an interactive ehealth platform for patients and...

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An interactive eHealth platform for patients and healthcare providers that improves outcomes, improves efficiencies, and increases revenue.

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Investment Opportunity• Start-up eHealth technology company entering commercialization phase

• Seeking $250K in seed funding to accelerate and scale technology platform for rapid market penetration

• Functional, proprietary, eHealth technology platform• HIPAA compliant

• Web, mobile web, smart phone apps

• Health & outcomes database: patient satisfaction, therapy/procedure outcomes, etc.

• Big data analytics through Artificial Intelligence (AI) engines

• High profit business model based on software license fees, digital products and physical products

• Strategically powerful ‘hub’ market position to aggregate large pools of patients and health data

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Key Problems

• When basic best practices are followed, providers see great results

– Basic best practices include…

– Screening– Patient education & training– Patient follow-up– Intervention & coaching– Outcomes tracking

• But basic best practices are mostly implemented through 1-on-1 support which makes them too costly to be sustainable and scalable

• US healthcare is rapidly moving to an outcomes-driven model, but an effective means of measuring and reliably improving outcomes has yet to be established.

• Critical, yet challenging outcomes include…

– Patient Satisfaction

– Adherence to Therapy

– Therapy-Specific Metrics

– General Health Metrics

High Overhead of Basic Best Practices Managing & Improving Outcomes

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Users/Roles

eHealth Protocols

eHealth Operating System

HealthInformation.exchange

Health & Outcomes Data

Users have their own role,

interface, and features yet share

the same integrated platform.

eHealth Protocols standardize and

automate patient management

processes and include…

• Interactive patient encounters for

screening and follow-up

• Patient management tasks &

workflows

• Patient education and reference

materials (video & text)

• Metrics and outcomes tracking• Patient Satisfaction, health metrics,

therapy metrics

Proprietary ‘eHealth OS’ provides

features and functions to improve

efficiency, effectiveness and

engagement

Centralized data combined with

artificial intelligence analytics puts

the power of ‘big data’ to work to

provide insights for improving and

optimizing protocols and outcomes.

HIE provides secure data sharing,

data normalization, and rapid

integration among 3rd party

software applications.

SolutionTotalCare Interactive eHealth Platform

An eHealth ‘operating system’ plus outcomes-based protocolsthat make bests practices more efficient, scalable and profitable.

The TotalCare eHealth Platform…

• Provides seamless horizontal integration of healthcare providers and processes along the continuum of care

• Enables high standard of care, high patient satisfaction and overall improved outcomes• Drives patient recruitment, screening and referrals• Delivers high-touch patient education, follow-up, communications

• Facilitates efficient data aggregation, sharing and analysis• Reduces patient management time and overall cost

• Provides eLearning system for clinician CEU and staff training

• Applies the power of ‘big data’ and artificial intelligence to rapidly improve and evolve• Makes ‘best practices’ scalable

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• Integrated Continuum of Careo One unified patient experience from

awareness/screening through to recovery

• Advanced outcomes managemento Measure patient satisfaction,

therapy/procedure outcomes, etc.o Evidence-based eHealth protocolso Clinical alertso Health metrics data collection through over 175

wearable e and health peripheral devices (FitBit, Withings, Jawbone, etc.)

o Big data analytics through AI engineso Controlled process testing of protocols for

ongoing improvements

• Physical and digital retail health products• HIPAA & MARS-E compliant• Interactive clinician CEU and staff training

TotalCare Platform Features

• Engaging patient communicationso Automated interactive follow-up encounterso Private messaging, 1-to-1 or broadcasto Email, text message, IVR, mobile push notificationso Live voice or voice + video communications

• Efficient patient population managemento Tasks & workflowso Document management, sharing & viewingo Patient payments & collectionso Health, & therapy metrics, analysis and reportingo Self-service supply ordering patient help materials

• Multiple user interfaceso Android & iOS smart phone appso Any web-enabled device

• Effective patient recruitmento Online/mobile app health assessments o Clinician directory o Digitally-integrated physician, patient & provider

roles and simple, digital referrals

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Initial Commercialization: Sleep Disorders / Sleep Apnea

An interactive eHealth platform for patients with sleep disorders, and their healthcare providers, that improves outcomes,

improves efficiencies, and increases revenue.

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US Sleep Apnea & The CPAP Therapy Market

• Obstructive Sleep Apnea (OSA) is a chronic, widespread, and serious condition that affects over 40 million people in the US.

– OSA is the primary financial driver of the non-pharmaceutical sleep disorders market.

• Continuous Positive Airway Pressure (CPAP) is the frontline therapy for OSA treatment.

– Improves Health, Reduces Healthcare Costs, Boosts Productivity and Quality of Life

– Although CPAP therapy is effective, the lack of scalable best practices drives poor average results

• 75% of sleep apnea sufferers remain unaware and undiagnosed

• 50% of new CPAP patients fail to adhere to therapy

• 30% (or more) of CPAP users experience poor clinical outcomes

• Low patient, physician, and payer satisfaction

– The $2 billion US CPAP therapy market is large, growing (CAGR: 15%), and has serious problems that the CPAP TotalCare platform solves.

• Oral Appliance Therapy, delivered by sleep specialty dentists, has evolved to be a strong alternative therapy within the market

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Problems & Solutions

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Problem Solution

Large undiagnosed population

• Shift primary point of care ‘forward’ to drive screening, consultations, & testing• Recruit new patients through direct-to-patient marketing and online screening

High overhead of best practices

• Outcomes-based eHealth protocols for efficient & scalable best practices • Digitally-unify patients and all clinicians onto one shared platform• Empower patients to utilize self-service / self-help resources and online ordering• Utilize low cost interactive technology for screening, and patient communications• Automate routine activities & support 1-on-1 interaction w/ patients who need it• Clinician CEU and provider staff training & certification based on best practices

Managing and improving outcomes (satisfaction, therapy results, etc.)

• Track, store, analyze, and report on therapy metrics and outcomes data• Utilize data and analytics to improve eHealth protocols• Facilitate monitoring, early detection and intervention when needed

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CPAP Therapy Continuum of Care

Recruited or Referred Legacy Patients

CPAP Provider

TotalCare Platform & Protocols

Sleep Specialist (MD/DDS) Sleep Specialist

SleepHealthAssesment.com

Primary Care Physician PCP

Sleep Lab Sleep Lab

Direct Patient Marketing

Health Info Exchange

Sleep Health Assessment Acclimation Maintenance Sleep Health Assessment

Dental Sleep Specialist Dentist

Current Sleep Health Model

Sleep Specialist

PCP

PATIENTS

Screening

Testing

Patients with suspected sleep apnea pass

through the PCP to Sleep Specialist.

Limited screening leaves many patients

undiagnosed and limits flow of referrals

to specialists.

ExamExam

SpecialtyCare

Retail Health Services & Products

Procedures, supplies & Equipment go through specialists.Leaving providers with…• Less influence• Less volume• More

competition

Therapy Provider

Patient• Higher likelihood of diagnosis• Efficient screening, testing and referrals• Enhanced continuity of care with PCP• Better outcomes• Save Money

Therapy Provider• Efficient electronic referrals• New referral source for new

patients• More efficient therapy

management• More revenue

Test

Screen

Exam

PATIENT

TotalCare Sleep Health Model

Testing

Exam

SpecialtyCare

Primary Care Physician• Screening of all patients for sleep

disorders• Home sleep testing for qualified patients• Efficient referrals and consultation with

sleep specialist• Maintain continuity of care• More revenue

Sleep Specialist• Efficient electronic

referrals• Higher volume of

referrals & consultations• More efficient therapy

management• More revenue

Retail Health Services/Products

Retail Health Services & Products

Patient Follow-up Protocols: Sequential Interactive Encounters

Encounter 2• Check-in

• Usage Data

• Issues?

• Basic Outcomes

• Replace supplies?

Encounter 1• Orientation

• Metrics

• Issues?

• Basic Outcomes

• Replace supplies?

When an encounter

becomes active, the patient

gets a notification

Patient answers a set of

questions through web

browser, text message, or

smart phone app. Prompts

can also be video, images

and text information.

Any negative responses will

generate an alert for the

clinical team

90 Days

Example: Interactive Encounter (Sleep Disorder Risk Screening)Patients complete interactive screening and/or follow-up encounters on any mobile or web-enabled device.

Encounters are also used to deploy eLearning CEU courses and credits to Physicians, Therapists, and Sleep Technologists, as well as provider staff training.

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Patient Management Technology – ProvidersAll patient management activity is done through the CPAP TotalCare web/mobile application.

Secure Private Messaging Document Storage, Mgmt. & Sharing Integrated Live Voice and Video Calling

Clinical Alerts Reporting and Analytics Interactive Patient Follow-up

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Patient-Facing FeaturesOur patient view provides useful features that are not available anywhere else.

Secure Private MessagingFAQ and Device-Specific Videos Therapy and Health Metrics

Patient Dashboard Equipment Profile Interactive Checkups

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Business Model

Aggregate

Engage

Convert

Aggregate a Large Group of OSA Patients

Convert into CPAP Supply & Related Product Buyers

Engage Patients with Interactive Features

The TotalCare platform offers valuable and unique features attract and retain a large population of OSA patients. Patients will either self-register or will be referred by therapy providers & physicians.

The CTC platform offers easy on-line ordering of the CPAP products and specialized services OSA patients need, as well as the sleep-related products they want.

TotalCare goes far beyond traditional therapy management practices by providing interactive features that establish long-term patient loyalty and engagement.

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TotalCare Revenue

• $3/month per patient license fee

• Referred patient activation fees: $30 per patient

• eCommerce sales of physical products, digital wellness programs, other digital products, and concierge health services

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CPAP Therapy Market and Share

• 40 Million OSA Sufferers*: 75% ‘Undiagnosed’• Annual CPAP Revenue: $2 Billion*• CAGR: 15% (and accelerating)

* Extrapolated from NIH and Natl. Sleep Foundation Estimates from 2004 and also cross referenced as 20% of the US adult population

** CompaniesandMarkets.com. (2010). Respiratory Devices - Global Pipeline Analysis, Competitive Landscape and Market Forecasts to 2017

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• Over 65 Population Annual Growth Rate: 15%• Active CPAP Users: ~ 4.95 million• CTC Year 3 Market Share: 2.9%

• 140,000 patient customers

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Patient RecruitmentThe primary objective of our go to market strategy is patient recruitment. When we

‘own’ the patient relationship, all of the other key relationships fall into place. CTC has identified three primary strategies for recruiting patients

Direct: Patients seeking a better way to manage their therapy respond to our offer of free CPAP therapy management software. Traffic will be driven by search, social

networks, online & offline advertising, and affiliate partners.

Therapy Associates: Therapy providers looking for a more effective and profitable way to manage their patients join our program as our exclusive local Therapy Associate. TAs

bring an existing flow of new patients and a large pool of legacy patients which will be converted to CTC patient users.

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Physicians: Physicians seeking better results, more efficient patient management, better outcomes, more revenue, and CEU credits will use the platform and bring in new and legacy patient through

increased screening and testing. Physicians are primarily recruited by Therapy Associates.

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Prospects

*Google research June 2015 indicates 995,432 CPAP searches/month **Total number of DME providers that sell CPAP therapy in the US20

Strategy Prospect Market Method

Direct Patient Recruitment

Online Legacy CPAP Users

Google estimates 1 million* searches per month containing “CPAP”

Online Advertising, Affiliates, Social Media, Search Engines, Press & Media

Therapy Associate Recruitment

Therapy Providers Estimated 3000** providers with avg. 1500 legacy patients in their pool

LinkedIn, SleepHealthAssessment.com, Social Networks, Trade Shows, Patient & Clinician Referrals

Physician Recruitment

Sleep SpecialistsPrimary Care Physicians

209,000 Primary Care Physicians and ~3,000 sleep specialists

Therapy associates will bring in current physicians and introduce the program to new physicians. 10-15 MDs per TA

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CompetitionCompetitive Sectors – CPAP Therapy

• Patient Outreach Providers (B2B): Call centers and ‘robo-call’ / email services focused mainly

on selling supplies

• CPAP manufacturers (B2B): metrics tracking and some limited patient engagement for their

own devices

• Business Management software (B2B): limited patient outreach and metrics tracking for

their own devices

• Internet Retailers (B2C): ecommerce sales of CPAP supplies and accessories

The notion of an ‘eHealth platform’ does not exist in the CPAP therapy market. Various entities have implemented parts of the puzzle, but no one has yet created a software platform that works across all devices and is focused on patient management.

The company’s closest competitors are patient outreach providers, however they operate on a service model mostly focused on CPAP devices and selling supplies where TotalCare operates on a more profitable software license model with a broader scope of therapy and outcomes management.

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Financial Highlights

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Year 1 Year 2 Year 3

Market & Share

US Market Size (Patients) 3,750,000 4,210,000 4,950,000

US Market Size (Revenue) 2,508,800,000$ 2,809,856,000$ 3,147,039,000$

Market Share (Patients) 0.51% 1.57% 2.83%

Market Share (Revenue) 0.05% 0.22% 0.50%

Customers & Patients

Therapy Associates 97 241 385

Cumulative Patient Users 71,370 272,645 634,257

New Patient Customers 19,061 46,943 73,868

Cumulative Patient Customers 19,061 66,004 139,872

Revenue Total 1,327,651$ 6,197,270$ 15,765,340$

Cost of Sales Total 824,292$ 3,020,350$ 7,044,280$

Gross Profit $ Total 503,359$ 3,176,919$ 8,721,061$

Gross Profit % Total 38% 51% 55%

Expenses 1,781,085$ 2,152,757$ 2,702,489$

Net Profit $ (1,277,726)$ 1,024,162$ 6,018,572$

Net Profit % -96% 17% 38%

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Use of Funds

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Use of Funds Total

Sales & Marketing 710,000$

General & Administrative 560,000$

Research & Development 190,000$

Total 1,470,000$

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Management & BoardDoug Hudiburg – Founder & CEO25 years of sales, marketing, entrepreneurial, and executive experience in wide array of roles including medical device and early stage business development. He has executive-level proficiency in all aspects of the marketing mix including product development, product management, product positioning, marketing communications, branding, strategy, direct marketing, and sales. Doug has led product management teams, led business units, led product development teams, built several businesses from scratch and collaborated with major healthcare companies.

Tate Burns – Founder & COOTate is a seasoned entrepreneur with over 25 years of experience in marketing, communications, management, sales, and customer relations, as well as a keen grasp and working knowledge of web technologies and web programming. Over the last 3 years he has overseen the development of the CTC platform providing direction in a variety of key areas.

Eric Jania – Board MemberSeasoned executive with over 17 years of marketing, product development, new technology assessment, global business management, product commercialization and sales channel development experience. Outstanding track record of success with building product portfolios, identifying new business opportunities in multiple specialties, managing key opinion leader (KOL) relationships, growing market share, developing global commercialization plans and global marketing.

Larry Fields, RT, AST – Director of Business DevelopmentExperienced Respiratory Therapist, entrepreneur and sales professional with over 40 years experience. Passionate about patient care. Savvy business professional with small business and start-up expertise, deep knowledge of respiratory therapy and healthcare processes. Outstanding track record with effective patient care in complex environments, specialized critical care, building and selling businesses, and building and scaling retail sales teams and operations.

Pending – 2-3 board members

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Confidential

Additional Revenue Opportunities

• Channel Partnerships & Additional Disease States / Therapies– TotalCare has chosen, in this stage, to focus on the most immediate opportunities in Sleep Health, but the company

intends to expand into other ‘vertical’ disease states and therapies through channel partnerships. Channel partners will bear the cost of development of specific protocols, user interfaces, and features for their therapy and will license the TotalCare platform in a co-branded ‘powered by TotalCare’ model.

• Research Metrics & Analytics– With the company’s Health Information Exchange, TotalCare will generate a vast amount of in-demand data for

market and clinical research. Manufacturers, market researchers, and clinical researchers will provide another revenue stream for TotalCare in the form of data and analytics subscriptions.

• TotalCare Products– With a captive, engaged audience, the opportunities for vertical integration are immense. TotalCare will have the

audience, the distribution channel and will own the patient transaction layer. The company will create TotalCare products where it can add value and increase margin for existing demand: eHealth Protocols (Stop Smoking, Fitness, Weight Loss, etc.), physical products, disposables, supplements, nutrition.

• CEU Courses– The CEU training and certification we will provide through the platform will generate revenue through a ‘per course’

fee. Clinicians and industry companies already pay for CEU training and TotalCare can deliver it more efficiently, effectively, and will full utilization tracking and reporting. This revenue stream is not included in our current financials.

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Current Status• Proving and refining our technology and protocols in sleep health & CPAP Therapy

with the intent to expand to other disease states, therapies and applications from there.

• The platform is functional with most major features active including complete ecommerce platform, support for all major CPAP devices and integration with over 175 wearable devices, apps, and health peripherals.

• Completed beta testing with a small group of patients– 89 self-registered legacy CPAP users– 61 patients have responded to one or more encounters in the past 6 months– 15 patients have ordered and received supplies

• Entering the early phase of commercial launch (Dec, 2015)– Marketing ramp-up– Direct patient recruitment– Therapy Associate recruitment & patient activation starting with 3-5 beta locations

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Beta Customers• Deborah Heart & Lung Hospital + Associated HME Provider

– Brownsmill, NJ– Non-profit specialty hospital doing > 1,000 in-lab sleep tests per year, largest non-profit in the

nation– Status: committed, starting intake, set-up and training

• Sleep Concierge – Sheri Fellat– Houston, TX– Full-time, independent CPAP Therapist– Status: committed, starting intake, set-up and training. Will also begin remote management of

patients who do not have a TotalCare provider in their area

• CPAP Plus– Chicago, IL– Online retailer and product fulfillment partner– Status: remotely managing > 70 beta patients

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Confidential

This presentation includes certain forward looking statements, estimates, and

forecasts provided by CPAP Total Care, with respect to its anticipated future

performance. Such statements, estimates, and forecasts reflect various

assumptions, which may or may not prove to be correct.

In addition, changing economic or business conditions may affect the demand for

our company’s products or services and accordingly its projected sales and profit

margins. No representations or warranties are made as to the accuracy of any

such statements, estimates or forecasts.

Neither the company nor its independent certified public accountants has

audited, complied, or applied agreed upon procedures to any forward looking

information and accordingly, assume no responsibility for them.

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Confidential

Thank You

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Additional Information

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Connecting PCPs, Specialists, and Therapy Providers Aggregates a Large Pool Of Patients And Data

– 300 Therapy Associates

– Each connects to avg. 5 physicians

– 1500 physicians w/ avg. 1000 patient census = 1.5 million patients

– There are over 210,000 primary care physicians and sleep specialists in the US

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Confidential

TotalCare Business Model Canvas

Key Partners Key Activities Value Proposition Customer Relationships Customer Segments

CPAP Plus Fulfillment Product Development Self-Service Supply Ordering CPAP Patients Therapy Providers

Validic Interface Platform Marketing & Advertising CPAP & Health Metrics Tracking Therapy Associates CPAP Patients

Rick Clerici – Better Sleep Program Designer B2B Distribution Mobile Health Platform

Sleep CliniciansPrimary Care Physicians Sleep Clinicians

B2C Distribution Patient Screening & Profiling

Clinical Outcomes Database

Interactive Therapy Checkups

Key Resources Electronic Referrals ChannelsPatient Education Resources Print & Online Advertising

Distribution Channels Telemedicine Coaching CPAPTotalcare.com

Intellectual Property EMR Integration SleepHealthAssessment.com

Marketing & Branding Patient Payment Collections Social Networks

CPAP Devices & Accessories Better Sleep eHealth Program Organic & Paid Search

Industry Conferences

Affiliate Partners

Cost Structure Revenue Streams

Product Development Per Patient License Fees

Marketing & Advertising Sleep and other Related Products

Administration Concierge Services (i.e. insomnia coaching)

Cost of Goods Better Sleep eHealth Program

Transaction Fees

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Experience and Expertise

• Seasoned development team that delivers world-class features and results

• Developed and beta-launched four separate CPAP therapy management web applications: CareTouch360, ManageMyCPAP, DeVilbiss SmartLink Web and CPAP TotalCare – all of which provided unique solutions, improvements, and efficiencies that were previously unavailable to the market.

• Adopted the HIPAA and MARS-E security standards for our applications which is the gold standard for eHealth applications. This security level opens the door to 3rd party payers, government institutions, and data sharing partners who require the highest security standards.

• Developed DeVilbissClinicalEducation.com online CEU and certification platform for RTs

• Developed Feed140, a drip-feed publishing tool that serves social media marketers and makes it effortless to stay engaged with followers.

• Developed VisiOlo to Track, Analyze, and Optimize sales processes showing which marketing activities are profitable and which ones are not.

Therapy Provider Time/Billings

1

Awareness

2

Screening /

Consultation

3

Diagnosis /

Treatment Plan

4

Setup

5

Acclimation

6

Maintenance

7

Re-evaluation

8

Recovery

Dentist

Primary Care Physician ($0)

Sleep Specialist

Sleep Lab (home testing)

CPAP Therapy Provider

Provide basic understanding of sleep disorder risk factors and symptoms

Provide clear next step for ‘at risk’ patients

Create/Import Patient Record

Verify and bill insurance

Manage co-pay and patient balance collections

Sleep History & Symptoms

Epworth BMI Neck

Circumference Cardiopulmonary

& upper respiratory exam

Update patient record

Write sleep test order and referral



Patient collections

Lab or home sleep study

Score & Interpret Study

Moderate to Severe OSA

Mild OSA w/ symptoms or comorbidities

OSA ed & treatment plan

Write CPAP order & referral




Patient collections Equipment use &

care instructions

Copy of sleep study

Clinical evaluation chart notes

Physician order & treatment plan

Proper mask fit Proper machine

setup Treatment plan

review


Follow-up day 2 or 3

Follow-up day 10-14

Follow-up day 30-35

Objective evidence of adherence

Facilitate Re-evaluation F2F with physician

Re-evaluation chart notes

Signed therapy report

Intervention & support as needed


Qtrly follow-up Verify & bill

insurance Patient

collections Document

supply requests Fulfill supply

orders Usage & therapy

metrics Outcomes

measurement

Intervention & support

Wellness program


Annual assessment

Facilitate re-evaluation as needed



Sleep ApneaCurrent

Basic Best Practices

Clinical Time/Billings

2hr/$1210

36min/$82 48min/$1721hr/$8210min/$0 1.2hr/$261 14min/$0 5min/$0

2.5hr/$0 3.6hr/$300 5min/$0

4.3hr/$597

8.1hr/$1410

Patient Mgmt. Time

Clinical: 4.3

Therapy Mgmt.: 8.1

Total: 12.4

1

Awareness

2

Screening /

Consultation

3

Diagnosis /

Treatment Plan

4

Setup

5

Acclimation

6

Maintenance

7

Re-evaluation

8

Recovery

Dentist

Primary Care Physician ($597)

Sleep Specialist

Sleep Lab

Therapy Provider Time/Billings

CPAP Therapy Provider

TotalCare

Clinical Time/Billings

1.25hr/$1210

13min/$82 37min/$17246hr/$8210min/$0 47min/$261 2min/$0 1min/$0

35min/$0 1.1hr/$300 5min/$0

2.8hr/$597

3hr/$1410

Provide basic understanding of sleep disorder risk factors and symptoms

Provide clear next step for ‘at risk’ patients



Manage co-pay and patient balance collections

Sleep History & Symptoms

Epworth BMI Neck

Circumference Cardiopulmonary

& upper respiratory exam


Write sleep test order and referral



Patient collections

Lab or home sleep study

Score & Interpret Study

Moderate to Severe OSA

Mild OSA w/ symptoms or comorbidities

OSA ed & treatment plan

Write CPAP order & referral




Patient collections Equipment use &

care instructions Copy of sleep

study Clinical evaluation

chart notes

Physician order & treatment plan

Proper mask fit

Proper machine setup

Treatment plan review


Follow-up day 2 or 3

Follow-up day 10-14

Follow-up day 30-35

Objective evidence of adherence

Facilitate Re-evaluation F2F with physician

Re-evaluation chart notes

Signed therapy report

Intervention & support as needed


Qtrly follow-up Verify & bill

insurance Patient

collections Document

supply requests Fulfill supply

orders Usage & therapy

metrics Outcomes

measurement Intervention &

support Wellness

program Update patient

record

Annual assessment

Facilitate re-evaluation as needed



Basic Best Practices

Patient Mgmt. Time

Clinical: 2.8

Therapy Mgmt.: 3.0

Total: 5.8

Time Savings = 6.5 Hrs

HealthInformation.exchange Features

• Normalized Data Storage

• Data Exchange Through Robust, Simple APIs

• Instant Connection to 3rd Parties

• Make one connection and instantly exchange data with every connected 3 rd party

• Analytics & Research UI

• Connected users can log in to their HI.Ex account and analyze their own data using advanced Analytics tool and reports

• Subscribers to advanced features can benchmark against all exchange data and mine summary data for research purposes

Supports Any Specialty and/or Disease State

• The TotalCare platform is extendable to any specialty or disease state and is complimentary among specialties.

• Sleep Apnea

• Sleep Specialists (ENT, Cardiology, Pulmonology, Dental, Sleep MD)

• Primary Care Physicians

• CPAP Equipment Providers

• Dentists

• Diagnostic Services (in-lab & home testing)

• Insomnia

• (all of the above)

• Acupuncturists, & other holistic practitioners

• Nasal & Sinus Obstruction

• Diabetes

• Weight Loss

• Smoking Cessation

• Heart Disease

Better Sleep eHealth Program

• Interactive behavioral therapy for CPAP users who suffer from Excessive Daytime Sleepiness

• 6 Interactive Encounters, 7-days apart

• Video, Prompts, Data Collection, and Assignments

• Audio Programs for Self-guided Meditation and Relaxation

• Peer Support Forum

• Optional Sleep Coaching

• Before and after Better Sleep Score

Competition – Patient OutreachCompetitor Product

Category

Description

ResMed ReSupply Patient

Outreach

Established in 2010, this company’s strength is their Automated Patient

Contact System (APCS) designed specifically for the healthcare industry,

including DME/HME's, Home Care Organizations, Pharmacies, and

Hospitals. Although considered the most threating competitor, they do not

offer as many features and solutions as TotalCare and are primarily focused

on selling ResMed CPAP machines and masks.

Philips MedSage Patient

Outreach

Established in 2003, this company introduced the industry’s first voice and

email application that homecare providers can use to interact with patients.

Although the addition of new services provides a more comprehensive

offering, they are still weak in the areas of patient engagement, metrics

monitoring, and clinical outcomes and also exclusively focused on supporting

Philips Respironics CPAPS and masks.

CMB Solutions Patient

Outreach

Established in 2010, this company is primarily a call center and automated

voice patient outreach service provider. Beyond collecting the basic patient

metrics such as CPAP compliance information, and facilitating supply orders

they do not offer any additional engagement services.

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CPAP TotalCare ResMed ReSupply Philips MedSage CMB Solutions

Automated Patient Follow-up X X X X

Supply Ordering X X X X

Interactive Voice Response (IVR) X X X

Mobile App X X X

Live Call Center X X

Patient Portal X X X X

Private Messaging X X X

Broadcast Messaging X X X

CPAP Data & Compliance Tracking X Limited to own products Limited to own products Limited to own products

Integrated Patient, Provider, and Clinician Roles X

Document Management, Sharing & Viewing X

Patient Educational & Reference Materials X

Clinician Directory & Patient Recruitment Engine X

Tasks & Workflows X

E-commerce Retail Products X

Outcomes, Health, & Therapy, Metrics X

Simple, Digital Referrals X

eHealth Retail Products X

Patient Payments & Collections X

Wearables & Health Peripherals Integration X

Digitally-integrated Physician, Patient & Provider Roles X

Support multiple disease states & therapies future

Competition

Competitive Protection

• First-to-market position with a truly patient-centered therapy platform that covers the full continuum of care.

• We will be able to establish ourselves as the leading therapy management platform in the eyes of patients and clinicians simply by being the only complete program available.

• As long as we keep improving and responding to the needs of patients and clinicians, we will be able to maintain this position.

• ‘High cost of change’

• Once established on our platform, changing to a different future platform has a high cost for users in terms of effort, expenses and habits.

• Upstream physician relationship

• Physicians will regularly receive new patient, and patient re-evaluation referrals from TotalCare.

• Instead of just providing software, we provide more revenue and better outcomes.

• The stream of new patients goes through physicians. Winning the ‘upstream’ battle negates ‘downstream’ technologies

• IP & Brand Protection

• We will have a number of legal protections in place for our intellectual property as well. Trademarks and copyrights will be utilized to protect our brand assets and patents will be utilized to protect our unique technology features.

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Market M&A Activity• CPAP Therapy Related Mergers & Acquisitions

• 2011: Phillips Respironics Acquires MedSage Technologies

• 800,000 patients

• $5 mil annual sales

• Estimated acquisition cost: $15 mil

• 2012: ResMed Acquires Umbian Technologies

• Pre-commercialization


• 2014: ResMed Acquires JaySec Technologies and folds in to ResMed ReSupply



• 2014: ResMed Acquires CareTouch and folds in to ResMed ReSupply


• 500,000 patients

• Estimated acquisition cost: $4-5 mil

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an interactive ehealth platform for patients and...

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