1 00:00:00,160 --> 00:00:02,680 Speaker 1: At kind Body, our clinics are unique. They're not your 2 00:00:02,680 --> 00:00:06,440 Speaker 1: typical doctor's office. They're not sterile white walls. They're warm, 3 00:00:06,519 --> 00:00:08,440 Speaker 1: they're inviting, they're more spa like. 4 00:00:08,840 --> 00:00:11,240 Speaker 2: We have a radical that's an ad for a venture 5 00:00:11,280 --> 00:00:15,920 Speaker 2: backed startup called kind Body. It's a rapidly growing company 6 00:00:15,920 --> 00:00:20,119 Speaker 2: that operates dozens of fertility clinics around the US, and 7 00:00:20,160 --> 00:00:24,279 Speaker 2: it's gotten attention for its warmer, millennial friendly approach to 8 00:00:24,440 --> 00:00:29,200 Speaker 2: in vitro fertilization and other procedures. But Bloomberg's Jackie Devallos 9 00:00:29,280 --> 00:00:33,919 Speaker 2: reports that current and former employees and some patients describe 10 00:00:33,960 --> 00:00:39,400 Speaker 2: a bonus driven business model, understaffed clinics, and inconsistent safety 11 00:00:39,440 --> 00:00:42,479 Speaker 2: protocols that they say contributed to errors. 12 00:00:43,240 --> 00:00:49,080 Speaker 1: There were a few accidents that involved embryos being dropped, 13 00:00:49,280 --> 00:00:53,960 Speaker 1: being left out that had disrupted an IVF cycled, and 14 00:00:54,040 --> 00:00:57,000 Speaker 1: so that cycle was disrupted because of a mistake that 15 00:00:57,040 --> 00:00:59,600 Speaker 1: the clinic had made. And so a couple of these 16 00:00:59,640 --> 00:01:02,960 Speaker 1: accidents and left a real impression on some of the 17 00:01:03,120 --> 00:01:06,199 Speaker 1: employees who had been working there who saw this firsthand. 18 00:01:12,360 --> 00:01:15,960 Speaker 2: I'm Wescasova today on the big take the challenges of 19 00:01:16,000 --> 00:01:26,280 Speaker 2: building a new kind of fertility clinic. Jackie tell us 20 00:01:26,280 --> 00:01:27,199 Speaker 2: about kind Body. 21 00:01:27,880 --> 00:01:30,480 Speaker 1: Kind Body was founded in twenty eighteen, and it was 22 00:01:30,520 --> 00:01:33,920 Speaker 1: founded by a woman named Gina Bartazi, who was a 23 00:01:33,920 --> 00:01:36,959 Speaker 1: real veteran in the IVF industry. She had started two 24 00:01:37,040 --> 00:01:40,240 Speaker 1: other businesses that had grown to become what was one 25 00:01:40,280 --> 00:01:42,839 Speaker 1: of the largest fertility networks in the country at the time, 26 00:01:43,280 --> 00:01:45,720 Speaker 1: and it came onto the scene at a time when 27 00:01:46,360 --> 00:01:51,120 Speaker 1: feminist ideals were really strong. Trump had just gotten elected 28 00:01:51,240 --> 00:01:54,280 Speaker 1: and the me Too movement was underway. She left right 29 00:01:54,360 --> 00:01:58,560 Speaker 1: before the company iPod and started kind Body, which was 30 00:01:58,600 --> 00:02:02,280 Speaker 1: intended to be a disruptor in the fertility industry, and 31 00:02:02,720 --> 00:02:05,800 Speaker 1: it wanted to achieve that by being a little bit 32 00:02:05,840 --> 00:02:10,120 Speaker 1: more accessible. It was what they called the soul cycle 33 00:02:10,360 --> 00:02:17,640 Speaker 1: of fertility. Really bright design, this colorful, warm esthetic, and 34 00:02:18,320 --> 00:02:22,080 Speaker 1: it was very intentional to attract this millennial woman that 35 00:02:22,440 --> 00:02:27,280 Speaker 1: was prioritizing her career and wanted to take control of 36 00:02:27,480 --> 00:02:30,639 Speaker 1: starting a family rather than feeling pressured to do it 37 00:02:30,680 --> 00:02:32,880 Speaker 1: at an age when they didn't feel ready. And so 38 00:02:33,440 --> 00:02:36,519 Speaker 1: they spoke to that message in their marketing and the 39 00:02:36,560 --> 00:02:39,480 Speaker 1: way they designed the clinics. 40 00:02:39,360 --> 00:02:42,560 Speaker 2: And what kind of services does kind Body provide? 41 00:02:42,840 --> 00:02:47,760 Speaker 1: So the company provides predominantly IVF, so that's in vitro 42 00:02:47,840 --> 00:02:50,520 Speaker 1: fertilization treatment as well as egg freezing. So if you're 43 00:02:50,560 --> 00:02:54,440 Speaker 1: a young woman who wants to put off starting a 44 00:02:54,480 --> 00:02:56,959 Speaker 1: family but you don't want to be caught off guard 45 00:02:57,240 --> 00:03:00,360 Speaker 1: in your forties, you can freeze your eggs and the 46 00:03:00,400 --> 00:03:03,560 Speaker 1: company stores them for you, retrieves them, takes you through 47 00:03:03,560 --> 00:03:06,200 Speaker 1: that process, and then for people who are ready to 48 00:03:06,320 --> 00:03:09,480 Speaker 1: start a family, kind Body helps you do the IVF 49 00:03:09,560 --> 00:03:14,079 Speaker 1: process if you've had trouble conceiving through traditional methods. The 50 00:03:14,200 --> 00:03:19,320 Speaker 1: company pitches itself as giving women the choice, and for 51 00:03:19,400 --> 00:03:21,400 Speaker 1: many women they don't really know when they want to 52 00:03:21,400 --> 00:03:24,240 Speaker 1: start a family, which is where egg freezing really comes 53 00:03:24,240 --> 00:03:28,000 Speaker 1: into play. And for people that have had infertility troubles, 54 00:03:28,520 --> 00:03:31,400 Speaker 1: IVF is kind of the first route you go to, 55 00:03:32,040 --> 00:03:34,880 Speaker 1: and they offer that at all of their clinics. The 56 00:03:34,960 --> 00:03:38,440 Speaker 1: difference between kind Body and some of the other players 57 00:03:38,480 --> 00:03:40,960 Speaker 1: out there is that they do this all under one roof, 58 00:03:41,280 --> 00:03:43,600 Speaker 1: and kind Body was saying, well, we have our own 59 00:03:43,720 --> 00:03:47,000 Speaker 1: brick and mortar clinics, and by doing so, not only 60 00:03:47,040 --> 00:03:49,280 Speaker 1: do we bring costs down, but we can control the quality. 61 00:03:49,600 --> 00:03:52,600 Speaker 1: We know exactly what standards we have in our labs, 62 00:03:52,680 --> 00:03:55,440 Speaker 1: we don't have to wait for clinics to get back 63 00:03:55,480 --> 00:03:57,600 Speaker 1: to us, and it kind of removes that additional layer 64 00:03:57,680 --> 00:04:00,280 Speaker 1: of friction between the patient and the doctor there. 65 00:04:01,000 --> 00:04:02,920 Speaker 2: And so how has it worked so far? 66 00:04:03,640 --> 00:04:07,880 Speaker 1: The company's gotten the support of celebrity investors like Gwyneth Paltrow, 67 00:04:08,120 --> 00:04:11,720 Speaker 1: Chelsea Clinton, Gabrielle Union, and it's gotten a lot of 68 00:04:11,760 --> 00:04:15,920 Speaker 1: clout throughout the country because it's expanded its clinics into 69 00:04:16,120 --> 00:04:20,800 Speaker 1: really buzzy metropolitan areas in New York and in San Francisco, 70 00:04:21,200 --> 00:04:24,920 Speaker 1: Santa Monica, and Los Angeles, Chicago. It also underwent this 71 00:04:25,200 --> 00:04:28,440 Speaker 1: major acquisition of a network in the Midwest that expanded 72 00:04:28,760 --> 00:04:31,760 Speaker 1: its footprint pretty much doubled the size of its network 73 00:04:31,839 --> 00:04:35,839 Speaker 1: to thirty three clinics now actually, and so they have 74 00:04:35,960 --> 00:04:39,839 Speaker 1: really gotten off the ground, not just appealing to consumers 75 00:04:39,839 --> 00:04:42,680 Speaker 1: who walk in and want to see out this treatment, 76 00:04:42,680 --> 00:04:46,080 Speaker 1: but also through the employer benefits side. So it's two 77 00:04:46,200 --> 00:04:50,200 Speaker 1: very different customer bases. So now you have companies like 78 00:04:50,720 --> 00:04:54,200 Speaker 1: Tesla and Rivian. Walmart is a major client for them 79 00:04:54,600 --> 00:04:58,360 Speaker 1: where they become the preferred provider for their employees. 80 00:04:59,160 --> 00:05:02,640 Speaker 3: Walmart's teaming up with a fertility company to offer benefits 81 00:05:02,640 --> 00:05:06,839 Speaker 3: for employees looking to expand their families. The nation's largest 82 00:05:06,880 --> 00:05:10,520 Speaker 3: retailer is partnering with kind Body to offer benefits like 83 00:05:10,600 --> 00:05:17,159 Speaker 3: IVF and fertility testing regardless of sex, sexual orientation, gender identity, 84 00:05:17,320 --> 00:05:18,919 Speaker 3: or marital status. 85 00:05:19,320 --> 00:05:22,320 Speaker 1: And so because of that, they've had to open up 86 00:05:22,839 --> 00:05:25,560 Speaker 1: more clinics in eras where those clients are, and that's 87 00:05:25,600 --> 00:05:26,920 Speaker 1: expanded their footprint quite a bit. 88 00:05:29,440 --> 00:05:31,559 Speaker 2: So, Jackie, as you say, this company's been around since 89 00:05:31,720 --> 00:05:34,560 Speaker 2: twenty eighteen, what made you want to write about it now? 90 00:05:35,279 --> 00:05:38,440 Speaker 1: At the time, I had been reporting on kind of 91 00:05:38,480 --> 00:05:42,200 Speaker 1: the health tech space and the impact of venture capital 92 00:05:42,279 --> 00:05:46,000 Speaker 1: dollars flowing into a sector where the stakes are really 93 00:05:46,080 --> 00:05:51,360 Speaker 1: high and the priorities that investors have that end up 94 00:05:51,400 --> 00:05:54,480 Speaker 1: being imposed on the companies that they back can sometimes 95 00:05:54,520 --> 00:05:59,159 Speaker 1: conflict with patient care. And this had come onto my 96 00:05:59,240 --> 00:06:02,760 Speaker 1: radar after looking at my own Instagram and my own TikTok. 97 00:06:02,800 --> 00:06:05,640 Speaker 1: I'm a thirty two year old woman and exactly the 98 00:06:05,720 --> 00:06:08,000 Speaker 1: kind of demographic that kind Body targets, and I had 99 00:06:08,000 --> 00:06:10,839 Speaker 1: gotten some of these ads for a while and got 100 00:06:10,880 --> 00:06:15,200 Speaker 1: curious about why that marketing was pretty targeted and if 101 00:06:15,200 --> 00:06:17,599 Speaker 1: anyone else was getting it. I had gotten a tip 102 00:06:18,000 --> 00:06:22,200 Speaker 1: from a user on Reddit that was commenting on kind 103 00:06:22,240 --> 00:06:26,000 Speaker 1: of their experience at the company. They were a former employee, 104 00:06:26,040 --> 00:06:28,719 Speaker 1: and they basically told me, you should really look into 105 00:06:28,839 --> 00:06:34,160 Speaker 1: those laboratories where these IVF treatments are really happening. And 106 00:06:34,680 --> 00:06:39,000 Speaker 1: it didn't take long for me to uncover some other employees, 107 00:06:39,120 --> 00:06:43,520 Speaker 1: both current and former staff, that were really concerned about 108 00:06:43,560 --> 00:06:48,040 Speaker 1: the quality of care and what the rapid expansion meant 109 00:06:48,080 --> 00:06:52,720 Speaker 1: for their ability to provide good quality care to patients. 110 00:06:53,279 --> 00:06:56,279 Speaker 2: So let's talk about that. What exactly did you find 111 00:06:57,040 --> 00:06:57,679 Speaker 2: At a couple. 112 00:06:57,560 --> 00:07:01,239 Speaker 1: Other clinics, and namely the Brian Park, New York City location, 113 00:07:02,320 --> 00:07:08,200 Speaker 1: there were a few accidents that involved embryos being dropped, 114 00:07:08,400 --> 00:07:12,680 Speaker 1: being left out that had disrupted an IVF cycle, which 115 00:07:12,720 --> 00:07:15,720 Speaker 1: is basically the process in which a woman in jext 116 00:07:15,760 --> 00:07:19,720 Speaker 1: herself with hormones, the eggs are retrieved, the embryos are 117 00:07:19,840 --> 00:07:24,200 Speaker 1: fertilized and eventually implanted, and so that cycle was disrupted 118 00:07:24,280 --> 00:07:27,120 Speaker 1: because of a mistake that the clinic had made. And 119 00:07:27,160 --> 00:07:30,360 Speaker 1: so a couple of these accidents left a real impression 120 00:07:30,440 --> 00:07:33,239 Speaker 1: on some of the employees who had been working there 121 00:07:33,440 --> 00:07:37,520 Speaker 1: who saw this firsthand. There was a couple in New 122 00:07:37,600 --> 00:07:40,080 Speaker 1: York who had sought treatment in the Prime Park, New 123 00:07:40,160 --> 00:07:45,000 Speaker 1: York City location and were looking to basically have an 124 00:07:45,000 --> 00:07:48,440 Speaker 1: embryo transfer. They had a number of embryos already stored 125 00:07:48,480 --> 00:07:51,440 Speaker 1: at the company, and when they got there they were 126 00:07:51,440 --> 00:07:56,120 Speaker 1: notified that the wrong one had been defrosted, and they 127 00:07:56,160 --> 00:07:59,280 Speaker 1: weren't really in a position to make much of a choice. 128 00:07:59,320 --> 00:08:03,240 Speaker 1: So one option would have been to refreeze the embryo 129 00:08:03,440 --> 00:08:08,800 Speaker 1: and risk that embryo being damaged, or continue with the transfer. 130 00:08:08,920 --> 00:08:12,120 Speaker 1: They decided to continue with the transfer. It didn't result 131 00:08:12,160 --> 00:08:14,840 Speaker 1: in a successful pregnancy, and that can happen for a 132 00:08:14,920 --> 00:08:19,680 Speaker 1: variety of reasons. Kind Body has said that they acknowledged 133 00:08:19,720 --> 00:08:23,200 Speaker 1: the mistake, but pointed to the fact that this doesn't 134 00:08:23,240 --> 00:08:26,720 Speaker 1: really happen that often at their clinics. Another thing to 135 00:08:26,720 --> 00:08:29,560 Speaker 1: note about this particular incident is that it was the 136 00:08:29,560 --> 00:08:32,800 Speaker 1: wrong embryo for a variety of reasons that aren't completely 137 00:08:32,840 --> 00:08:36,400 Speaker 1: clear to us. According to current informer employees, it might 138 00:08:36,440 --> 00:08:39,720 Speaker 1: have been the wrong quality embryo, it might have been 139 00:08:39,800 --> 00:08:42,880 Speaker 1: the wrong gender. It's already a really fraught time. It's 140 00:08:42,880 --> 00:08:46,520 Speaker 1: an emotional period for a family, and so even though 141 00:08:46,559 --> 00:08:50,080 Speaker 1: it didn't result in a successful pregnancy, it left them 142 00:08:50,280 --> 00:08:55,520 Speaker 1: with a lot of reticence to continue IVF going forward. 143 00:08:56,679 --> 00:09:01,360 Speaker 1: In total, we uncovered three incidents in New York. One 144 00:09:01,400 --> 00:09:06,200 Speaker 1: of them involved the wrong embryo being thought, another one 145 00:09:06,520 --> 00:09:10,480 Speaker 1: an embryo was accidentally dropped, and another one was left 146 00:09:10,520 --> 00:09:13,840 Speaker 1: out in room temperature and effectively destroyed. And in that case, 147 00:09:13,960 --> 00:09:17,960 Speaker 1: it was the woman's last embryo and extremely unfortunate because 148 00:09:18,600 --> 00:09:21,439 Speaker 1: the company's way of remedying that was to offer her 149 00:09:21,679 --> 00:09:26,600 Speaker 1: unlimited IVF cycles forever, but she ultimately was not able 150 00:09:26,600 --> 00:09:28,160 Speaker 1: to conceive at kind Body. 151 00:09:28,720 --> 00:09:31,480 Speaker 2: And what did kind Body say when you asked them 152 00:09:31,520 --> 00:09:34,800 Speaker 2: about each of these incidents at the New York location. 153 00:09:35,440 --> 00:09:39,880 Speaker 1: They acknowledged that they had happened and pointed to some 154 00:09:40,000 --> 00:09:45,040 Speaker 1: improvements that had been implemented since. And some of those 155 00:09:45,080 --> 00:09:50,080 Speaker 1: include color coating dishes and requiring what they call additional 156 00:09:50,200 --> 00:09:54,520 Speaker 1: verification for labels to prevent that going forward. Now we 157 00:09:54,559 --> 00:09:57,760 Speaker 1: know that one of the earliest accidents occurred in twenty 158 00:09:57,800 --> 00:10:02,120 Speaker 1: twenty one. However, we we also found an example in 159 00:10:02,160 --> 00:10:06,680 Speaker 1: an Atlanta clinic that just occurred this past March. 160 00:10:07,520 --> 00:10:11,640 Speaker 2: Kind Body also said it conducts a root cause analysis 161 00:10:11,720 --> 00:10:16,120 Speaker 2: after incidents, including the ones Bloomberg raised and correct processes 162 00:10:16,320 --> 00:10:20,720 Speaker 2: where necessary. In her reporting, Jackie found that examples of 163 00:10:20,800 --> 00:10:26,360 Speaker 2: embryos being mislabeled, lost, or accidentally destroyed occurred in four 164 00:10:26,440 --> 00:10:30,120 Speaker 2: clinics around the country over the past three years, according 165 00:10:30,160 --> 00:10:33,760 Speaker 2: to two current employees and a dozen former employees. 166 00:10:34,760 --> 00:10:38,600 Speaker 1: Some other issues that the company went through included how 167 00:10:38,600 --> 00:10:43,520 Speaker 1: they retrofit clinics, and that was done, according to employees, 168 00:10:43,800 --> 00:10:47,560 Speaker 1: done in a hasty way that resulted in issues like 169 00:10:47,920 --> 00:10:51,560 Speaker 1: gases being omitted into the clinic from sewer pipes that 170 00:10:51,600 --> 00:10:55,280 Speaker 1: were left open that occurred in Austin and Atlanta. The 171 00:10:55,679 --> 00:11:00,840 Speaker 1: HVAC systems were installed properly that led to a flood 172 00:11:01,120 --> 00:11:05,000 Speaker 1: after a leak leading to a ceiling being burst open. 173 00:11:05,040 --> 00:11:08,320 Speaker 1: And the reason that significant is because they occurred in 174 00:11:08,559 --> 00:11:13,000 Speaker 1: areas that were adjacent or very close to the embryology lab. 175 00:11:13,160 --> 00:11:18,560 Speaker 1: And embryology labs require very specific specifications to make sure 176 00:11:18,559 --> 00:11:23,000 Speaker 1: that the air quality is monitored appropriately. Things like temperature 177 00:11:23,120 --> 00:11:27,240 Speaker 1: and what they call volatile organic compounds things like perfume 178 00:11:27,360 --> 00:11:30,720 Speaker 1: can actually impact the development and the quality of an embryo, 179 00:11:31,080 --> 00:11:35,000 Speaker 1: and so having a flood coming through the ceiling or 180 00:11:35,280 --> 00:11:39,040 Speaker 1: foul smelling gases in Austin seeping into the clinic are 181 00:11:39,080 --> 00:11:42,480 Speaker 1: actually quite significant risks for an IBF lab. 182 00:11:44,000 --> 00:11:46,320 Speaker 2: And I imagine you asked kind Body about that as well. 183 00:11:46,800 --> 00:11:50,080 Speaker 1: Yes, and they admitted that they had issues when these 184 00:11:50,120 --> 00:11:53,960 Speaker 1: clinics opened up, that they remedied these issues in a 185 00:11:54,040 --> 00:11:59,239 Speaker 1: timely manner. But from what we understand, current informer employees 186 00:11:59,400 --> 00:12:02,560 Speaker 1: in other clinics, like in Brian Park, which is one 187 00:12:02,600 --> 00:12:08,560 Speaker 1: of the longest running clinics, have continued to struggle with 188 00:12:08,960 --> 00:12:12,880 Speaker 1: HVAC issues as early as twenty twenty. The company says 189 00:12:12,920 --> 00:12:16,000 Speaker 1: that they immediately addressed them. 190 00:12:16,040 --> 00:12:20,000 Speaker 2: In a statement, kind Body also said no patients, tissues 191 00:12:20,120 --> 00:12:24,160 Speaker 2: or embryos were directly impacted, and it said that to 192 00:12:24,280 --> 00:12:28,400 Speaker 2: suggest that kind Body's laboratories are substandard and not meeting 193 00:12:28,440 --> 00:12:33,160 Speaker 2: industry norms is false. After the break, how does kind 194 00:12:33,200 --> 00:12:45,000 Speaker 2: Body compare to other US fertility clinics, Jackie? How were 195 00:12:45,000 --> 00:12:47,320 Speaker 2: you able to find patients to speak to? 196 00:12:48,240 --> 00:12:53,959 Speaker 1: Sources obviously could not disclose their identity for privacy reasons 197 00:12:54,000 --> 00:12:57,360 Speaker 1: and health laws and HIPPA that prevented them from doing that, 198 00:12:57,840 --> 00:13:01,199 Speaker 1: but there were some that had left reviews on sites 199 00:13:01,240 --> 00:13:06,559 Speaker 1: like Yelp and Google and Reddit, and it was months 200 00:13:06,640 --> 00:13:09,720 Speaker 1: of trying to track these people down. But the more 201 00:13:09,920 --> 00:13:12,840 Speaker 1: specific accounts I was able to get from current and 202 00:13:12,920 --> 00:13:15,560 Speaker 1: former employees, the better I was able to do that. 203 00:13:15,920 --> 00:13:17,839 Speaker 1: But it was really hard because people want to move 204 00:13:17,880 --> 00:13:20,560 Speaker 1: on from this, and even when in some cases where 205 00:13:20,600 --> 00:13:25,120 Speaker 1: their embryos were mishandled and it was traumatic at the time, 206 00:13:25,600 --> 00:13:28,000 Speaker 1: in some cases they ended up having a baby, and 207 00:13:28,040 --> 00:13:30,040 Speaker 1: so in their minds, they want to move on from 208 00:13:30,040 --> 00:13:34,120 Speaker 1: that incident, given the outcome eventually was a positive one 209 00:13:34,120 --> 00:13:34,800 Speaker 1: for their family. 210 00:13:35,640 --> 00:13:38,360 Speaker 2: And you say you've spoken to quite a few employees 211 00:13:38,360 --> 00:13:41,160 Speaker 2: at different locations at the company. How were you able 212 00:13:41,200 --> 00:13:43,520 Speaker 2: to find them and why were they willing to speak 213 00:13:43,559 --> 00:13:43,760 Speaker 2: to you. 214 00:13:44,440 --> 00:13:50,240 Speaker 1: I spoke to nurse practitioners, doctors, lab professionals, everyone across 215 00:13:50,280 --> 00:13:54,000 Speaker 1: finance to sales to marketing. So over three dozen people 216 00:13:54,480 --> 00:14:01,080 Speaker 1: I connected with had different types of experiences that intersected 217 00:14:01,080 --> 00:14:06,800 Speaker 1: with these accidents. The clinical professionals, so the doctors, the embryologists, 218 00:14:07,600 --> 00:14:12,679 Speaker 1: the lab professionals felt compelled to speak to me because 219 00:14:12,840 --> 00:14:15,839 Speaker 1: they saw how quickly the company was expanding and they 220 00:14:15,840 --> 00:14:20,520 Speaker 1: were concerned that more accidents could happen. They had initially 221 00:14:20,840 --> 00:14:24,520 Speaker 1: thought about some of the mishandling incidents kind of like 222 00:14:24,760 --> 00:14:28,960 Speaker 1: startup growing pains that this can happen at many companies. 223 00:14:29,240 --> 00:14:32,560 Speaker 1: It's not unusual in the fertility industry for accidents to happen. 224 00:14:32,640 --> 00:14:37,360 Speaker 1: It's risky business. But many employees shared with me that 225 00:14:37,840 --> 00:14:41,200 Speaker 1: the company was expanding at an even faster clip, and 226 00:14:41,280 --> 00:14:45,160 Speaker 1: with this IPO kind of looming as this big goal, 227 00:14:46,000 --> 00:14:48,240 Speaker 1: what it would take to get there and what that 228 00:14:48,240 --> 00:14:51,640 Speaker 1: would mean for patients, The potential for more mistakes was 229 00:14:51,680 --> 00:14:53,520 Speaker 1: really concerning for them. 230 00:14:54,040 --> 00:14:57,600 Speaker 2: Jack, As you say, IVF is an imperfect science, it's difficult, 231 00:14:57,840 --> 00:15:01,560 Speaker 2: and people make mistakes. How how different is kind Body 232 00:15:01,640 --> 00:15:05,680 Speaker 2: from the thousands of other fertility clinics around the country 233 00:15:05,720 --> 00:15:08,720 Speaker 2: when it comes to mistake rates or mishaps or things 234 00:15:08,720 --> 00:15:09,600 Speaker 2: that just don't go right. 235 00:15:10,280 --> 00:15:14,800 Speaker 1: The government does not have any repository or database for 236 00:15:14,920 --> 00:15:20,640 Speaker 1: tracking these accidents. There is a study that we point 237 00:15:20,680 --> 00:15:25,240 Speaker 1: to in the story that tracks one lab across twelve 238 00:15:25,360 --> 00:15:29,040 Speaker 1: years and they find that these kind of accidents occur 239 00:15:29,200 --> 00:15:34,320 Speaker 1: onesid of every two thousand cycles. And kind Body says 240 00:15:34,320 --> 00:15:38,760 Speaker 1: that their overall incident rate across all of their clinics 241 00:15:39,040 --> 00:15:42,160 Speaker 1: is aboutzero point two percent, and that aligns with what 242 00:15:42,280 --> 00:15:46,760 Speaker 1: that study found. However, that studies just looking at one lab, 243 00:15:46,800 --> 00:15:50,280 Speaker 1: which is not really comparing apples to apples to kind 244 00:15:50,320 --> 00:15:53,800 Speaker 1: Body's incident rate because kind Body would not disclose what 245 00:15:54,000 --> 00:15:56,160 Speaker 1: each clinics incident rate was. 246 00:15:57,040 --> 00:16:00,720 Speaker 2: In a statement provided by kind Body, Stephen Cats, the 247 00:16:00,840 --> 00:16:05,280 Speaker 2: chief executive officer of ARII Protect, a risk management and 248 00:16:05,400 --> 00:16:09,520 Speaker 2: insurance company for IVF clinics including kind Body, said that 249 00:16:09,720 --> 00:16:13,360 Speaker 2: kind Body's incident rates are in the lowest quartile of 250 00:16:13,400 --> 00:16:16,560 Speaker 2: the clinics that he covers. Katz told Bloomberg that his 251 00:16:16,640 --> 00:16:20,240 Speaker 2: firm covers about half of all fertility doctors and IVF 252 00:16:20,320 --> 00:16:21,320 Speaker 2: labs in the country. 253 00:16:22,160 --> 00:16:27,800 Speaker 1: Because there's no real mechanism or requirement for other fertility 254 00:16:27,840 --> 00:16:31,880 Speaker 1: clinics to report these types of accidents, it's really hard 255 00:16:31,880 --> 00:16:34,680 Speaker 1: to know what else is going on in the industry overall. 256 00:16:35,120 --> 00:16:37,080 Speaker 1: And that really has to do with the fact that 257 00:16:37,520 --> 00:16:40,880 Speaker 1: regulation in the industry isn't where it should be according 258 00:16:40,880 --> 00:16:43,400 Speaker 1: to experts who follow the industry, And. 259 00:16:43,400 --> 00:16:45,000 Speaker 2: What did they tell you specifically about that. 260 00:16:45,720 --> 00:16:49,160 Speaker 1: So there's a few government agencies that touch aspects of 261 00:16:49,160 --> 00:16:52,120 Speaker 1: the IVF industry. You have the Centers for Disease Control 262 00:16:52,160 --> 00:16:57,600 Speaker 1: that are tracking which IVF labs are certified to be 263 00:16:57,680 --> 00:17:01,600 Speaker 1: open and then you have the FDA that regulates things 264 00:17:01,640 --> 00:17:05,600 Speaker 1: like medical devices used, but they don't actually regulate how 265 00:17:05,840 --> 00:17:09,520 Speaker 1: the procedures are carried out. The FDA cares more about 266 00:17:09,600 --> 00:17:14,240 Speaker 1: donor services, so how are embryos and sperm being stored, 267 00:17:14,320 --> 00:17:18,360 Speaker 1: for example. And then you have independent bodies that are 268 00:17:18,640 --> 00:17:22,840 Speaker 1: more like industry groups and a compilation of experts in 269 00:17:22,880 --> 00:17:26,320 Speaker 1: the industry that set out these guidelines, but there is 270 00:17:26,359 --> 00:17:31,880 Speaker 1: no real enforcement. The CDC is not tracking or policing 271 00:17:32,160 --> 00:17:35,720 Speaker 1: how companies are actually carrying out some of these standards 272 00:17:35,720 --> 00:17:39,679 Speaker 1: and practices, and because of that, the onus falls to 273 00:17:40,040 --> 00:17:43,840 Speaker 1: the companies themselves. They end up self policing in many cases. 274 00:17:43,880 --> 00:17:47,960 Speaker 1: And you can get accreditation by organizations like the College 275 00:17:48,000 --> 00:17:51,440 Speaker 1: of American Pathologists. You get a nice stamp of approval, 276 00:17:51,680 --> 00:17:54,119 Speaker 1: but that's a voluntary process, and so what that offers 277 00:17:54,160 --> 00:17:58,080 Speaker 1: to patients is this stamp that gives you some layer 278 00:17:58,119 --> 00:18:02,879 Speaker 1: of credibility. But that process, you get an inspection when 279 00:18:02,920 --> 00:18:07,159 Speaker 1: you first open. Then you get this self completed checklist 280 00:18:07,240 --> 00:18:10,560 Speaker 1: that clinics complete on their own, and then another inspection 281 00:18:10,680 --> 00:18:14,399 Speaker 1: is conducted the following year, so that consistent follow up 282 00:18:14,440 --> 00:18:18,040 Speaker 1: isn't really there, and that government oversight, isn't there either. 283 00:18:19,480 --> 00:18:21,200 Speaker 2: Is this unique to the US or is this the 284 00:18:21,240 --> 00:18:22,760 Speaker 2: way it's done around the world. 285 00:18:23,520 --> 00:18:27,000 Speaker 1: No, you know, you have the UK, they have different 286 00:18:27,200 --> 00:18:31,520 Speaker 1: regulations for things like a process called double witnessing, and 287 00:18:31,560 --> 00:18:36,080 Speaker 1: that's really important because double witnessing is when you have 288 00:18:36,200 --> 00:18:39,960 Speaker 1: at least two embryologists overseeing what's going on in the 289 00:18:39,960 --> 00:18:43,880 Speaker 1: embryology lab. At kind Body, there were times when there 290 00:18:43,920 --> 00:18:46,560 Speaker 1: was only one embryologist in the lab when some of 291 00:18:46,600 --> 00:18:50,800 Speaker 1: these procedures were being conducted, and current informer employees say 292 00:18:50,800 --> 00:18:52,880 Speaker 1: that that was a big problem because as they got 293 00:18:52,920 --> 00:18:56,400 Speaker 1: more patients, some of these embryologists were getting burned out. 294 00:18:56,920 --> 00:19:00,119 Speaker 1: In the UK, for example, it's mandated by law that 295 00:19:00,160 --> 00:19:03,280 Speaker 1: you have to have at least two people double witnessing 296 00:19:03,359 --> 00:19:06,520 Speaker 1: two humans, and the experts that we spoke to said 297 00:19:06,600 --> 00:19:09,800 Speaker 1: that there is no replacement for having another human there 298 00:19:10,119 --> 00:19:12,919 Speaker 1: and at accompanied at kind Body. In the US, that 299 00:19:13,119 --> 00:19:14,480 Speaker 1: isn't really mandated by law. 300 00:19:15,359 --> 00:19:18,119 Speaker 2: And Jackie, what did kind Body say about this question 301 00:19:18,280 --> 00:19:22,320 Speaker 2: of whether embryologists that their labs were burnt out overworked? 302 00:19:23,080 --> 00:19:26,600 Speaker 1: They said that they were staffing their clinics appropriately and 303 00:19:27,080 --> 00:19:30,000 Speaker 1: they said that they staff it according to volumes, so 304 00:19:30,400 --> 00:19:33,080 Speaker 1: on more high volume days that they would staff it 305 00:19:33,200 --> 00:19:36,359 Speaker 1: up with more people. But they also pointed to the 306 00:19:36,440 --> 00:19:40,600 Speaker 1: fact that turnover among embryologists is at what they called 307 00:19:40,640 --> 00:19:43,399 Speaker 1: the industry level, and that they weren't an outlier in 308 00:19:43,440 --> 00:19:43,800 Speaker 1: that way. 309 00:19:44,600 --> 00:19:48,159 Speaker 2: You also report about the pay and incentive packages for 310 00:19:48,240 --> 00:19:51,560 Speaker 2: people who worked at kind Body and how that affected 311 00:19:51,800 --> 00:19:53,600 Speaker 2: some of the procedures that were performed. 312 00:19:54,280 --> 00:19:58,600 Speaker 1: That's right. Current and former doctors I spoke to said 313 00:19:58,640 --> 00:20:03,239 Speaker 1: that kind Body had an aggressive sales culture that when 314 00:20:03,320 --> 00:20:07,680 Speaker 1: patients came in for a consultation that nurse practitioners were 315 00:20:08,040 --> 00:20:12,080 Speaker 1: required to basically call them back at least three times 316 00:20:12,359 --> 00:20:15,640 Speaker 1: before they were taken off this interested list, and nurse 317 00:20:15,680 --> 00:20:18,640 Speaker 1: practitioners and doctor said that they felt uncomfortable with that approach, 318 00:20:18,760 --> 00:20:22,600 Speaker 1: that even though quotas kind of exist across the industry, 319 00:20:22,680 --> 00:20:26,280 Speaker 1: that this is how a clinic makes money. That kind 320 00:20:26,320 --> 00:20:30,399 Speaker 1: Body went about in an aggressive way by then telling 321 00:20:30,480 --> 00:20:34,040 Speaker 1: doctors at monthly meetings, our numbers are low. We need 322 00:20:34,080 --> 00:20:37,360 Speaker 1: to increase cycles. And one of the way they were 323 00:20:37,359 --> 00:20:40,960 Speaker 1: told to do that is through a process called dual stimulation, 324 00:20:41,600 --> 00:20:46,800 Speaker 1: basically makes a woman undergo the egg retrieval process kind 325 00:20:46,840 --> 00:20:50,679 Speaker 1: of twice in one cycle. The dual stimulation procedure is 326 00:20:51,040 --> 00:20:55,159 Speaker 1: really designed for women who produce relatively few egs, so 327 00:20:55,480 --> 00:20:58,919 Speaker 1: you might see this more common in older women, and 328 00:20:58,960 --> 00:21:02,440 Speaker 1: it's a procedure that's common in the fertility industry, but again, 329 00:21:02,560 --> 00:21:05,199 Speaker 1: it's not typically used for women that are young and 330 00:21:05,240 --> 00:21:10,119 Speaker 1: in good health. However, doctors told me that they felt 331 00:21:10,160 --> 00:21:16,400 Speaker 1: pressured to recommend this procedure to even young, healthy patients 332 00:21:16,400 --> 00:21:19,840 Speaker 1: in a bid to boost their quotas for the month. 333 00:21:19,880 --> 00:21:23,280 Speaker 1: And the reason that's significant for the patient is because 334 00:21:23,280 --> 00:21:26,120 Speaker 1: it's very taxing on the body and women don't really 335 00:21:26,160 --> 00:21:28,600 Speaker 1: get a break to kind of recover. But from the 336 00:21:28,640 --> 00:21:32,960 Speaker 1: company's perspective, they're able to extract more money from a 337 00:21:33,040 --> 00:21:36,000 Speaker 1: process like that, it's more costly. Doctors said that they 338 00:21:36,000 --> 00:21:38,359 Speaker 1: didn't feel comfortable kind of taking this approach, and that 339 00:21:39,080 --> 00:21:43,399 Speaker 1: the quotas were emphasized pretty frequently throughout the year, and 340 00:21:43,520 --> 00:21:47,359 Speaker 1: that that pressure has just become more intense as the 341 00:21:47,359 --> 00:21:48,959 Speaker 1: company marches toward an IPO. 342 00:21:50,760 --> 00:21:53,760 Speaker 2: And what did kind body say about all of this? 343 00:21:54,600 --> 00:21:57,199 Speaker 1: Kind body pointed to the fact that quotas are not 344 00:21:57,320 --> 00:22:01,159 Speaker 1: uncommon in the industry, which is true. They said that 345 00:22:01,240 --> 00:22:06,200 Speaker 1: they left the discretion of what procedures to recommend to 346 00:22:06,240 --> 00:22:09,399 Speaker 1: patients up to doctors, and they disputed the fact that 347 00:22:09,440 --> 00:22:14,520 Speaker 1: they ever pressured clinicians, nurse practitioners included, to ever do 348 00:22:14,600 --> 00:22:16,040 Speaker 1: anything that they didn't want to do. 349 00:22:16,800 --> 00:22:19,480 Speaker 2: Jackie, we've been talking about the mistakes that happen in 350 00:22:19,520 --> 00:22:22,640 Speaker 2: these labs. But what is kind body's success rate? 351 00:22:23,200 --> 00:22:26,919 Speaker 1: So its overall life birth success rate is about the 352 00:22:26,960 --> 00:22:31,960 Speaker 1: sixty three percent, and that's compared to a national average 353 00:22:32,440 --> 00:22:36,320 Speaker 1: of about forty three percent as reported to the Society 354 00:22:36,480 --> 00:22:39,040 Speaker 1: of Assisted Reproductive Technology. 355 00:22:39,800 --> 00:22:41,679 Speaker 2: That would seem like a pretty good number for them 356 00:22:41,720 --> 00:22:42,120 Speaker 2: to tout. 357 00:22:42,560 --> 00:22:46,399 Speaker 1: It is, and it does show that they're able to 358 00:22:46,440 --> 00:22:48,840 Speaker 1: be effective at helping people start a family, you know, 359 00:22:48,840 --> 00:22:50,639 Speaker 1: and that could be for a variety of reasons, the 360 00:22:50,720 --> 00:22:53,679 Speaker 1: types of treatment that they're doing that might be different 361 00:22:53,680 --> 00:22:56,480 Speaker 1: from other clinics. That also has a lot to do 362 00:22:56,680 --> 00:23:00,439 Speaker 1: with the people and the population that they're serving. So 363 00:23:00,480 --> 00:23:03,359 Speaker 1: it's kind of hard to compare apples to apples, And 364 00:23:03,440 --> 00:23:06,639 Speaker 1: some folks look at live success rates, but some experts 365 00:23:06,680 --> 00:23:10,200 Speaker 1: say that it's not a perfect point of comparison because 366 00:23:10,520 --> 00:23:16,040 Speaker 1: someone in Missouri, their demographic might look totally different than 367 00:23:16,480 --> 00:23:19,920 Speaker 1: those success rates of New York because people in Missouri 368 00:23:19,960 --> 00:23:22,680 Speaker 1: might be starting families at a younger age, and then 369 00:23:22,720 --> 00:23:26,000 Speaker 1: therefore they have a better chance versus a woman in 370 00:23:26,000 --> 00:23:28,200 Speaker 1: New York who might be in her forties and therefore 371 00:23:28,240 --> 00:23:31,760 Speaker 1: having a lower chance of conceiving. So it's not a 372 00:23:31,760 --> 00:23:34,639 Speaker 1: perfect number, but certainly one that kind Body is proud 373 00:23:34,680 --> 00:23:36,199 Speaker 1: of and they deserve credit for. 374 00:23:37,040 --> 00:23:40,359 Speaker 2: And we've been talking about regulation of this industry, but 375 00:23:40,440 --> 00:23:42,560 Speaker 2: this is one number that the government really does pay 376 00:23:42,600 --> 00:23:43,119 Speaker 2: attention to. 377 00:23:43,920 --> 00:23:49,160 Speaker 1: Yes, and the Society for Assisted Reproductive Technology has over 378 00:23:49,240 --> 00:23:54,200 Speaker 1: four hundred member clinics that report data to that organization, 379 00:23:54,359 --> 00:23:56,879 Speaker 1: and then those numbers are then fed up to the 380 00:23:56,880 --> 00:24:00,280 Speaker 1: Centers for Disease Control. So the government does track this 381 00:24:00,320 --> 00:24:03,840 Speaker 1: to a degree. What they're not really doing is enforcing 382 00:24:03,880 --> 00:24:08,520 Speaker 1: the standards and the protocols for how these IVF labs operate. 383 00:24:09,640 --> 00:24:21,439 Speaker 2: When we come back, what's next for kind Body, Jackie? 384 00:24:21,440 --> 00:24:24,399 Speaker 2: As you said at the beginning, this company has big 385 00:24:24,440 --> 00:24:27,639 Speaker 2: plans for its future. Where are they headed right now? 386 00:24:28,080 --> 00:24:32,439 Speaker 1: They've been very open and transparent about the fact that 387 00:24:32,960 --> 00:24:36,680 Speaker 1: they're looking to go public and that their last capital 388 00:24:36,760 --> 00:24:39,639 Speaker 1: raise was the last one for twenty twenty three, that 389 00:24:39,720 --> 00:24:42,600 Speaker 1: they want to take the next step and go public 390 00:24:42,600 --> 00:24:45,600 Speaker 1: as a company, and in doing that, they're opening up 391 00:24:45,600 --> 00:24:52,320 Speaker 1: more clinics in Texas, in Bethesda in Maryland, and also 392 00:24:52,400 --> 00:24:55,760 Speaker 1: looking to get new contracts from the employer benefit space, 393 00:24:55,960 --> 00:24:58,800 Speaker 1: going after some of these corporate clients that are looking 394 00:24:58,840 --> 00:25:02,600 Speaker 1: to offer for to as a perk for their employees. 395 00:25:03,119 --> 00:25:06,440 Speaker 1: And they're doing a good job of expanding in places 396 00:25:06,480 --> 00:25:09,399 Speaker 1: where you would expect to see a soul cycle or 397 00:25:09,400 --> 00:25:12,560 Speaker 1: a dry bar in these metropolitan areas. 398 00:25:13,160 --> 00:25:16,760 Speaker 2: Our investors in the company aware of some of the 399 00:25:16,760 --> 00:25:18,200 Speaker 2: things in your reporting. 400 00:25:18,320 --> 00:25:21,760 Speaker 1: They're not aware of the full extent of the types 401 00:25:21,800 --> 00:25:26,040 Speaker 1: of mistakes that have occurred. They said things like mistakes 402 00:25:26,040 --> 00:25:30,960 Speaker 1: happen at any startup, that growing pains can occur, and 403 00:25:31,000 --> 00:25:33,920 Speaker 1: that when it comes to opening a brick and mortar clinic, 404 00:25:34,000 --> 00:25:35,720 Speaker 1: there is a lot of risks that come with that, 405 00:25:35,840 --> 00:25:40,119 Speaker 1: but they're very confident in the company's ability to weather that. 406 00:25:40,520 --> 00:25:43,879 Speaker 1: And a big reason for that is because the company's 407 00:25:44,040 --> 00:25:48,680 Speaker 1: former CEO, who founded the company, Gina Bartazzi. She ended 408 00:25:48,760 --> 00:25:52,680 Speaker 1: up taking a role as executive chairman when the company 409 00:25:52,720 --> 00:25:57,199 Speaker 1: went through the merger with Bio's Fertility Institute, and that 410 00:25:57,359 --> 00:26:01,520 Speaker 1: was the merger that really expanded their footprint across the country. Now, 411 00:26:01,920 --> 00:26:05,560 Speaker 1: investors say that she's still fairly involved at the company. 412 00:26:05,680 --> 00:26:09,720 Speaker 1: She does the investor calls, and she's a big reason 413 00:26:09,800 --> 00:26:13,080 Speaker 1: why they remain so confident. She has the experience in 414 00:26:13,119 --> 00:26:17,760 Speaker 1: fertility and with her somewhat at the helm that the 415 00:26:17,840 --> 00:26:20,920 Speaker 1: company is really able to get to the next level. 416 00:26:22,119 --> 00:26:26,120 Speaker 2: I imagine other IVF companies are watching kind Body, Are 417 00:26:26,160 --> 00:26:29,119 Speaker 2: any of them starting to change the way they do 418 00:26:29,200 --> 00:26:30,639 Speaker 2: business to be more like kind Body. 419 00:26:31,280 --> 00:26:35,600 Speaker 1: The fertility tech sector has really boomed over the last 420 00:26:35,600 --> 00:26:40,440 Speaker 1: few years, and in twenty twenty two, these startups raised 421 00:26:40,720 --> 00:26:44,520 Speaker 1: over eight hundred million dollars in venture capital funding, and 422 00:26:44,560 --> 00:26:48,359 Speaker 1: that's one indicator that shows investors are really eager to 423 00:26:48,440 --> 00:26:51,920 Speaker 1: capitalize on the growth in this space and more companies 424 00:26:52,000 --> 00:26:54,080 Speaker 1: not just like kind Body that are starting brick and 425 00:26:54,119 --> 00:26:58,080 Speaker 1: mortar clinics, but also looking to other aspects of the industry, 426 00:26:58,440 --> 00:27:02,720 Speaker 1: whether that's how you track data or people looking to 427 00:27:02,760 --> 00:27:04,679 Speaker 1: be more of the middleman and kind of serving as 428 00:27:04,680 --> 00:27:08,120 Speaker 1: a marketplace for fertility benefit. So across the board you're 429 00:27:08,119 --> 00:27:11,600 Speaker 1: seeing fertility tech startups starting to sprout. Kind Body is 430 00:27:11,640 --> 00:27:15,320 Speaker 1: really one of a kind in that it owns and 431 00:27:15,440 --> 00:27:18,440 Speaker 1: operates its own clinics, and you don't see very many 432 00:27:18,480 --> 00:27:21,639 Speaker 1: startups doing that because it's so hard to do that. 433 00:27:21,720 --> 00:27:26,760 Speaker 1: It's capital intensive, it's expensive, and it requires a lot 434 00:27:26,800 --> 00:27:30,400 Speaker 1: of expertise to set up these IVF labs. It's expensive 435 00:27:30,400 --> 00:27:32,560 Speaker 1: to staff them as well. So kind Body is kind 436 00:27:32,560 --> 00:27:35,000 Speaker 1: of an outlier in that way that they're really undertaking 437 00:27:35,280 --> 00:27:38,480 Speaker 1: this approach in the industry, this vertically integrated model. 438 00:27:39,240 --> 00:27:41,119 Speaker 2: As you continue to report on the story, what are 439 00:27:41,160 --> 00:27:41,760 Speaker 2: you watching for? 440 00:27:42,480 --> 00:27:46,160 Speaker 1: The global fertility market was worth about thirty five billion 441 00:27:46,280 --> 00:27:48,880 Speaker 1: last year and it's expected to grow to eighty four 442 00:27:48,880 --> 00:27:52,919 Speaker 1: billion by twenty twenty eight. The US is a large 443 00:27:52,960 --> 00:27:56,360 Speaker 1: portion of this, and you have other countries like France 444 00:27:56,440 --> 00:27:59,600 Speaker 1: and the UK putting up more regulations around how you 445 00:27:59,760 --> 00:28:03,840 Speaker 1: track mistakes, what types of practices are mandated by law 446 00:28:03,920 --> 00:28:07,200 Speaker 1: in an IVF lab, And what I'll be looking out 447 00:28:07,240 --> 00:28:10,440 Speaker 1: for is to see which government agencies start to take 448 00:28:10,520 --> 00:28:15,600 Speaker 1: more control of the standards and practices in embryology and 449 00:28:15,600 --> 00:28:17,399 Speaker 1: IVF flaps in general in the US. 450 00:28:18,480 --> 00:28:23,080 Speaker 2: Jackie, thanks for sharing your reporting, Thank you, thanks for 451 00:28:23,160 --> 00:28:25,119 Speaker 2: listening to us here at the Big Take. It's a 452 00:28:25,200 --> 00:28:29,480 Speaker 2: daily podcast from Bloomberg and iHeartRadio for more shows from iHeartRadio, 453 00:28:29,600 --> 00:28:33,240 Speaker 2: visit the iHeartRadio app, Apple Podcasts, or wherever you listen, 454 00:28:33,560 --> 00:28:36,120 Speaker 2: and we'd love to hear from you. Email us questions 455 00:28:36,200 --> 00:28:39,360 Speaker 2: or comments to Big Take at Bloomberg dot net. The 456 00:28:39,440 --> 00:28:42,800 Speaker 2: supervising producer of The Big Take is Vicky Ergalina. Our 457 00:28:42,880 --> 00:28:46,520 Speaker 2: senior producer is Catherine Fink. This episode was produced by 458 00:28:46,560 --> 00:28:50,800 Speaker 2: Sam Gobauer and Jilda Decarli. Jil de Garcia is our engineer. 459 00:28:51,120 --> 00:28:54,960 Speaker 2: Our original music was composed by Leo Sidrin. I'm wes Kasova. 460 00:28:55,240 --> 00:29:00,400 Speaker 2: We'll be back tomorrow with another Big Take dot the 461 00:29:00,560 --> 00:29:03,560 Speaker 2: County to the Don Poking better