Therapy

Layer

Investor Deck
The Distress Era
1 in 10 people
have a mental health disorder

+47% +52% +71%

Suicidality in Recent bouts Distress in
young adults of depression young adults
Access is table stakes, not the solution
Improved access via online services has led to greater receptiveness for online therapy and coincides with
decreases in the stigma associated with therapy.

Benefits of Accessibility
❏Cost reduction
❏Less travel Current online treatment is
❏More provider selection not solving the crisis.
❏Increased privacy

The advent of online therapy increased the addressable market with an acute mental
30M+ health issue dramatically.
Consistently effective therapy that scales
Market leaders will compete on efficacy—therapist guided treatment delivers the best outcomes when adherent.
We improve the adherence through digital innovation that will drive better outcomes.
COMPUTER ASSISTED
THERAPY (CAT)

Augmented Therapy
❏Augmented video with real-time feedback
ENHANCED TELEMETRY
❏Integrated messaging and chat bots
TherapyLayer will enable detailed
❏Cohort-based group support session analytics from talk time, to, eye
contact, and other biometric measures.
❏Connected devices and biofeedback
❏On-demand content and curriculum

REAL-TIME FEEDBACK
TherapyLayer provides real-time
guidance to improve adherence and
efficacy.
Built on evidence-based therapies
Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) that integrates mindfulness are the
gold standard that have demonstrated the greatest efficacy for a broad range of diagnoses.

Innovation Strategy
❏Focus exclusively on evidence-based
therapies.
❏Leverage technology to ensure, and
improve, adherence of both therapist
and clients.
❏Innovation beyond the current
practices to amplify efficacy.
BetterSelf
Empowering therapists and supporting clients
Therapist view Patient view Therapist view
Following a proven go-to-market model
Omada health is an online intervention for pre-diabetic clients that leverages
aspects of CBT and DBT.

Key Program Features Multi-sided Market

Early Market Later Market
❏Coaching
❏Cohort-based training Individuals Employers
Reduced cost of Reduced
❏Online curriculum effective care productivity losses
❏Online community
❏Connected device inputs
❏Timeboxed program Therapists Health Insurers
Convenience and Reduced cost of
improved outcomes providing care

Mental illness short-term disability claims have grown by 10% annually and a WHO-led study estimates that
depression and anxiety disorders cost the global economy US$ 1 trillion each year in lost productivity.
Minimum Viable Product
Improve therapeutic adherence during on-demand skills coaching, then expand to support a comprehensive and
adherent treatment program.

MVP: Relay
On-Demand Skills Coaching
● Coaching request routing
● Structured video skills
coaching
● Self-guided skills coaching
● Automated session note /
report cards
MVP Market Research
On-demand skills coaching is understood to be Top 5: Reasons for Effectiveness
highly effective but challenges to delivery
negatively impact utilization.

Research program
● 75 DBT therapists surveyed
● 10 deep dive interviews
● 5 prototype research interviews

Key Findings
● Innovative centers offer group coverage
with success but want better tech. Top 5: Challenges for Delivery
● No tools exist to structure and measure
effectiveness of coaching.
● Coaching is underutilized partly due to a
lack of compensation model.
● Most clinicians are not offering coaching
in a HIPAA compliant manner.
 Initial Go-to-market (18 months from seed)
Initial go to market: partner with DBT focused mental healthcare providers and research institutions

Market Validation 3 months

market research
prototype development
6 months
MVP Development
secure seed funding
build out MVP
Alpha Launch commit research partner (e.g UCSF)
3 months
start partner research program commit pilot therapists (e.g. DBT Center of Marin)
start pilot customer programs
iteration on MVP
3 months
Beta Launch
market research for session service ramp to official launch and GA
build sales to group practices
Growth & Expansion prototype session service
6 months
GA launch limited release of consumer service
focus on market acquisition
develop support for other modalities
Financial Model
Year 1 Year 2 Year 3
Assumptions
CLIENTS
# active clients via therapist 101 2691 47706 Avg. customer monthly subscription $68
# active direct clients 0 961 13,990
# of active therapy clients 101 3,653 61,696
GA client growth rate (month/month) 25%

GA client churn (month/month) 6%

REVENUE
Avg. subscription duration 9m
Client Sourced Revenue
(subscriptions + transactions) $77,619 $1,325,710 $20,645,274
Coach compensation hourly $40

Customer Lifetime Value (LTV) $664

COGS

Coach fees $43,512 $737,528 $11,502,002

Platform $5,026 $55,354 $834,380

Total $48,538 $792,882 $12,336,382

EXPENSES

Marketing $25,000 $94,500 $120,500

Salaries, Benefits & Wages $345,696 $446,057 $868,925

General $37,380 $79,200 $109,200

Total $408,076 $619,757 $1,098,625

Competitive Landscape
Company Funding Team Term Curriculum AI/ML Devices Groups Community

Acquired 550+ N/A no no no no yes

Teladoc 4.5M

110M 550+ N/A no no no no no

63M 270+ N/A yes yes no no no

6.3M 34+ 12w yes no yes no no

4.2M 28+ 16w yes no yes no yes

450K 16 1y yes no no no yes

The Therapy Layer Team
Roland Smart
CEO
Marketing executive with growth
stage and enterprise experience.
Head of marketing for 4 startup
marketing technology firms (three
acquisitions).
Stephen Weibel
UX Design
Product Designer with successful
outcomes at SnappyTV and
Jumpcut. Worked on media and
interactive products at Yahoo! and
Meltwater.
Gavin Ryan
Development
Software Engineer focused on
mobile and web application
development. Original developer
for Kidrobot.com. Experienced
with enterprise software in
financial services, library
systems, and media monitoring.
Alicia Smart
Clinical Advisor
CEO and clinical director of the
DBT Center of Marin. Licensed
psychologist with DBT certification
from Behavioral Tech.
Appendix
Is Therapy Layer financially attractive to therapists?
Therapists prefer private practice rates but seek to supplement income due to underemployment

About Psychologists

❏The majority are independent, or seek independence but are not fully booked
❏The majority supplement independent practice, with part-time work at much lower rates
Effective therapist Median Avg. sessions Avg. Caseload for
hourly rate compensation per week (full-time) DBT Therapists

BetterHelp/TalkSpace $25 $49K 30

Traditional $50 $98K 30

Therapy Layer $30 $58K 30

Takeaway: Therapists are particularly sensitive to compensation rates in the context of their supplemental
income. Competition has already set such rates quite low.
Is there an adequate supply of providers?
Supply is growing to deliver mental healthcare at more affordable cost.

The Macro-story

78% increase in psychologists

between 2012 and 2018 39% increase in psychologists per capita
between 2012 and 2018

A Note About Coaches

Overtime we plan to supplement licensed therapist with coaches to further reduce overhead and
acquisition costs.

Provider pipeline

+2077% +33% 32% / 54%

high school AP tests increase in psychologists per graduate school doctorates /
1992 to 2018 capita between 2012 and 2018 master's awarded 2004 to 2013
Are there prohibitive regulatory constraints?
Compliance with the current regulatory landscape minimally constrain growth.

State Licensing - Therapists are licenced on a
state basis and cannot provide services across
state lines. “Coaches” on the other hand, can
work across state lines.
SUSPENDED DUE TO COVID-19
HIPAA - Online therapy services must be
delivered via HIPAA compliant systems.
These are readily available services to support
BetterSelf.

DBT Certification - There is no current

Contractors - Current market leaders engage standard or set of guidelines to provide “DBT
therapists as contractors which is a gray area adherent” therapy online.
of the law that is being tested by the “gig
economy”.