Problem and opportunity



Global Genes reports that 350 million people worldwide suffer from a rare disease, with an estimated 30 million in the U.S. and an additional 30 million in Europe. A disease or disorder is defined as rare in Europe when it affects less than 1 in 2,000 citizens and in the USA when it affects fewer than 200,000 people.

While each separate disease is rare, being a rare disease patient is not. In fact, 10% of the population in the U.S. is living with a rare disease. There are over 7,000 types of rare diseases, from the xtremely rare (only a few documented cases  worldwide) to the “common” rare diseases (about 350 conditions, covering 85% of rare disease patients).

Medical professionals focus on the physiology of the condition (as is their top priority), but little attention is paid to the trauma, anxiety, and worry that can accompany these conditions. Therefore, the need for emotional support is acute for these patients. Support from family and friends helps, but it is undamentally different from that of a fellow patient.

Since rare disease patients are geographically distributed throughout the world, it is difficult for them to make in-person connections with fellow patients and find the support they need in person. Thus connecting with fellow
patients online is their best alternative.

Value proposition


There are some amazing non-profit organizations all around the world doing fantastic work to raise wareness, raise money, and provide medical information to patients, friends, and family. We complement their work rather than duplicate it.

Ben’s Friends concentrates all of its efforts on creating and running compassionate, responsive patient communities. We deliberately avoid delivering medical information and focus instead on the community/emotional aspect for these patients. We ensure that patients living with rare diseases or chronic illnesses, as well as their caregivers, family, and friends, have a safe and supportive online place to connect with others like them.

Our community moderators have an evidencebased focus, and we are careful either to eliminate or to provide commentary on commercially based, pseudoscientific, or “hyped” health fads in our communities. We also have a focus on guiding our members through the five stages of grief to acceptance of their conditions, creating a culture of positivity and empowerment.

Our moderators model support “the Ben’s Friends way,” and our members learn from their example and often become moderators themselves. There is a unique spirit of fellowship and friendliness that is not to be found on other communities but is carefully fostered on all Ben’s Friends communities.

Underlying Magic


Ben’s Friends is successful because it empowers patients to advocate for themselves. Our communities are a valuable guide for members seeking to understand their diagnosis, symptoms, and treatment options.

Our volunteer moderators, who are either patients themselves or relatives of patients, believe in the mission invest their time and share their knowledge and insights with members. Ben’s Friends is also provides a friendly environment that allows for bonding.

Many a lifelong friendship has been forged on our communities. Every member who arrives on one of our communities is personally welcomed on arrival, and every post on the iscussion forum receives a response.

Most of all, we change our members’ relationships with their disease. “I have the disease; it doesn’t have me” is a mantra often repeated by members, as they gently guide each other toward effective coping mechanisms and enable our patients to live the fullest lives possible.

Staff

Business Model



Ben’s Friends is a mission-driven 501(c)(3) nonprofit with an entrepreneurial approach. We operate with very low overhead allowing us to keep our focus on our members’ experiences. We have no physical offices to keep overhead to
a minimum, and we use a small, efficient staff to manage dozens of volunteers.

Since Ben’s Friends support  communities are web-based, we serve people literally all over the world. As long as they have a phone or computer, internet access, and, in some cases, translation software, anyone can receive support and advice from a Ben’s Friends community.

We are building a social network platform customized for the needs of rare disease patients by using open source software to give us the latest cutting edge technology. Our huband-spoke model enables us to rapidly  innovate. We can easily experiment a feature on one of our communities and then roll it out it out to dozens of other communities.

We do not track what most would consider truly demographic data. Since we deal with sensitive personal health issues, Ben’s Friends works hard to maintain the privacy and anonymity of our members. 

Ben’s Friends has five revenue streams: individual non-member donations, corporate and foundation grants, business sponsorships, clinical trial advertising, and  member donations. Our primary revenue sources to date have been
individual non-member donations and corporate and foundation grants.

While we will continue to pursue member donations, we do not anticipate it becoming a significant proportion of revenue. A “typical” member is a lower-income, married female over the age of 45. We have observed that we have a large number of members that are on disability or social security. Many of the conditions our members deal with affect their ability to support themselves.

New Community Launch Process


We prioritize potential new communities by asking:


  • How many people in the US have condition?
  • Are there any good/big support communities already for the disease?
  • Do we have a moderator (any members with potential?) and/or funding?

Communities: 39
Communities greater than 1,000: 15
Members: 70,376
Unique Visitors: 147,116
Traffic: 180,560 monthly visitors
Page Views: 355,974 monthly page views
Avg. Time Site: 1:44

Planned new communities:
– Rare Disease Caregivers
– Fabry disease
– Addison’s disease
– Myasthenia Gravis disease
– Living With Chronic Pelvic Pain (CPP) (This will be a combo community for Polycystic Ovary, Endometriosis,Interstitial Cystis and possibly others)
– Living with Epidermolysis Bullosa

We have a disciplined process for launching new communities. We currently have a list of 192 rare diseases that we have identified as potential new communities through research or member recommendation.

Once we have identified a new community that should be launched, we follow a proven 4-6 step process for launching communities.

The steps in this process are executed by volunteers.

It takes an average of 8.3 months to get a new community to 100  members. Once a community is at 100 members, it tends to grow much more rapidly on its own (an average of 4.4 months to go from 100 to 200).

To help communities grow, we ensure SEO on the site, create a Facebook fan page, make social media posts about it, tell our friends and members, do  media/blogger outreach, and try to get PR support. We do this for our individual communities and our overall BensFriends.org brand,  which enables more people to hear about us.

Competitive Analysis


 

While we are not familiar with any organizations doing exactly what we do, we have identified three for profit companies that create and/or manage patient communities: Inspire, Patients Like Me, and Smart Patients.


 

Inspire

Started in 2006, it’s a social network for patients & caregivers of any disease or condition. Inspire focuses on recruiting for clinical trials (primarily cancer research). As of August 2015 they have 650,000 members. 20 people on staff (mostly programmers), 3 moderator staff and volunteers from NPOs who manage the communities. Inspire partners with NPO & Foundations (100+) to run support networks for them for free. Revenue stream is 50% from research groups and 50% from advertising on community pages.

Patients Like Me

They call themselves a “health data-sharing platform”; They take the information patients like you share about your experience with the disease and sell it to their partners (i.e., companies that are developing or selling products to patients). These products may include drugs, devices, equipment, insurance, and medical services. competitive analysis They use a lot of surveys and questionnaires to collect the data their clients want. Patients Like Me receives revenue from selling patient data: “We take the information patients like you share about your experience with the disease and sell it to our partners (i.e., companies that are developing or selling products to patients). These products may include drugs, devices, equipment, insurance, and medical services.”

Smart Patients

Online communities for patients and caregivers which has a built in clinical trial finder. Smart Patients focuses primarily on oncology and has about 75 communities. Smart Patients partners with medical centers and provides them with regular updates about the topics the communities are talking about to help them understand how to improve the patient experience. For example, they learn how patients can better prepare for upcoming appointments or how they can improve the hospital discharge process. They design surveys and online focus groups with their medical center partners and invite members of Smart Patients to participate in them. They also share anonymous information with research partners about how patients are using the clinical trial search tools.

Team


Management


Ben Munoz,
President, Co-Founder, and Board Member

Ben created our first patient community, AVMSurvivors.org, so that he could find someone to connect with while recovering from an AVMrelated stroke. Ben and his friend Scott Orn realized what an impact a compassionate community could make in patients’ lives and began creating more patient communities for people with other rare or chronic conditions. Ben was formerly a software developer at eToys and IVT. Ben is a graduate of Stanford University and Kellogg School of Management and was formerly a student of Baylor Medical School. He is also an e-commerce entrepreneur and lives in sunny Austin, TX.

Todd Hall,
Development Director

Todd Hall has been serving nonprofit organizations in the areas of leadership, management and fundraising since 2000. From childhood, Todd has been captivated by the process of bringing visions, concepts, and ideas to life–regardless of the context. Todd’s top five strength themes are Strategic, Learner, Relator, Context, and Futuristic. Todd is a frequent speaker and teacher in his local church and community. He is a graduate of the University of Georgia (BBA) and the University of Richmond (J.D.). Todd resides in Atlanta, Georgia with his wife Priscilla and their two children.


Board of directors


Scott Orn,
Co-Founder & Board Memberr

Scott is a friend and Kellogg classmate of Ben’s and provided support to Ben while he recovered from his AVM rupture. Inspired by Ben’s efforts to build a community for AVM patients through AVMSurvivors.org, Scott saw the potential to help other patients coping with rare or chronic conditions by forming additional communities. Together, Scott & Ben co-founded Ben’s Friends to help patients around the world support each other. Scott is also the Chief Operating Officer of Kruze Consulting, a Startup CFO Consulting Firm. Before joining Kruze Consulting, Scott was a Partner at Lighthouse Capital Partners, a venture capital lending fund. Scott is a graduate of UC Berkeley and Kellogg School of Management.

John Stamler,
Treasurer

John is very pleased to be a member of the Ben’s Friends family, which he joined in June 2010, when Ben’s Friends had only 6,000 members. John joined as a patient member, one month after a successful open heart surgery to close an Atrial Septal Defect, a rare condition. John ran a marathon for Ben’s Friends less than six months after heart surgery, and he has raised over $20,000 by running three marathons to raise awareness and money for Ben’s Friends. John enjoys regularly speaking at conferences across Europe and the U.S. to raise awareness for Ben’s Friends, to collaborate with others in the rare disease world and to seek out potential partners. In 2015, he hopes to find more unrestricted grants to support BF. John lives and works in London.

Eric D. Kroll,
Secretary

Eric is thrilled to be part of the BF team helping people with rare diseases find support. He helped launch the fifth BensFriends.org community when he joined in 2009, back when BF had only about 1,000 members. Eric currently works as an entrepreneur and investor/consultant for highgrowth companies, helping with growth strategy, connections, marketing, product/business development, customer loyalty/experience, and fundraising. He previously spent time at American Express, StubHub, and a variety of other companies. Eric is a graduate of Brown University and Stanford Business School. He resides in NYC and is passionate about making a difference, sports, games, and travel.

Patrick Sullivan,
Board Memberr

Patrick Sullivan is a co-founder at 2600hz (a Unified Communications Platform) with a degree in Computer Science from UCSB. Outside of working on changing the way people communicate, he enjoys throwing large events to help raise funds and awareness for foundations like Ben’s Friends.

Jeremy N. Block

Jeremy is a nationally recognized expert in the research and regulatory side of healthcare for digital health, and pharma/biotech/devices. Dr. Block has expertise in human subjects protections and was the youngest Institutional Review Board Chair of a Top 15 medical center in the United States before starting Venture Catalyst. He contributed to the early development of Apple ResearchKit where he co-designed the first eConsent platform on a mobile device and is involved in ResearchStack for Android. He is a Scholar at the HITLAB in New York City and a co-investigator and executive director at Memorial Sloan Kettering Cancer Center working on digital health trials for cancer genetics with colleagues from, Dana Farber, UPenn, Beth Israel Deaconness, and Cedars Sinai. He is also an Adjunct Professor of Public & International Affairs at Baruch College, CUNY. Dr. Block adds value to investors in their due diligence process by assessing company pitches and business plans for technical/scientific merit, regulatory feasibility, R&D planning, policy context, and quality of the management team. In particular, he can layer his knowledge of upcoming regulations in the space on the criteria many accelerators and investment firms use to inform their decision-making. Past organizations include: Duke University, US Office of Management & Budget (Bush & Obama), The City of New York (Bloomberg), The National Academies, Rutgers University, Icahn School of Medicine at Mount Sinai. Jeremy lives in Manhattan where he’s a die-hard Mets fan and active runner (though not at the same speed as when he was a D1 harrier in college). He’ll try just about any unique food once. He holds a bachelors in chemistry and biology, a masters in public policy, and a doctorate in biochemistry; all from Duke University. More on his LinkedIn.


Growth projections


2018
60 Communities
130,000 Members
2019
120 Communities
255,960 Members
2020
240 Communities
511,920 Members
Program
Expense
GA & FR
Expense
Program
Expense
GA & FR
Expense
Program
Expense
GA & FR
Expense
81% 19% 84% 16% 87% 13%
Program Stuff $144,150   $194,550   $295,350  
Admin Stuff $36,650 $42,050 $52,850
Online Communities
Hosting
$14,400 $28,800 $57,600
Webiste hosting &
registration
$1,500 $1,650 $1,815
New community launches $9,000 $18,000 $36,000
Supplies $300 $330 $363
Software subscription $700 $770 $847
Postage & shipping $700 $770 $847
Insurance - non-employee
related
$2,000 $2,200 $2,420
Advertising expenses $500 $550 $605
Marketing & outreach
expenses
$500 $550 $605
Payroll processing fees $350 $385 $424
Blank fees $100 $110 $121
Meals, meetings $350 $385 $424
Sub-totals $170,750 $40,450 $244,870 $46,230 $392,822 $57,448
Total Annual Budget $211,200 $291,100 $450,270
Annual cost per member $1.62 $1.14 $0.88