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Rekovo is focused on the commercialization of innovative products for physical therapy and the in-home health care market. Our first product, Agile Art, is used for the physical rehabilitation of patients suffering from mobility restrictions caused by neurological disorders, traumatic brain injuries, and age related ailments.
The Physical Therapy Industry Outlook
3540
55
70
85 90
5 8 10 1220
25
2000 2010 2020 2030 2040 2050
65 and Older
85 and Older
Increasing Age of US Population in Millions
Elderly Falls2.3M
TBI2.5M
Stroke800k
Parkinson’s1M
Patients per year requiring physical therapy
The current demand for physical rehabilitation of patients who have suffered
a traumatic brain injury or have geriatric related balance issues is over 5 million
annual cases and well over $100B in direct costs; a number which is growing.
400
600
1150
1400
<65 65-74 75-85 85+
Annual hospitalized falls per 10,000 by age group
The arrival of the Baby-Boom generation has created an unparalleled urgency for understanding and expanding our national geriatric care. Within the next decade, the populations of 60+ year
olds in the US will more than double and the occurrence of neurological disabilities will dramatically increase with age.
The Challenge for the Therapist“One of the greatest challenges facing today's rehabilitation healthcare provider is the lack of compliance exhibited by some patients during and after their course of treatment.”1
1 physical-therapy.advanceweb.com
Lack of compliance creates poor outcome measures, dissatisfied patients and ultimately leading to decreasing rate of reimbursements.
At the center of meeting the growing demand is the physical therapist. However they are facing problems at an individual practice level:
lack of patient engagement and
shrinking profit margins.
A Solution…Agile Art generates engagement in patients by
allowing them to create impressionistic artwork while performing their prescribed therapy. Wireless sensors are attached to the patient and through their balance exercise, they can see the results of their movement.
Results of the session are tracked with several
outcome metrics, allowing a qualitative
assessment of progression. The
artwork itself can be shared with the patient’s
friends and family.
And because it qualifies as neurorehabilitation and biofeedback, by using Agile
Art the physical therapist can add additional billing codes for reimbursement.
Some comments from patients: Comments from therapists:
There are several ways in which Agile Art’s aids in
recovery and decreases the time in therapy:
Embedding the arts and gaming within standard therapy
improves patient engagement and adherence to exercise
prescriptions.
Integrating rehabilitation exercises with the creative process has
the potential to tap into implicit process, which has
consequences for inducing neural plasticity and improving
outcomes.
Patient and clinical treatment teams can actually track progress
of recovery via the created images (e.g. duration of task
performance, smoothness of movement range and speed of
motion).
Exploring the creative nature of personal movement in a
rehabilitation setting can potentially shift attention focus in
positive ways for people coping with recent, life-changing
injuries.
The ScienceAgile Arts is based on a multiyear study and over four years of clinical use in research patients.
Patients also move significantly more within their therapy sessions when using the feedback (longer duration, p<0.05)
0 5 10 15
with AgileArt
NormalTherapy
Hours for Equivalent Gains in Balance Function
‘I did that – do you see? I didn’t
think I could move that shoulder
at all but I just drew that.’
‘Can I do the computer thing again
tomorrow? I’ll get up early for it.’
‘I really feel like I need this – when
can I take it home to work with?’
Can I take a copy of my drawing
home to my daughter I can’t
believe I made this.’
‘I could really use this to work with
patients on quality of motion.’
‘My patients are going to love
this!’
‘Can I use it with my patients
now?’
‘That’s the longest I’ve seen my
patient practice in one sitting. And
they were more focused on their
performance than normal, too.’
The Revenue Model
HospitalsClinics
Home HealthcareUniversities
Skilled Nursing
Employ’s over 200,000 PT’s working in balance recovery
The pricing strategy is to create a low cost entrance into the market that is affordable for all potential users. Reoccurring billing is utilized, rather than a one-time sale, because it reflects the continual deployment of new product features based on user feedback over the life span of the software.
Monthly Subscription $20/therapist
The Agile Art product will be developed and priced as a Software-as-a-Service (SaaS) model with monthly reoccurring revenue.
The pricing also creates a very compelling offer to the therapist because cost recovery is increased over current
treatments using functional exercise or physical activity codes, thus paying for itself in only one session.
Phase One (next 12 months)
Sales to target the:
Elderly FallParkinson’s
Traumatic Brain InjurySpinal Cord Injury
Pediatric RehabilitationPediatric Development
5,000,000+ annual cases
Monthly Subscription $10/patient
Phase 2 is the development of a home version of the software for use as a heath and wellness tool.
Phase two
Sales to focus on patients with
PT Outpatient, Clinics, Hospital
Systems
Medical Supply
Skilled Nursing Facilities
In-Home Health Care
Agencies
Private Practice
Preventative Falls/Wellness
Centers
Novel Use (e.g. education)
Pa
rtn
ers
hip
s
Billing Agencies EHR/EMR Providers
Employing >100 PT >50 Managed Units Multi-Location Agencies
Primary Focus
Secondary Markets
Marketing Plan
Dir
ect
Sa
les
Inb
ou
nd
Agile Arts will be marketed with outbound sales to organizations that employ multiple physical therapists. Smaller organizations will be handled through inbound web channels and referral programs. Simultaneously, Rekovo will be exploring partnershipsfor access to already established distribution channels.
Company Products Price Description Advantage Disadvantage
Rekovo Agile Art$20/M per
license
SAAS product platform with
feedback hardware
Novel approach with proven efficacy that
engages the patient and is extremely portable and
affordable
New market player with
undeveloped sales channel
NeuroComBalance Master /
NeuroGame>$50,000
Full site balance installation with add-on games
Parent company, Natus, in market since 1984.
Focused on innovation
Very expensive, limited to facility
use
ReoGoReoGo Robot
>$85,000Full site balance installation for
upper extremities
Provides reporting and programmed therapy
Very expensive, limited to facility use and use case
Korebalance
Mobile/Kompact
$9,500-$17,000
Stability platform with computer
interface tracking
Cheaper than competitor products. Some products
are portable
Price may be prohibitive for in-
home care providers
Low TechBoso balls, beam, etc.
Between $100-$200
Various balance trainer tools
Inexpensive, portable, quick learning curve for
therapists
Longer recovery times and low
patient engagement
CompetitionSeveral solutions for improving mobility and recovering range of motion have existed in the market,
however, they tend to focus on expensive medical device installations and have limited use in the in-
home health care market or direct to consumer. Typical low cost treatments for balance and limb
recovery tend to not qualify for higher reimbursements and have much longer recover time.
The use of video games for neurorehabilitation has been
utilized primarily as DIY solution (i.e. Nintendo Wii
sports games) and by a few market players. No market competitor focuses on the primary research to create
interactive art that maximize the full potential of
treatment or offer a unique SAAS model and
administrative tools for the PT facility.
Financial Projections
Year 1 Year 2 Year 3 Year 4 Year 5
Income
Agile Arts 211,749 650,929 1,008,592 1,294,196 1,522,584
Home Version 110,246 1,823,686 4,942,941 8,720,747 12,768,974
Total Income 321,995 2,474,614 5,951,533 10,014,944 14,291,558
Customer Service 55,320 550,578 1,395,702 2,400,389 3,467,067
Billing Fees 9,660 74,238 178,546 300,448 428,747
Acquisition Cost 90,000 90,000 90,000 90,000 90,000
Setup Fees 79,770 378,345 580,035 741,105 869,880
Equipment 65,680 267,230 401,690 509,070 594,920
Royalty 16,100 123,731 297,577 500,747 714,578
Total Variable Costs 316,529 1,484,122 2,943,549 4,541,759 6,165,191
Gross Margin 5,466 990,492 3,007,984 5,473,184 8,126,367
Total Salary and Wages 150,870 853,025 1,190,910 1,703,964 2,070,835
Fixed Business Expenses 38,650 130,650 125,850 155,850 155,850
Total Expenses 189,520 983,675 1,316,760 1,859,814 2,226,685
EBIT -184,054 6,817 1,691,224 3,613,370 5,899,682
Sales AssumptionsAcquisition Cost per Therapist: $40Close Rate Warm Leads: 25%Monthly Clients per Therapist: 3Client Upsell: 25%
Customer Service per Month per Subscription: $2.55Merchant Fees 3%Royalty Fee: 5%Equipment Cost: $10Setup/Onboarding: $15
Monthly Fee: $19.95Home Version Dev. Time: 9 MonthsHome Version Fee: $9.95Annual Retention: 80%
Expense Assumptions
Revenue Assumptions
Team
LISE WORTHEN-CHAUDHARIScience
Lise is a research assistant professor of physicalmedicine and rehabilitation, and associatedirector of the Motion Analysis and Recoverylaboratory within Dodd Hall at The Ohio StateUniversity Wexner Medical Center. She receivedan MFA in Dance at Ohio State and an MS inKinesiology at the University of Massachusetts atAmherst. Worthen-Chaudhari has more than adecade of experience conducting clinical researchof central nervous system impairment andrecovery. It was during this research that Rekovoand Agile Art came to life. At Rekovo she stays ontop of all things research, product visioning, anddata collection.
ALEX PURTELLGrowth & Marketing
Alex has broad experience acrossnumerous startups. Specializing in allthings digital marketing, analytics, andproject management, he has workedclosely with over 20 startups and acted asprogram manager for a startup accelerator.Alex has founded his own company in therehab space and has worked for aninnovation consulting firm as well as acentral Ohio venture fund. At Rekovo hehelps to spread the word and capture theright kind of metrics to make our usershappy.
TODD WHITTINGTONCEO
Todd has over twenty years of experience inmarketing, executive management andproduct development. During that same timeperiod, he has been heavily involved in severalstartup businesses. A former aerospaceengineer, Todd has worked both as a designerof lean business processes and in rolesresponsible for retail marketing strategy andproduct development for a Fortune 500company. Most recently, he served as directorof a tech accelerator and as COO of a softwaredesign agency. At Rekovo he keeps eye on thenumbers, handles the day-to-day, and plans forthe road ahead.
Traction and Next StepsThe past six months have
focused on two major areas: product development and early
beta customer recruitment. Over 100 beta testers
committed, the largest is Baylor with over 300 outpatient
facilities in the state of Texas.
Beta customers have been recruited from a range of sectors from clinics and hospitals, private practice to in-home health care. The goals of the beta test are:
Refine the user experience in terms of onboarding and product education.
Update the current features and quality assurance test the software.
Determine the exact desirable outcome measures. Understand the buying process by sector and
organization size. Create future feature list.
May 15 July 15June 15 Aug 15 Oct 15Sept 15
Agile Arts V 0.9 Completed
Strap Design
Agile Arts V 1.0 Completed
Agile Arts Updated
Beta Tester Phase
Sales Phase 1
Custom Sensor Design
Provisional Patent Filing
Milestone Timeline In order to continue on the path toward sales creation, Rekovo is seeking a seed investment from accredited investors. For more information contact [email protected] for more product info: https://saltysage.wistia.com/medias/8qgc0r87h1