1. TM
The
Problem
We
Solve
The
demand
for
physical
therapy
is
exploding
at
such
a
rate
the
industry
must
turn
to
technology
to
meet
this
growing
need
and
expand
the
tradi8on
reach
of
therapy
from
the
clinic
to
the
home.
A
rapidly
aging
popula8on,
the
increasing
incidence
of
diseases
driven
by
sedentary
lifestyles,
and
stunning
medical
advances
in
joint
replacement
are
all
contribu8ng
factors
to
this
dilemma.
Pa8ent
engagement
required
for
high
efficacy
both
in
clinic
and
at
home
is
a
cri8cal
challenge
in
solu8on
design.
Armed
with
low
cost
sensor
technology
through
the
use
of
Microso;’s
Kinect
for
Windows
mo>on
sensor,
Respondesign
has
created
FitWorld
to
address
these
challenges
for
both
the
physical
therapist
and
the
rehab
pa>ent.
Kinect
for
Windows
is
now
a
rapidly
maturing
commercial
hardware
&
middleware
plaForm
through
which
we
deeply
integrate
our
solu>on
for
clinic
&
home
therapy
delivery.
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

2. TM
Our
Solu>on
Respondesign’s
rehab
solu8on
provides
physical
therapists
a
tool
to
deliver
an
engaging,
personalized
rehab
program
that
includes
pa8ent
monitoring
&
clinician
repor8ng.
Equipped
with
MicrosoP’s
Kinect
for
Windows
mo8on
sensor,
rehab
facili8es
are
able
to
deliver
a
consistent
care
offering
for
the
pa8ent
both
in
the
care
facility
and
at
home.
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

3. TM
BePer
Rehab
Fitworld
increases
therapist
produc8vity
through
automa8on
tools
that
provide
data
and
results.
Therapists
can
quickly
assign
a
series
of
therapeu8c
exercises.
Through
deep
integra8on
with
the
Kinect
for
Windows
mo8on
sensor
Fitworld
logs
evidence
of
the
prescribed
treatment
documen8ng
date,
8me,
movement,
repe88ons,
dura8on
and
other
details,
stored
in
a
pa8ent’s
secure
record
on
the
Fitworld
cloud
service.
For
pa8ents,
the
visual
and
audio
feedback
along
with
scoring
for
accurate
performance
is
empowering
and
encouraging
of
a
deeper
par8cipa8on
in
the
rehab
experience.
-­‐
Automated
Care
Delivery
-­‐
Improved
Pa>ent
Experience
-­‐
Evidence
Based
Tracking
&
Repor>ng
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

4. TM
Fitworld
-­‐
The
Rehab
Cycle
Therapist
Therapist
Assign
Assess
Pa8ent
Therapist
&
Pa8ent
Perform
Monitor
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

5. TM
Fitworld
TM
Fitworld
was
designed
for
easy
access
for
both
the
healthcare
professional
and
pa8ent
home
use
as
a
cloud-­‐based
app
with
mul8ple
levels
of
access
authority.
In
a
clinical
seWng
accompanied
by
a
physical
therapist
Fitworld
for
rehab
requires
a
Windows
computer
with
MicrosoP’s
Kinect
for
Windows
mo8on
sensor.
At
home
the
client
can
access
Fitworld
for
Rehab
without
Kinect
on
a
SmartTV,
Mac,
Android
or
Windows
PC
using
any
web
browser.
PT
Administered
In
Facility
Pa>ent
Performed
At
Home
Without
Kinect
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

6. TM
Rehab
Demand
Drivers
Geriatric
Elderly
Popula8on
Orthopedic
Rehab
Physical
Therapist
Growth
On
The
Rise
Shortage
39.6
Million
262%
+27%
to
Increase
in
Hip
&
Knee
Replacements
2006
-­‐
2015
72.1
Demand
Growth
Health
and
Human
Services
Administra8on
of
Aging
by
2016
Musculoskeletal
Condi8ons
$510
Billion
18%
Million
by
2030
Cost
Of
Treatment
$399
Billion
PT
Jobs
Are
Open
19%
of
US
Popula8on
by
2015
In
Lost
Wages
Bureau
of
Labor
Sta8s8cs,
APTA,
Forbes
2009
Na8onwide
Inpa8ent
Sample
(NIS)
The
Burden
of
Musculoskeletal
Diseases
in
the
United
States,
2004
Report
These
challenges
will
increase
as
30
million
new
people
enter
the
healthcare
system
in
2013
via
Obamacare.
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

7. Rehab
Market
TM
Outpa8ent
Inpa8ent
Home
Care
Hospital
IRF
16K
Clinics
Skilled
Nursing
Facility
23K
loca8ons
Contract
Rehab
Manager
Top
6:
6,927
loca8ons
Highly
Fragmented
Least
expensive,
Hospitals:
4,900
fastest
growth
$20B
in
Revenue
Assisted
Living:
20K
Nursing
Homes:
16K
$57B
in
Revenues
CCRC:
2,000
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

8. TM
Rehab
Market
-­‐
Outpa>ent
The
outpa8ent
rehabilita8on
therapy
industry
in
the
US
consists
of
about
30,000
establishments
with
combined
annual
revenue
of
approximately
$20
billion.
The
industry
is
highly
fragmented,
with
the
top
50
companies
accoun8ng
for
less
than
25
percent
of
total
revenue.
The
outpa8ent
rehabilita8on
industry
accounts
for
nearly
$5
billion
of
Medicare
spending.
This
figure
has
been
rising
steadily,
and
has
more
than
doubled
since
2000
when
annual
rehabilita8on
expenditures
were
$2.1
billion.*
•
Highly
fragmented
U.S.
outpa8ent
rehab
market,
over
16,000
clinics.
•
No
outpa8ent
company
with
more
than
6%
market
share.
•
Three
largest
outpa8ent
rehab
companies:
− Select
Medical
952
clinics
− Physiotherapy
Assoc.
657
clinics
− USPh
419
clinics
*
Brocair
Partners
–
Overview
of
the
Outpa6ent
Rehabilita6on
Market
2011
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

9. TM
Rehab
Market
–
Inpa>ent
Customer
Customer:
Genesis
Rehab
Services
Objec8ve:
Falls
Preven8on
Solu8on:
Balance
In
Ac8on
Otago
Exercise
Program.
Fitworld
based
version
of
the
Otago
exercise
rou8nes
that
are
now
in
use
worldwide*.
A
muscle
strengthening
and
balance-­‐retraining
exercises
of
increasing
difficulty,
combined
with
a
walking
program.
Evidence-­‐based:
Fall
rate
was
reduced
by
35
percent
among
program
par8cipants*.
Genesis
is
currently
beginning
internal
trials.
Genesis’
“Balance
in
Ac.on”
(BIA)
system
will
be
implemented
in
over
1,100
cap.ve
and
outsourced
rehab
facili.es
na.onwide.
Source:
CDC,
Campbell,
et
al.
and
Robertson,
et
al
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

10. Rehab
Market
-­‐
Inpa>ent
TM
Long
Term
Acute
Care
Hospitals
&
Inpa>ent
Rehab
Facili>es
Currently
there
are
47.6
million
Medicare
beneficiaries
with
an
es8mated
9,100
individuals
added
to
the
program
each
day
35%
of
Medicare
Beneficiaries
Are
Skilled
Nursing
&
Discharged
From
Acute
Hospitals
to
Post-­‐
Rehab
Centers
Acute
Care
Pa8ents
first
Pa8ent
use
of
site
of
discharge
site
during
90-­‐
aPer
acute
day
episode:
care:
52%
Skilled
Contract
Rehab
41%
Skilled
Nursing
Nursing
Manager
RTI, 2009: Examining Post Acute Care Relationships in an Integrated Hospital System
Kindred Healthcare, November 2012 Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

11. TM
Rehab
Market
–
Home
Care
Home
Health
care
industry
includes
about
23,000
establishments
(single
loca8on
companies
and
branches
of
mul8-­‐loca8on
companies)
with
combined
annual
revenue
of
$57
billion.
Demand
Drivers
Include:
•
Aging
popula8on:
10K
US
ci8zens
become
eligible
for
Medicare
each
day
•
High
cost
of
skilled
nursing
facili8es
•
Rise
of
accountable
care
organiza8ons
(ACO)
that
coordinate
care
to
increase
efficiency
and
reduce
costs
•
Innova8on
and
leveraging
the
use
of
technology
is
a
repeated
industry
theme
Gen6va
Corp.
Investors
Presenta6on
,
December
2012
Pa8ents
first
Pa8ent
use
of
Lower
Cost
Per
Day
site
of
discharge
site
during
90-­‐
vs.
Hospital
&
SNF
aPer
acute
day
episode:
care:
61%
Home
37%
Home
Health
Care
Health
Care
Kindred:
RTI,
2009:
Examining
Post
Acute
Care
Rela8onships
in
an
Integrated
Hospital
System
CMS
HCIS
data
files
for
2006.
Hospital
data
includes
PPS
and
non-­‐PPS.
Home
health
day
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013
calculated
based
on
60-­‐day
episode

12. TM
Fitworld
-­‐
Business
Model
Learning
from
the
Genesis
deal
and
understanding
their
model
for
care
delivery
we
have
developed
a
license
based
business
model
for
Fitworld.
This
model
is
based
on
a
site/seat
based
license
fee
along
with
professional
services
fees
for
content
and
feature
customiza8on.
Home
use
of
Fitworld
with
repor8ng
to
their
rehab
clinician
and
popula8on
repor8ng
to
Genesis
Rehab
administra8on
could
be
billed
to
user
directly
or
to
the
user’s
“payor”
based
on
monthly
usage.
The
Genesis
deal
was
ground
breaking
and
financial
terms
were
not
op8mal.
They
are
a
strategic
partner
and
we
agreed
to
exclusivity
for
one
year
for
“elder
care
falls
preven8on”
rehab
category.
Highly
Leveragable
Architecture
The
Fitworld
plarorm
is
purpose
built
to
allow
for
the
integra8on
of
several
categories
of
proscribed
rehab
fitness
as
well
as
general
fitness
&
injury
preven8on.
With
its’
cloud
app
architecture
and
real-­‐
8me
content
delivery
model,
Fitworld
is
highly
customizable
for
both
features
and
content
allowing
for
rapid
deployment
and
single
point
of
delivery
for
new
feature
deployment.
Compe>>ve
Advantage
Respondesign’s
advantage
is
our
speed
to
market,
flexible
architecture
and
support
for
rehab
clinician
program
design
and
publishing.
We
have
deep
integra8on
with
the
Kinect
mo8on
sensing
technology
through
a
deep
technical
and
market
development
partnership
with
MicrosoP’s
Kinect
for
Windows
group.
Our
management
team
has
significant
soPware
start
up
thru
public
company
experience
in
developing
and
deploying
consumer
facing
enterprise
plarorm
soPware.
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013

13. TM
Management
Team
Ted
Spooner
-­‐
CEO:
Co-­‐founder
of
RDI
with
company
development
experience
ranging
from
start-­‐up
to
IPO.
SoPware
development
experience
in
both
enterprise
and
consumer
facing
applica8ons.
As
founder
and
CEO,
Ted
took
Corillian,
Inc.
public
in
2000
(Nasdaq:
CORI).
Corillian
was
sold
to
CheckFree
(Nasdaq:
CKFR)
in
2007
for
$245m.
John
Grispon
–
EVP
Sales,
Marke>ng
&
Business
Development:
Co-­‐founder
with
a
demonstrated
capacity
to
lead
organiza8ons
ranging
from
a
first-­‐year
start-­‐up
to
a
global
soPware
giant.
Previously
he
founded
Brain
Thaw,
a
marke8ng
consultancy
for
start-­‐
ups,
ran
the
business
development
division
of
Corillian,
Inc.,
the
online
banking
pioneer
now
part
of
Fiserv,
and
spent
nearly
12
years
at
MicrosoP
Corpora8on
with
his
last
post
as
Worldwide
Banking
Industry
Manager.
Jason
Leighton
-­‐
CTO:
RDI
co-­‐founder
and
game
industry
veteran
of
over
15
years,
Jason
has
been
at
the
forefront
of
emerging
technologies
right
from
the
beginning
of
his
career.
The
first
game
series
he
worked
on,
"Descent",
went
on
to
become
one
of
the
bestselling
and
most
iconic
games
of
a
genera8on.
Jason
has
worked
for
THQ,
Atari,
and
Interplay,
in
both
management
and
senior
developer
roles.
He
has
been
Respondesign's
Chief
Technology
Officer
since
2003
where
he
directed
the
efforts
that
led
to
"Yourself
Fitness"
and
the
mul8-­‐million
selling
UbisoP
8tle
"My
Fitness
Coach".
Highly
Confiden8al
–
Respondesign
Inc.
–
Copyright
2013