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Feature Story
 
  by Myke Folger
As a CEO, it’s one of those problems you want to have: a sudden rush of customers. A dream singed with nightmare potential. Each of these California companies faced it recently and each has been absorbing it with few pitfalls.
Ancillary Care Management (ACM), co-founded by CEO Dave Willcutts and Chief Clinical Officer Thomas McNulty, was growing at a steady clip even through the turn-of-the-century tech slog. The pair each put up $50,000 of their own money to start the company in 1995. They brainstormed, planned and consulted from Willcutts’ Pasadena apartment.

Their first break came in August of 1996 when Blue Cross of St. Louis asked if they knew of a company that could help with the ancillary segment of its health care spending (coordinating home infusions or delivering equipment, such as a wheelchair, to a patient and processing it correctly). Willcutts and McNulty were still just consulting but had begun a plan to go into supplying medical equipment and providing home infusion coordination - a niche that had grown largely out of the HIV/AIDS epidemic. Business at ACM grew steadily, but it was manageable.

PUMPED UP WITH CAPITAL

But when three venture capital firms pumped in a total of $12 million during 2001 and 2002, ACM was suddenly soaring to financial heights the two founders hadn’t expected – at least not so quickly. Last year the company grossed $450 million and reached No. 9 on Inc. magazine’s list of the fastest growing companies. From 2003 to 2006 ACM grew 2,942.1 percent. Willcutts had to make timely decisions to keep the company ventilated and paced for growth.

“You’re constantly scrambling,” he says. There’s the organizing of the growth, hiring talent, making sure middle management does most of the billing at strategic times. “You’re changing the organization structure from a top level, core executive team that’s good at executing, to a structure with multi-layers of middle management – from 20 employees to 400.”

New York Mayor and business mogul Michael Bloomberg had once said the CEO of a fast-growing company has got to slow it down because trends come to an end and curves always straighten out. But those words aren’t easy for Willcutts to hear  because in some ways his life is just beginning. He had just turned 40. He got married. And he sees ACM soaring even further than it has.

“I remember when someone said when we moved past $100 million, ‘Wow, did you ever think you’d be here?’ and I said, ‘Yeah, and this isn’t good enough.’” Those words are also hard for Selina Lo to hear, although the CEO of Ruckus Wireless, a wireless network provider in Sunnyvale, sees the sense in them. “I think it is more of an art
than science in terms of when you let loose the leash and how much,” she says. “For me in general, I like three quarters of accelerated growth. In my business, I may do well in one quarter, but I need to see three quarters of sustainable growth before I
believe it is a trend.”

HITTING A HOME RUN

Drive north 20 miles on Highway 101 up from Sunnyvale to San Francisco and 32-year-old Jeff Fluhr, CEO of online ticket broker StubHub, will tell you that when he looks behind him every six to 12 months, his company looks entirely different. People have come and gone. He has moved his offices seven times from the industrial grit of the Bayview district to the spit and polish of downtown’s financial center.

What suddenly spawned stratospheric growth at StubHub was when Fluhr and Major League Baseball (MLB) signed a contract giving StubHub the league’s official ticket exchange business. Flying back from New York, Fluhr, with a company that had fewer than 20 employees, had made promises StubHub might not have been able to keep.

“We were pulling all-nighters, drinking coffee, making changes to our system, improving software code to handle the business,” he says, describing a moment that forged trust and reliance among workers. “We didn’t have a lot of resources to execute, but had to do the best we could.”

The company succeeded. But as it grew, (StubHub now has 350 employees nationally) that intimacy faded.

Ruckus hasn’t faced that problem yet – even though CEO Lo was bequeathed with $30 million in venture capital last year, has the attention of national media outlets and is holding meetings with the likes of media mogul Rupert Murdoch. Her three-year-old company has about 60 employees and manufactures multiple- input, multiple-output (MIMO) antenna boxes that speed video streaming over Wi-Fi connections.

What brought the company into national scrutiny and board room discomfort was Lo’s decision to market Internet Protocol Televison (IPTV) distribution. IPTV is pretty much a Wi-Fi connection to your TV. Ruckus started letting its service providers test the product called MediaFlex in the first quarter of 2005. It generated a lot of hype, but there were no further deployments until the second half of 2006 – and that mostly in Europe. To get anything, Lo had to time everything.

“By the middle of 2005, I had 80 carriers testing my stuff,” Lo says. “If I based my hiring on all those carriers converting to buying customers by Q4, then I would have been bankrupt. In my business, it’s slow to acquire a customer. But once you do, they can really push your volume – and that’s the hardest growth to control.”

She learned that lesson 10 years ago when she was with a start-up called Adaptive, a maker of ATM local-area networks. There were only a few companies that could compete, such as FORE Systems Inc. the brainchild of Eric Cooper, a professor of computer science at Carnegie Mellon University. But timely product deployment was essential.

“Adaptive had the best product, but it wasn’t ready,” Lo recalls. “Because of that, FORE Systems benefited – and that is something I will always remember. Timing is the most critical thing.”

At StubHub, after scoring the MLB contract, Fluhr noticed the company was growing in a business-to- business trajectory, which at the time he thought was fine. The early strategy was dependent upon that model, working with teams and media partners and leveraging others – not building a brand. It was working well, Fluhr recalls, but following that path would have precluded success because of the competition.

“We’re now a more consumer-oriented company, getting more consumers to come to the site, not just getting customers through other websites,” he says.

Then there was a second issue behind the fast growth – infrastructure. “We were growing so rapidly that a lot of the infrastructure, the people and systems in some of the less revenue-generating areas [human resources, accounting] had been less mature than a lot of the revenue-focused areas,” Fluhr says. “We always struggled there.”

Quick growth will do that, as Willcutts attests.

“It does put a strain on an organization to grow in $100 million increments annually,” he says, adding that it is common to have the current core team be completely different from the one you started with - founders included. That, he says, is one of the greatest challenges in growing, not just for him but for employees.

HITS AND MISSES

When the company found clients who did business in multiple states, some employees, who were used to regional responsibility, couldn’t take it. “You’ve got to get someone over me, I can’t handle this responsibility,” Willcutts recalls a key employee saying shortly after the company doubled in size. His head of call centers, for instance, had begun at ACM with three people under her and now she’s in charge of 150. “That’s a
great success story,” he says. Willcutts’ venture board now helps find employees who are prepared to grow alongside the company. ACM now has 350 employees nationwide and is considering going public.

Companies experiencing similar growth, Willcutts says, should focus on primary goals. His dad, a physician in Massachusetts, where Willcutts spent his teens and 20s doing home infusion from dad’s specialty pharmacy, used to tell his son to treat his future business like a residency. So Willcutts, who majored in English at Bucknell University in Lewisburg, Penn., made sure he worked at an almost “obsessive” rate to keep his company focused on infusion, specialty drugs and related nursing services, and  medical equipment. “Keeping that focus is important we believe because it’s then easier to pursue the next exciting thing.”

In January, Ruckus sold 100,000 MediaFlex systems to 125 customers throughout Europe and the United States. Lo’s goal is to take the Wi-Fi solution beyond TV and establish it throughout the house, from the kitchen to the furnace downstairs. She wants customers on their way home from work to be able click a few buttons and be able to preheat their ovens, turn on the porch light or program their TIVOs.

“I’ve always been in the enterprise phase [of a company],” she says, “and I found it fascinating that I can build a product I can use myself. It was pure curiosity that got me in the door and then once you’re in, you don’t look back.”

Also in January, eBay Inc. purchased StubHub for $310 million, a deal that will likely close by the first quarter of 2007. EBay will fuse StubHub’s technology with its own tickets business. Neither Fluhr nor eBay said whether StubHub employees would lose
their jobs.

ACM, maintains its office in Pasadena, but has since moved its headquarters to Minneapolis. It now serves more than 35 million people using managed care.



Myke Folger is a contributing editor to California CEO.

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