OnSite Makes Fast Company List of The 10 Most Innovative Small and Mighty Companies of 2021

The 10 most innovative small and mighty companies of 2021

BY FAST COMPANY STAFF

For the first time in Most Innovative Companies history, we decided this year to showcase organizations with fewer than 50 employees. Initially, we thought that this inaugural Small and Mighty list would be a nice venue for recognizing companies that are driven by an audacious idea, but whose impact is still nascent. Ultimately, however, we were blown away by the way in which these organizations have punched well above their weight, from creating a new kind of insurance product to slaking our to-go order thirst to giving us a viable digital bookseller that’s an Amazon alternative.

1. THIMBLE

For selling insurance by the pound

Thimble, which launched in 2019 (after an earlier incarnation as Verifly, a drone insurance provider), offers small businesses instant, flexible insurance policies, reinventing both the process and the product. Tell Thimble where you’re located, the work you’re doing, if you’re licensed, and how long you need insurance, and if the company offers this kind of coverage, it will spit out a quote in less than a minute. The policies are offered on demand, and they can last one hour, a day, a week (depending on the type of insurance), or via monthly or annual subscription. The price goes down in subsequent months. Coverage can be paused, upgraded, or canceled without penalty, and the company serves more than 200 job types. In July 2020, Thimble introduced its API so that its insurance could be offered on marketplaces such as Angie’s List. The New York-based startup also partnered with Hiscox, ostensibly its rival, to sell Hiscox customers Thimble’s on-demand insurance services. These deals and product enhancements helped the company grow revenue 128% year over year, and since its inception, it has sold more than $175 billion in coverage.

2. PLEDGE

For transforming Zoom gatherings into charity fundraising opportunities

Pledge offers tools that enable anyone to raise funds for their preferred nonprofits. Originally designed for businesses to raise money easily for charitable causes, in the wake of the pandemic, the company extended Pledge to be available to everyone for free for all fundraising. It integrated with Zoom so that virtual events could become fundraising opportunities, and it built dedicated tools for individuals, including text-based fundraising. For its core corporate customers, it offers such features as checkout-based solutions for rounding up to donate or just adding a donation while going through the payment process. Pledge runs impact programs for more than 4,000 businesses and supports more than 2 million not-for-profit organizations. Transaction volume doubled in 2020; it attracted over half a million individual donors, and well over 150,000 virtual events included Pledge-powered fundraising, from the OutsideLands’ 2020 festival, dubbed “InsideLands,” to Ringo Starr’s 80th birthday party, which raised money for Black Lives Matter, the David Lynch Foundation, MusiCares, and WaterAid.

3. BOOKSHOP.ORG

For offering book shoppers a happy alternative

Bookshop.org is an online bookstore that launched in January, 2020 with a mission to financially support local, independent bookstores. Here’s how it works: Bookstores—the site has partnered with more than a thousand in the United States—set up their own curated storefronts on Bookshop for free, and they receive 30% of sales made through those storefronts—reaping the entire profits. Customers, particularly those loathe to support Amazon, can shop millions of titles directly on the site. Bookshop allocates 10% of the cover price from purchases not affiliated with a particular storefront to a profit-sharing pool for independent bookstores. The Brooklyn-based Benefit Corporation raised more than $11 million for indie bookstores and welcomes more than 2 million visitors per month. During the pandemic, Bookshop has proved a lifeline for many local booksellers, which are poised to emerge as vital community hubs when lockdowns lift.

4. ONSITE WASTE TECHNOLOGIES

For making medical waste more easily disposable

OnSite Waste Technologies has created a connected device that can turn regulated medical waste, such as used syringes, into normal trash, which saves customers money and makes workplaces safer. TE-5000 is an IOT device that uses heat to sterilize and destroy waste and tracks customers’ waste processing. The California-based company’s subscription model costs 25% to 70% less than the traditional waste-hauling model, takes care of customers’ regulatory paperwork, and maintains container inventory via an auto-replenish model. Onsite Waste says it doubled its business a couple times in 2020 and should end the year with almost 1,000 units in the market.

5. BUBBLE

For enabling anyone, not just engineers, to build apps

Bubble is a “no-code” web application development platform that empowers people without programming skills to design, develop, and launch their own marketplaces, web products, or tools for solving their business problems. Bubble features more than 1,000 integrations and plugins that extend the core functionality of the platform; last year the New York City-based company built and supported several major no-code integrations, including Airtable, Figma, and Zoom. Bubble says there were 15 times the number of new monthly paying customers on the platform in November 2020 vs. November 2019, with annual revenue having increased by 240% year over year. Since April, the company has held more than 100 app-building bootcamps for more than 1,000 students worldwide and released more than 50 free tutorials.

6. XP HEALTH

For training the focus on a new era of corporate benefits

XP Health is the world’s only AI-powered vision benefits platform covering employees and their families, helping companies provide 10X better coverage at a fraction of the cost. The company started 2020 by offering vision care services (from eye exams to finished glasses in one hour) to employees working in-person at such companies as Zoom, Twilio, Udemy, Chegg, Zenefits. When the pandemic hit and sales plummeted quickly to zero, XP Health created a “convolutional neural network” that uses computer vision techniques compatible with a smartphone or desktop camera to measure the unique facial dimensions and pupillary distance between the eyes of each client. Each client then receives personalized eyewear recommendations online, selected glasses frames delivered to their home for in-person trial, and next-day delivery of their new prescription or protective eyewear. Since launching this new online platform in July, XP Health, which is based in Redwood, CA and has fewer than five employees, has multiplied its client base three times and seen 1,250% more glasses sold per corporate client, compared to its original onsite business model. Meanwhile, XP Health’s clients, which have more 10,000 employees combined, claim a $70,000 productivity increase for every 100 employees; more than $250 in eyewear savings per employee; and a 99% employee approval rating.

7. ZENERNET

For reflecting what users want from a solar energy company

Solar power has been gaining ground among homeowners for years, but barriers to adoption persist even for the most interested parties, particularly the hassle of installation and opaque pricing structures. During the pandemic, these factors became even more of an obstacle. But Zenernet, a four-year old company founded in Kansas City, spent 2020 overcoming them, making solar energy more practical, affordable, and transparent for more people. The company embraced remote sales early, enabling a greater rapport between consultants and homeowners. Virtual home visits eliminated the need for a technicians’s onsite measurements and proved both faster and more accurate (and led to a nearly 100% completion rate). Zenernet also became the first to introduce a modular pricing structure and instant, firm quote, based on a users’ address and energy usage. Customers responded to its user-friendly focus and commitment to transparency: Year over year sales were up 45% in 2020, while revenue ($9.4 million) was up 88%.

8. TRACTOR BEVERAGE CO.

For quenching our thirst for a better-for-you restaurant beverage

The Idaho-based startup, created by an organic farmer, sells certified organic, non-GMO drinks, both carbonated and non-carbonated, and free of artificial flavors and preservatives. It sells them to restaurants, offering unconventional flavors such as orange blossom and spice, cucumber, and lemongrass. Tractor Beverage Co. also differentiates itself by selling its drinks as concentrates, eliminating cost and waste for its vendors. Tractor’s offerings had started to find an audience in several hundred fast-casual restaurants, such as Jose Andres’ Beefsteak and PokeWorks, but then the pandemic-related shut down of most dine-in services forced both Tractor and its customers to adapt. The company developed its first packaged drinks, in resealable bottles, for Chipotle in just eight weeks. The bottled teas, lemonades, and agua frescas gave the burrito slinger an easy add-on option to its takeout and delivery orders, increasing the average check size and helping Chipotle double digital sales year over year compared with 2019, more than $2.5 billion. It also enabled all its customers to self-fill bottles for its to-go orders, supplying the empties and improving their margins on drink sales. Tractor is now selling 300,000 drinks a day from 3,500 “pouring partners,” and sales of its drinks grew 475% in 2020.

9. TONIC.AI

For parsing big data

As companies large and small accumulate petabytes of data from users, they have to deal with several layers of complexity around how to use it most effectively, from adhering to regulatory requirements to managing data that lives in different parts of a company’s ecosystem. Tonic.ai is a pioneer in the burgeoning field of data synthesis, helping customers create a representative subset of their data from multiple databases, which speeds product development and testing while preserving customer privacy. Developers can then create new products—in fields from healthcare to edtech to e-commerce—without exposing any data, either to those working with it or putting it at risk of a breach. (Tonic.ai also sets up its platform on premise as a matter of course, to further mitigate any data vulnerability.) Customers include eBay, Flexport, and PwC, and 2020 revenue grew several hundred percent from 2019.

10. HARBINGER VENTURES

For investing in the future

The future is female, and Harbinger Ventures is betting on female entrepreneurs (or mixed-gender founding teams) in addition to focusing on early-stage consumer brands in underserved niches. Harbinger’s portfolio is designed both to deliver consistent, upper-quartile returns and cross-pollinate in a way that enhances the overall value of all the companies. In 2020, Harbinger decided on the novel approach of giving each founder it works with equity in the total fund, creating an incentive for them to find ways to collaborate. For example, Usual Wines, which sells high-quality, single-serving wines in elegant bottles, partnered with fellow Harbinger-backed oenophile discovery brand Vinebox for a limited-edition “12 Nights of Wine” holiday package that quickly sold out. In addition to backing female-led teams, Harbinger also has made a concerted effort to add female board leadership to its portfolio companies, which notably include Jennifer Garner’s Once Upon a Farm food startup. Fifty-seven percent of the board members across the companies it backs are female, and portfolio companies grew revenue more than 50% in 2020.

A version of this article appeared in the March/April 2021 issue of Fast Company magazine.

OnSite Featured in Fast Company Article Today

02-05-21

WORLD CHANGING IDEAS

The COVID-19 vaccine rollout is going to create a massive waste management problem

How do you dispose of 660 million extra needles?

By Kristin Toussaint

An unintended consequence of COVID-19 safety procedures has been a surge in trash, from face masks to gloves to, now, the discarded syringes and needles from COVID-19 vaccines. If laid end to end, the needles from the number of vaccine doses needed to inoculate the entire U.S. population—about 660 million—would create enough waste to wrap around the Earth 1.8 times, according to OnSite Waste Technologies, a medical waste disposal company. It’s certainly worthwhile trash to create, but with the vaccine rollout in full effect, and President Joe Biden’s goal to deliver 100 million vaccinations in his first 100 days underway, companies that manage medical waste are having to handle this uptick.

Each needle, syringe, vial, and packaging joins the waste from approximately 198 million doses of influenza vaccine the CDC produced for this season, says Jim Anderson, vice president of product management and innovation at medical waste disposal company Stericycle, in a statement. “Fortunately, this waste isn’t being generated all at once, but rather in phases as the vaccine is rolled out across priority groups,” he notes. “Additionally, while the industry may see an influx of sharps waste, that volume is being offset by declines in waste volume in other areas such as elective procedures.”

Medical waste such as masks or needles isn’t something people thought about before 2020, says Amesh Adalja, a senior scholar at the Johns Hopkins Center for Health Security, whose work focuses on pandemic preparedness. But during the COVID-19 pandemic, this issue has become more visible. “There’s so much personal protective equipment being worn by the general public in terms of masks that people are worrying about it and [wondering] are those masks being disposed of appropriately?” he says. And regarding biohazard waste “in terms of the needles and syringes,” he adds, “there clearly is going to be an uptick in that type of waste.” At least we know how to dispose of needles, he adds, especially considering how many children get vaccinated each year.

So what will happen to all the added waste from COVID-19 vaccines? The normal medical waste disposal process goes like this: Hazardous or infectious medical waste gets put in sharps containers and picked up from healthcare facilities and transported to processing centers to be autoclaved, meaning it’s sanitized with high-pressure steam in an autoclave machine, before it’s sent to landfill alongside other trash. Along with the needles and syringes, glass vaccine vials go into sharps containers, as they can’t be recycled. Other waste, such as the box that held the vial trays and general packing materials, may be sent back to the manufacturer (Pfizer actually requires this to help “fulfill its commitment to reusable resources”).

When waste isn’t picked up by a disposal company right away, it has to be stored on-site. That means the added volume of all this waste could still pose challenges for small healthcare facilities, which, unlike large hospitals, may not have space. For those offices, OnSite Waste Technologies says it has a solution with its TE-5000 machine. That machine can get filled up with needles just like a sharps box, and then it heats up those needles for 90 minutes at 380 degrees, sterilizing and also melting down the items to reduce their total volume.

“When we’re done processing it, it goes from a full container down to a very small brick of plastic and needles that are encapsulated,” says OnSite CEO Brad Barnes. “We’re reducing the wasteload before it leaves the facility, and when we’re done with our technology, that percent that is left is now municipal waste and can be thrown directly into the trash.” Barnes says the machine can reduce waste volume by 80%, which means less volume in landfills and a smaller carbon footprint because of fewer truck trips to haul away the waste.

OnSite, a Newport Beach, California-based startup, secured $3.5 million in venture capital funding in October, bringing its total funding to $8.5 million. Barnes is realistic that his device won’t disrupt the entire medical waste market, at least not for hospitals. But for clinics and smaller facilities, he thinks a new way of disposing of this waste could make a difference, especially amid the pandemic. Eventually, OnSite hopes to be able to recycle that brick of plastic that comes out of its machines.

As for the other pounds of COVID-19 vaccine discards that won’t be melted down into such bricks, they may just end up in landfills. One day, Adalja says, we may get our vaccines through patches—which could eliminate the medical waste that comes with injections, according to the CDC foundation—but those haven’t yet been approved for commercial use. In the meantime, the COVID-19 vaccines are injectables, and that means needles, syringes, and vials will pile up—but for now, it’s worth it. “The benefit of the vaccine outweighs any concerns about that type of medical waste that’s being generated,” Adalja says.

Vessel Raises $14.5M Seed Round Brings Wellness Tracking From The Laboratory Into The Home

Personalized Health Testing Helps Members Feel, Perform and Live Better

SAN DIEGO, Jan. 27, 2021 /PRNewswire/ -- Vessel, the new at-home wellness tracker that helps you to access, understand, and optimize your health and wellness from the comfort of home, today announced a $8M funding round, bringing its total seed funding to $14.5M. The round is being led by Monogram Capital Partners, a leading consumer growth firm. Additionally the round includes participation from Able, BFG, Cove and Sidekick; alongside angel investors Dave Asprey (Bulletproof 360 Founder), Jared Leto (actor), Jarret John "JJ" Thomas (pro snowboarder) and Kelly Slater (pro surfer). Vessel launched in November 2020 and has sold over 100,000 test cards.

"Vessel's technology enables people to assess their health and wellbeing from the comfort of their own homes at a time when the focus on wellness optimization has never been more prescient," said Jared Stein, Co-Founder & Partner of Monogram Capital. "We are strong believers in the shift toward at-home diagnostics as the next wave of innovation enabling consumers to assess and optimize their personalized nutrition needs on a far more real-time basis than the traditional annual doctor's check up. I believe Vessel is extremely well positioned to lead the way in this space and look forward to seeing the company grow as it continues to add even further functionality to its offering and build an integrated ecosystem of health services around it."

Vessel allows members to test 10 different health metrics in less than 10 minutes for around $10. Users simply pee on one of Vessel's wellness cards, scan the card using the Vessel app, and receive their "low," "good," or "high" biomarker ratings to determine what may be affecting things like their energy, stress, and immunity. Biomarkers tested include Vitamin B7 (Biotin), Vitamin B9 (Folate), hydration, Vitamin C, Cortisol, Magnesium, Ketone A (AcAc), Ketone B (BHB), pH, Creatinine, and Calcium. The app then provides tailored plans to help users instantly understand what nutrition and lifestyle changes will make the biggest impact for them. Daily, weekly, and monthly membership packages are available, so users can try out their custom recommendations and then continue to test over time to see if those changes are making a difference. Vessel recommends weekly testing, which is available for as low as $35 per month.

"The science is clear: our bodies perform better when we optimize them. I've experienced how impactful testing and optimizing your nutrient levels can be when it comes to sleep, energy, and brain function. Now, anyone can make meaningful changes without a trip to the doctor or spending thousands of dollars on lab work. The feedback we are getting from customers is phenomenal; they are feeling a difference in a matter of weeks," said Jon Carder, Founder and CEO of Vessel. "The support of Monogram Capital, Able, BFG, Sidekick, Cove and MVP authenticates our mission to help people around the world feel and perform better."

Vessel wellness memberships are available for purchase at www.vesselhealth.com and the app is available to download via the Apple App Store. Every purchase supports Vitamin Angels, a charity providing lifesaving vitamins to mothers and children at risk of malnutrition.

About Vessel
Vessel is an at-home wellness tracker that helps you  access, understand, and optimize your health and wellness from the comfort of home. With Vessel, you can test 10 different health metrics in less than 10 minutes for around $10. Vessel works with some of the best doctors, nutritionists, and scientists to create its wellness cards and build food, supplement, and lifestyle recommendations tailored to you based on your results. A variety of membership plans enable you to see how your diet, supplements, and lifestyle affect your body over time so you can start to feel and perform better. With Vessel, the science of feeling great fits in the palm of your hand.

For more information, please visit vesselhealth.com or follow us on InstagramTwitterFacebook, and YouTube.

About Monogram Capital Partners
Headquartered in Los Angeles, CA and founded in 2014, Monogram Capital Partners focuses exclusively on investing in high-growth consumer and omnichannel brands with approximately $400 million of capital under management.  The firm seeks to partner with Founders and strong management teams, typically investing $5-40 million of equity per transaction backing brands including Chewy.com, Oatly, Country Archer, Olipop, Vive Organic and Foxtrot.  Vessel Health represents the firm's twenty-third portfolio company.  To learn more about Monogram, please visit: www.monogramcapital.com.

Carlsmed Raises $10M to Commercialize Breakthrough aprevo™ Devices

December 16, 2020 08:00 AM Eastern Standard Time

SAN DIEGO--(BUSINESS WIRE)--Today, Carlsmed, Inc. announces the close of a $10M Series A financing to commercialize the aprevo family of spine deformity correction devices. The San Diego-based medical device company is focused on improving outcomes for patients with adult spinal deformity. Carlsmed has pioneered a novel digital + surgical solution to create optimized surgical plans and personalized aprevo implants to enable superior correction of the spinal deformity. This round of financing is led by U.S. Venture Partners (USVP) and includes participation from The Vertical Group, Cove Fund, and Wavemaker Three-Sixty Health, among others.

“This round of financing comes at the perfect time to meet surgeon and patient demand for the newly launched Breakthrough aprevo devices,” said Mike Cordonnier, CEO of Carlsmed. “U.S. Venture Partners is the right fit for our digital + surgical company, being the leading Silicon Valley VC focused on early stage IT and healthcare. Their track record of building and scaling transformative companies is second to none.”

New Company Directors Named

In conjunction with the Series A closing, the Company announces the appointment of three highly accomplished directors to the board, Jonathan Root, M.D., Phil Young, and Kevin Sidow.

Dr. Jonathan Root is a General Partner at USVP and is currently serving on the board of Inari Medical (NARI), Silverback Therapeutics (SBTX) and several private USVP portfolio companies including Cleave Biosciences, eFFECTOR Therapeutics, Edgewise Therapeutics, HealthJoy, Nuvaira, Okami Medical, Omada Health, Ribon Therapeutics and Route 92 Medical.

Phil Young previously represented USVP on the boards of Aerogen, CardioThoracic Systems, CardioVascular Imaging Systems, CoCensys, Compugen, FemRx, Penederm, 3Dfx Interactive, Vical, Xoma, RelayHealth, Synarc and St. Francis Medical Technologies, all of which became public companies or were acquired.

Kevin Sidow brings more than 35 years of operational and corporate governance experience in spine and orthopedics. Kevin is past CEO of St. Francis Medical Technologies and Moximed, as well as past Worldwide President of DePuy Orthopedics, a Johnson & Johnson Company.

Frank Fitzgerald joins as VP of Sales

The company also announces the expansion of its commercial team with the addition of Frank Fitzgerald as Vice President of Sales. Frank is responsible for building the Company’s sales and distribution channels in the US. He brings to Carlsmed more than twenty-five years of success in launching spine surgery devices at startups and market leaders including Medtronic, Innovasis and Misonix.

About Carlsmed

Carlsmed is leveraging Machine Learning technologies and prior outcomes data, to personalize the treatment of complex adult spinal deformities. The Company’s proprietary aprevo solution makes surgical plans and devices tailored to the precise medical situation of each patient. Our mission is to transform healthcare by finally giving spine surgeons the tools to obtain better results at a lower cost of treatment while helping adults regain their active lifestyles.

Carlsmed is an alumni of EvoNexus, California’s most successful nonprofit startup technology incubator, and is a Connect | San Diego Venture Group 2020 Cool Company.

About U.S. Venture Partners (USVP)

USVP is a leading Silicon Valley venture capital firm, partnering with entrepreneurs to transform their ideas into world-changing companies. USVP has invested in over 500 companies spanning four decades, including: Box, Check Point Software, Guidewire, HeartFlow, HotelTonight, Imperva, Inari Medical, Inspire Medical Systems, Intersect ENT, Luminate, Omada Health, Pluto TV, Prevoty, Sequent, ThreatMetrix, Trunk Club, Trusteer, Vontu, Yammer and Zerto. USVP focuses on early-stage start-ups that transform cybersecurity, enterprise software, consumer and healthcare. The USVP team consists of former entrepreneurs, technologists, corporate executives, and financial professionals who assist with strategy, scaling, team building, product development, and business development. USVP is based in Menlo Park, California.