Sean Spellberg
99 posts


I just chatted briefly with Sean about the oppt and it is as good of a shot as you will get. Real impact to someone who's feeling deep pain and is ready to go.
There's gotta be a dissatisfied SWEs/vibe coder supremes who can absolutely fly in this role.
Sean Spellberg@seanspellberg
I’m looking for builders on Codex. People who can sit next to me and turn messy operational problems into working software. You’d be helping me build tools across a scaled healthcare platform - automation, data pipelines, workflow systems, AI tooling, decision dashboards.
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If this sounds interesting, reach out.
sean.spellberg@pinnaclehomecare.net
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@SBA_Matthias Core issue is SBA lenders target 70-90% LTV so the layer of 2L you can provide is too skinny to make the math work. Either dollar returns are too low or debt service is too high. Happy to catch up again if you have further questions. Looked into this fairly extensively.
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Expanding on this a bit further for those not familiar with the idea
Under the current SBA lending guidelines, banks have the ability to extend up to $5 million through the SBA 7(a) loan program to business buyers that are seeking SBA financing to buy a business
Matthias Smith, CEO - Pioneer Capital Advisory LLC@SBA_Matthias
If you were an LP in a mezz debt fund that did parri passu debt deployed alongside an SBA 7(a) loan, what interest rate would you need to have your capital deployed at to make it commercially sensible for you to be in a junior position behind the SBA lender? cc: @RobertMSterling @investing_law
Wisconsin, USA 🇺🇸 English

Are you bootstrapping in healthcare? I would love to talk to you.
Bootstrapping early stage until you are ready for a growth round is a current darling concept in mainstream tech, but I admittedly don’t see many examples in healthcare (outside clinicians starting private practices). Possibly bc of the unavoidable ops costs and long sales cycles in most businesses?
Wondering if there is a “bootstrap lite” financing and/or low equity take studio structure needed in our industry.
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@coryDwake Home health is a core focus for us at @plutoloans. Would love to chat sometime and share what we’re seeing in the market!
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Home health is an extremely tough business with profit margins as low as 3.4% - 4.9% for some of the biggest players.
Demand is accelerating, but the business model has very little operating leverage.
It's a hamster wheel where almost all incremental revenue requires additional staffing costs, and high caregiver turnover means it's a race to the bottom as providers outspend one another to keep staff.
On top of that, Medicare is contemplating rate cuts and managed care penetration is driving margins down (MCOs pay less than Medicare).
Important work, but an extremely tough business.

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The 3P AAA snowball for Switch 2 is going to have a profound impact to the bottom line - amazing how many miss this given the pure margin incrementals $NTDOY Nintendo’s 10-Year Deal With Microsoft Covers All Future Activision-Blizzard Games exputer.com/news/industry/…
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@rex_woodbury Highest grossing IP. And you could argue Pokemon is STILL under monetized.
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