through.

13:50That was kind of the mindset. And hey, we just introduced this subscription business model. And quite frankly, I think it was a change in the bargain with our customers. Six bucks a month. Six dollars a month. Yeah. Like, you know, barely a cup of coffee and a half. Yeah. Depending on where you shop, depending on where you drink your coffee. And in LA, it's like half a cup of coffee. Exactly. Exactly. So it's a nominal fee. And I think the idea was that, hey, we really believe that this should be a subscription product and it should deliver enough value, more than enough value to sort of justify that.

14:21And I think that's true. We've seen that in the last two years. We've seen that. it's absolutely true that people see the value and renew and pay and they pay us every month. So we made that transition and it was pretty rough. And so I came in in that post transition moment and there was a lot of upset. And I think this is sort of a classic maybe lesson for me in my career, which is that you got to engage with customers directly and you got to like kind of be present, particularly in early businesses that are building up because the people who are, you know, evangelizing you in your early days as a company and a product, they feel like they own you.

14:57And in some ways they kind of do. They've made some incredible contributions. They're your best marketers for sure. So sort of the first thing was like, let's engage, let's go out there. And so I wrote a blog post that said, Hey, here's what I think about the subscription business model and why I think it's really a great value and why we're doing it. And just having some level of transparency and engagement actually made a big difference. And actually the economy had gone a little south at this time. We were like, what are we going to do here? How are we going to navigate this? And we thought there's two or three things that really matter.

15:27One is women because women love the product. They retain better. It's a ring. That's a form factor that there's no other substitute for it. It fits in with every fancy outfit you've got. So we thought women would be important. Second thing we thought was going to be really important was going to be retail. and we learned this by launching with gucci i don't know if you remember this but there was a gucci ring and it was like a rocket ship gucci put it into their stores put it into their online stores and they have you know gucci stores around the world and we had made a whole bunch and priced it at about a thousand euros for each one a thousand dollars so two and a half times roughly roughly yeah yeah it was it was more expensive yeah and they flew off the shelves and my jaw I dropped to the floor because I couldn't, I was like, wait, you triple the price and it goes faster.

16:17How does that work? I think it shows you the power of both a brand like Gucci, but it also shows you the power of jewelry. We learned that people wanted to touch the ring and they wanted to put it on. They wanted to see it against their skin. They want to see how it looked on their hand because it's a very physical and intimate product. They care what the thing looks like. The ring looked like something that a Roman emperor might wear to a Colosseum, you know, like a sort of black with gold. And it was very, very Gucci. But for a certain set of people, like that kind of statement was, that's what they wanted.

16:45This growth through kind of non-obvious partnerships is fascinating. And you all have done hundreds of partnerships. Was that something that changed when you came in? Did you empower the team on that? Did you bring a team to do this? Or had this been like late in the company and people were dying to try it? I think we'd always believed that there was going to be things like Gucci, where brand partnerships were going to be the key. What we didn't necessarily think about until I came in was the platform and how to think about a platform enabling other partners. And by enabling other partners, they become your salespeople and your distribution channel and your referral network.

17:20What's a good example of that beyond your tree? Natural Cycles would be one. Strava would be another. Chronometer, the CGM apps like vary. Like there's basically a whole set of apps for health and wellness. Right. And in many ways, we sort of power them with our data. Natural Cycles in particular is one that has been very successful. So partnership was a clear catalyst. But we saw these three things. We saw women. We saw retail from Gucci. Number three, we thought about like, how do we provide access to people? And the idea there was something called HSA and FSA. These are basically kinds of accounts that your employer usually provides for you.

17:57And they hold back a little bit of your paycheck and put in these accounts. And then you can spend it on health, whether it's a doctor or glasses or Band-Aids or whatever. It's a whole range of things you can buy. So by putting the Oura Ring into HSA FSA, we are effectively giving people the ability to use pre-tax dollars that, frankly, had been sort of already set aside. So it's already been taken out of their pocket in some way and that they actually have an incentive to use because some of the programs are spend it or lose it. And so going into that second year, we ended up launching with Best Buy and later with Amazon.

18:33We introduced HSA FSA and we really focused on women and women's health. And those three things, it was like we set a fuse on a bomb and it really blew up. More with Tom Hale on leading Aura through its rapid scale story in just a minute.

19:00Real leaders don't back down when the stakes are high. They innovate, they push forward, and then they take the stage at the Masters of Scale Summit. Join us in San Francisco, October 7th to 9th, to hear from the CEO of the New York Times, scientists using cutting-edge technology to find cures, the leader of crypto powerhouse Coinbase, a retired four-star general, and many, many more. Apply now at mastersofscale.com slash apply25. That's mastersofscale.com slash apply25. If you're ready to take your startup from idea to impact, then AWS is your launchpad. From data storage to machine learning to secure app hosting, AWS gives you the tech trusted by the world's fastest scaling startups.

19:50And here's the best part. Join AWS Activate today and you could score up to$100 ,000 in AWS credits tailored to your stage and network. Go to aws.amazon.com slash activate and start building. Expanding your business in the U.S. can feel like a maze. Every state has its own payroll, benefits, and compliance rules, which can pull your focus away from growth. That's why founders use Deal. Deal is the professional employer organization, or PEO, that gives you a dedicated HR expert plus Fortune 500 level benefits for your team. The National Association of PEOs says businesses can grow twice as fast if they use one.

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20:47Welcome back to Masters of Scale. You can find this conversation and more on the Masters of Scale YouTube channel.

20:57One of the interesting differences between software and hardware is software you sell over and over again. And I mean, Exhibit A sitting here as a super loyal, like, you know, top tier promoter score user lover of the brand, by the way, or is not a sponsor. We're not. This is just pure love for the product. Thank you. But also, I'm sure that the Gen 4 will give me massive upgrades over the Gen 2. And it's not$1 ,000 or$2 ,000 or$10 ,000 purchase like a mattress or refrigerator or whatever, but it's still hundreds of dollars. So the business model is different. You don't have the customer coming back every month or every quarter of a year to buy.

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21:38How did you think about approaching that part of hardware versus software? It's a really spot on question. And I'm guessing because you're a Gen 2 user, you haven't experienced our subscription business model quite yet. And you're about to. I think the way I looked at it, and I've spent a lot of time around subscription business models. And there's something about subscription business models that it's great. Investors love them because it's recurring revenue. It's very predictable because you're booking revenue before you recognize it. There's a lot of really great properties of a subscription business model.

22:10But what I like about it, because I tend to think about customer needs and whether you're meeting your customers needs and serving them, is that you kind of have to earn your money with every time someone renews and whether they renew on a monthly basis, which is the way most people do it with Aura or an annual basis, like people do with software as a service. You kind of got to like have delivered the value or else you're not going to get the re-up. Right. And so having been around subscription businesses and having observed this product, I was like, this is a great subscription business because the reality is, is that your health is not static.

22:42Your health changes. In fact, your physiology changes, you know, on a 24 hour time period. As you go to sleep, your physiology is going through some transformations. If you are a woman, your body is changing on a 28-day cycle as hormones are being released into your body. As you age, your body is changing. And so the idea, and it came to light actually through sort of women, was that this was some wearable that you would pay a subscription business model and get tons of value from over the course of your entire life. And we kind of had this idea that like a young woman might get their first ring in their teens and then in their 20s it might all be about contraception.

23:19And in the late 20s, it might be about conception, trying to get pregnant. In their 30s, it might be about pregnancy and postpartum. And in their 40s, it might be about perimenopause and menopause. And like the idea of a product that like was connected to you really personally and knew you and knew all this history and could be like the doctor you never had, the doctor who knew everything about you and had oodles of time to talk to you and was, you know, conversant with all of the things that were going on with you. wow, what an idea for a subscription business. And if we can meet our customers and deliver value to them, then that's a great opportunity.

23:54Maybe I'll zoom back a little bit. Sure. So think about that founding moment, you know, and kind of that culture of the product being one that's like, it's a mission-driven product. It's a product to help the world move from sick care, where you're only getting healthcare at the end of your life, to preventative care. It's about making you the CEO of your own health journey and doing it in a way that's incredibly supportive and helps you find balance. That's the culture of the product. That's the culture of the company. Everyone at that company is really driven to help people. By the way, I found that incredibly intoxicating.

24:27And my kind of like strength, honestly, is in scaling companies from like sort of 200 to 2000. That's kind of where I live. People, not dollars. People. yeah people yeah good point yeah just make just for clarity let's be sure from 200 people to 2 000 people okay when you're 200 people there's probably some things that are maybe not working so well yeah and maybe you haven't solved that problem as effectively as you might maybe you don't have a system for that and it's really it's like a popsicle stick and two pieces of rubber bands and some glue and you're trying to hold it all together yeah and then by the time you get to 2000 you're like a real company and you've got some real scalability.

25:06And so that, and I've done that particular ride maybe three or four times. You've got some real pattern recognition. I've got some real pattern recognition about it. So that is a strength. And so looking at this incredible product and looking at this incredible culture, these people who were committed and passionate and craft, like so invested in making the thing great. That's why it's so great because they really focus on this craft and thinking about, okay, so how do we inject kind of a note of performance into that culture. So I thought first you need to build trust. All right, well, let's articulate where we want to go in a way that's compelling and simple and easy for people to wrap their minds around.

25:42And, you know, that became kind of the construction of our strategic plan and how we talked about our vision, which was to improve the world of healthcare. And, you know, we sort of have this view of how healthcare can evolve and we can play a role in it. We're not going to become a hospital or anything like that, but we're going to help change and empower people on their health journey. That's a very compelling thing. In order to do that, we provide them information and insights about their body from a wearable device that they put on their body 24-7. And the data that comes off of that, they use to optimize either their performance or their health or to manage a chronic disease.

26:21That's what they do. That's what the product does. Oh, guess what? That's what we do too at this company. We actually look at the data that comes off of the things that we're monitoring and we optimize around that. We're just like this product and sort of the very simple kind of idea that we're doing something noble, trying to improve the world of health for millions of people, and that we're trying to do something that's very practical and tactical, which is to optimize this business, much like you might optimize your health. It sort of connected with people because it was immediately understandable.

26:51And I think coupled with sort of like the big emphasis on listening to customers and being connected to customers, I think it really resonated with people. And I think it gave us that opportunity to say, and now how do we want to take this to the next level? I mean, it sounds like you really invested in building trust with the existing team before coming in and pushing forward with these new initiatives. You got their buy-in in you before you went ahead. Is that fair to say? This is absolutely true. And by the way, I think this is the best advice for anybody coming into any group of people, which is that you have to earn trust.

27:22In fact, it's one of the sort of five values of Aura. You entrust us with your most sensitive healthcare data. You are trusting us and we need to earn your trust. So we are very serious about protecting your data and making sure that no one can see it and making sure that it's not – we don't have advertising. We have no incentive to do anything other than protect your data. So earning trust is such a foundational element of like the company culture and the people. And frankly, for me personally, like I don't know how to lead if I don't have someone's trust and confidence. And the only way I know how to build trust is to kind of be like vulnerable and open and say this is kind of what's going on and here's what I think about it and here's what I think we ought to do.

27:59And I'm more of a servant leader and maybe a lead from the front person than I am a dictator who's leading from the back. That's kind of the approach that I take. And I think it sort of hit the moment well. Was there a particular experience earlier in your career that informed how you came in and led this change? I think we have had at various companies kind of moments where you can feel the momentum pick up. and you can feel, I'm going to call it the bit rate, which is like a technical term about the clock speed of a company. Like how quickly are you moving through decisions and actions and what's that doing to the business?

28:37And so I've seen that four or five times. So I kind of know how to do it. And I think it does start with trust, but it also starts with this kind of like, do you watch The Bear? I love The Bear. Who doesn't love The Bear? The Bear is such an amazing show. Oh my God. So it's like, it's actually filled with all these kind of like leadership lessons. It is. It's just, it's such a great study of like a small group of people trying to do something hard. Oh my God. So I started saying, Hey, every second counts. And things like there's periods in my life where like that kind of, you have to take a moment to go slow to go fast.

29:09You have to think about what it is that you want to do. But then once you know what you want to do, you're going to run like hell. Yeah. You've got to just go for it. And that moment I've seen enough times to know that that's kind of where we were. And, you know, we just needed to like start to run. Tom, one of the challenges in health broadly is you talk about a regulated industry and for good reason, but also with the rise in devices like Origin 4 and the generative AI applications that can be in billions of people's hands now who don't have access to a primary care physician or quality health care.

29:46Is there a change that we should be making to the regulatory universe when it comes to health that would allow us to leap forward in building a healthier country and healthier world? How much time do we have? I mean, you can take as much time as you want. What time is your flight? Oh, my gosh. That is a subject that would probably overfill the banks of any amount of time. But I do think that digital health, meaning the fact that you have a powerful computer, the fact that you're surrounded by data and sensors that can talk to you or have access to ones that you can put on your body that can feed that device.

30:21I think that is transformative. And I think that the FDA is like working hard to understand how digital health should transform. The reality is that there are so many incentives aligned behind fee for service. It's going to be very hard for that to change. And I think it's going to play out over a decade or more just because the inertia of the system is there. And so in many ways, strategically, we're focused on people who are like going to drive their own health journey independent, not without, but independent of the kind of clinical infrastructure. And where we think we have a really interesting opportunity, and maybe this is where the regulatory stuff comes in, is you find those sort of connection points where it really matters.

31:06Somebody is going through chemotherapy, they want to be at home with their family, and they want to understand if they're at risk for infection. now wouldn't it be nice if you had a device that would tell you one when the best time physiologically would be for your next bout of chemo and when and if you were getting sick that you needed to get to a hospital and get some antibiotics on board because you're starting to get an infection yeah okay that's really profound really powerful but guess what that would be regulated yeah we don't do that today yeah that is not what aura does but take that vision for a moment and imagine what that could be, wow, that's a really compelling idea that people could really understand their health in a, you know, not in a annual checkup kind of way, but in a minute to minute kind of way.

31:49So I'm curious, as you look ahead, you've had remarkable scale journey in a very short period of time. There has been, Scott Galloway has been talking about a fitness rundle, revenue bundle for some time now that someone is going to roll up several of these companies or Peloton, Strava, all companies to get mentioned in this. Do you see yourself as part of a much bigger fitness company where you are either leading or taking part in a roll-up of these bigger companies? How do you see it playing out? I don't think you can really say how it's all going to land. I do think that this idea of a health OS, which is all of your data, all the entities and context about your data, all your history, maybe even your medical records at some point, whether that's distributed or centralized, whether that lives in a walled garden or, you know, in a bunch of apps that are, you know, user choose, user decides, I don't know.

32:43I don't know how that plays out. I think it's too early to kind of call that. I also tend to think that like, particularly as you start to get to very large scales of users, members, humans, the degree of difference between each pocket of human means that it's very hard to generalize something for all of them. In fact, I think this is kind of the problem with medicine, which is medicine is practiced on the averages and pharmaceuticals are dispensed on the averages. In fact, in many cases, the averages are based on men, not women. So women have been historically underserved by medicine because people weren't studying women's physiology in clinical trials up until the last 20 years or so.

33:25Okay. So I think this idea that it's not going to be one system for everybody, and maybe that's not scalable, but I think the thing is that it might be different solutions for each person. The person who is managing chronic fatigue syndrome or long COVID, very different from the person who's training for a marathon. Very different from the person who's trying to lose weight. Very different from the person who is going through menopause and has lost sleep and is gaining weight. Very different from end, end, end, end, end. And so it's probably not one product or even one platform. Now, do I think Aura has a really important role to play in that?

33:57Yeah, I think we can be feeding data to the people who are really solving problems in a really specific and really meaningful way. Great having you, Tom. Thanks for being here. Thank you. From the moment Tom Hale wrote his letter to the Aura team, asking them to give him, a super fan, a chance to be its next CEO, he's been hell-bent on taking the company to the next level. It's thrilling to see his passion in action and all the innovation he's inspiring. I'm Jeff Berman. Thank you for listening.

34:34Meet Nicole Nicholas, Capital One business customer and co-owner of Ansett Uncles, a plant-based restaurant and community space in Brooklyn, New York, that got its start from a need for unity. The inspiration, it was born from the desire to create a space that felt like home, where we can connect community culture, good food, and come together with family and friends. That's how we birthed aunts and uncles. Nicole and her husband, Mike, were fulfilling their dream of bringing people together out of their home kitchen. But they soon learned that the demand for community was greater than they knew.

35:05It became overwhelming and we were like, we need home, but not in our actual home. We realized that there was also a need in our community for something bigger in our neighborhood. So we had to find a place. Moving from a home operation into a storefront was a huge next step, but Nicole and Mike were able to take it on with the help of Capital One Business. It's not for the weak as a small business. Finding resources is super important because that's the way you'll be able to manage and scale. We would have never done that without having Capital One to be able to help us along the way. The cashback rewards are very helpful.

35:41You know, it just gave us that runway to be able to breathe a little bit. Then you get to focus on the cooking of the food and making the experience great. To learn more, go to CapitalOne.com slash business cards.

36:23Thank you.

From the publisher

After using an Oura Ring helped him through a stressful transition, Tom Hale decided he wanted to help the health tracker reach new heights. Tom has led the company in a chapter of impressive growth since becoming CEO in 2022. In this episode, he sits down with host Jeff Berman to reveal how he translated lessons from his time leading software companies to innovate features, build partnerships, and more than double the number of Oura Rings sold.

Read a transcript of this episode: https://mastersofscale.com

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