Clinical intelligence for elite athletes

Life first.
Performance follows.

OTLR reads the person, not just the performance. An occupational therapy platform built to catch the breakdowns that happen outside the lines, before they cost a season or a career.

The pattern

The cost of reading only
what is visible on the field.

Elite sport spends billions optimizing the body and the play. Almost nothing is spent reading the life around it. The breakdowns are recurring. The visibility into them is not.

Why now

22 of 30 NBA teams now collect daily wellness data. Zero clinical intelligence is applied to it. The data is waiting. The intelligence layer is not.

1 in 3
Elite athletes with significant mental health symptoms
Anxiety, depression, or sleep disturbance during an active competitive season.
Gouttebarge, BJSM 2019
35%
Career transition distress
Of retiring athletes experience clinically significant adjustment difficulty within two years of exit.
IOC Consensus, 2019
0
Platforms built on occupational therapy
No athlete-facing product on the market is licensed, clinical, and structured around the five dimensions that collapse first. Fewer than 300 clinicians worldwide hold the certification to build one.
OTLR category analysis
The Stability Index™

Five signals.
One score that reads the whole person.

Not a wellness score. A clinical composite drawn from the five domains that decades of occupational science research identify as the structural supports of a stable life. Integrates with the systems teams already use.

The clinical layer sees the components. The athlete sees the composite. The team sees direction, not diagnosis.

HC
Habit Consistency
The daily architecture. Sleep, movement, nutrition, routine.
RC
Role Clarity
Knowing what you are responsible for and where you fit, on and off the field.
AM
Anchoring & Meaning
The why. The practices, relationships, and purpose that hold the day in place.
TA
Transition Adaptation
How the person moves through change. Season, injury, relocation, role shift.
IC
Identity Continuity
Who you are when the uniform is off. The self that survives the schedule.
Blind Coach Protocol™

Every wellness platform fails
for the same reason.
We are architected around it.

When athletes believe the front office can see their raw answers, they enter safe, performance-flattering data. The platform becomes noise. OTLR is the only athlete platform architected around the trust separation that makes honesty possible.

The Athlete

Sees themselves.

Their own score. Their own trend line. Their own reflection.

Sees: personal Stability Index, component breakdown, Arc conversations, history, coach-visible summary before it is shared.
The Clinician

Sees everything.

A licensed occupational therapist, bound by HIPAA, clinically accountable.

Sees: every component, every data point, every flag, every case note. Drives the care plan. Nothing clinical leaves the clinical layer.
The Coach & Front Office

Sees direction.

Team-level aggregates only. Is the needle moving. Is trust building. Is the roster consolidating.

Sees: directional team indicators, engagement, cohort-level signals. Never: individual scores, individual components, individual reflections. By design.

The clinical layer sees everything. The coach sees direction. The athlete sees themselves. That is the protocol that makes the data worth collecting.

Who we serve

Athletes are the canary.
The market is anyone in transition.

Elite sport is where the pattern is most visible, most expensive, and most measurable. The infrastructure we build for athletes applies cleanly to every population whose work forces an identity transition.

01
Elite sport
NBA first. Then NCAA Division I. Then high school programs with the infrastructure to sustain it.
$500Maddressable
02
High-identity professions
First responders, military, veterans, executives, performers. Populations whose career is their identity.
$8Baddressable
03
Anyone in transition
Layoff, graduation, empty nest, divorce, retirement, grief. The population whose daily architecture is being rebuilt in real time.
$50Baddressable
Clinical proof of concept

Before there was a platform.
There was a person.

Brandon, former athlete and OTLR twelve-week clinical proof of concept subject

Former athlete. Twelve-week clinical proof of concept.

Brandon's identity was entirely defined by his role as an athlete. When playing ended, the anchor was gone. Daily architecture collapsed. The structure that once held sleep, nutrition, movement, purpose, and self-concept in place dissolved in weeks. What remained was not dysfunction. It was an absence of occupation.

Physical activity

Structured movement was reintroduced not as training, but as daily occupation. From zero days per week to three to four sustained sessions: a rebuilt habit loop anchored to time, place, and routine rather than performance outcome.

Nutrition

Meal preparation replaced reactive consumption. Weekly planning, grocery structure, and cost accountability restored agency over a domain that had collapsed into convenience eating at 2 AM.

Spirituality

Faith practices expanded from a single ritual to a daily architecture of devotion, reading, and presence with family. Anchoring and meaning restored through consistent, chosen occupation.

COPM Assessment, Week 0 to Week 12

Self-rated pre/post scores (1 to 10 scale). Clinically meaningful change threshold: +2 points.

Physical Activity
Performance
4
9
+5
Satisfaction
3
8
+5
Spirituality
Performance
5
8
+3
Satisfaction
3
7
+4
Nutrition
Performance
3
8
+5
Satisfaction
3
7
+4

All domains exceed the +2 point threshold for clinically meaningful change (Law et al., COPM 5th Ed.).

Where we are

Traction is clinical.
Then commercial.

1
NBA franchise
In active conversations. First enterprise opportunity in elite sport.
12 wk
Clinical proof of concept
Completed. COPM outcomes across three occupational domains. All clinically significant. Backed by 25+ years of research.
V16
Platform build
16 iterations shipped. Three roles: Athlete, Clinician, Coach. Each sees only what the Blind Coach Protocol permits.
Pre-seed
Raising now
Funding NBA pilot deployment, platform infrastructure, and first clinical hires.
On the margins

The floor rises when the ceiling does.

We are not building this to reach NBA athletes. We are using the NBA to reach every person who has had to rebuild themselves when the structure they were built for was taken away.

Service on the margins. Reaching the ones on the ends who don’t normally get reached.

Enterprise
The NBA pays for the infrastructure.
Enterprise SaaS. Tiered annual contracts per franchise. $140M payroll per team makes this the highest-margin clinical contract in sport. Revenue proves the category and funds the Foundation.
Pledge 1%
Equity · Product · Time.
Written into the operating agreement before the first dollar. Equity, product access, and clinical hours committed from day one.
OTLR Foundation
501(c)(3) in pre-filing.
Independent board. Delivers youth access through Boys & Girls Clubs, faith-based youth sports networks, and supervised OT student residencies.
The money from the top is how the floor rises. Life first. Performance follows. For everyone.
The Pledge

Not charity.
Architecture.

Pledge 1% is structured into the cap table at incorporation. It does not wait for an exit. It scales with the company from day one.

1% Equity

1% of founder equity allocated to the OTLR Foundation (501(c)(3), in pre-filing) at incorporation. As the company grows, so does the Foundation. Baked in, not bolted on.

1% Product

Free platform access grants to Foundation-partnered youth sports programs: Boys and Girls Clubs, faith-based youth sports networks, supervised OT student residency sites.

1% Time

Licensed occupational therapist hours committed annually to Foundation delivery. Clinical-grade access for populations that would not otherwise reach it.

The floor rises because the top funds it. By structure, not by goodwill.

Clinical foundation

Built on occupational science.

OTLR is grounded in the Lifestyle Redesign® tradition pioneered at the University of Southern California. Peer-reviewed, replicated, published.

Clark et al., JAMA 1997. The Well Elderly Study. Preventive occupational therapy produces measurable gains in health, function, and life satisfaction in community-dwelling adults.
Clark et al., J Epidemiol Community Health 2012. Well Elderly II RCT. Replicated results across a multi-ethnic, low-income sample. Cost-effective at scale.
Pyatak et al., Diabetes Care 2018. REAL Diabetes trial. Occupational therapy lifestyle intervention produced clinically significant improvements in young adults with type 1 diabetes.
Jackson et al., AJOT 2010. The Lifestyle Redesign program framework. Empirical support for occupation-based prevention across populations.
Gouttebarge et al., BJSM 2019. Systematic review. Mental health symptoms in active and former elite athletes. One in three prevalence baseline.
IOC Mental Health Consensus, 2019. International Olympic Committee expert consensus on mental health in elite athletes. Transition distress framework.
The team

Founder-market fit
is the whole story.

Devin Alexander
Devin Alexander
Founder & CEO
Licensed Occupational Therapist (OTR/L). Lifestyle Redesign® Certified through the USC Chan Division. MBA candidate, La Sierra University, Zapara School of Business. Fewer than three hundred clinicians worldwide hold this combination. OTLR exists because the gap Devin watched family members fall into is the gap he was clinically trained to close.
Agnes Alexander
Co-founder · Director of People Operations
MBA candidate, Human Resource Management. Built OTLR’s operational infrastructure from zero. Runs governance, compensation, people systems, and the frameworks that let Devin stay clinical while the company scales.
For funds, teams, and press

Read the person.
The performance takes care of itself.

OTLR is in active conversations with its first NBA franchise. Pre-seed round open. Teams, investors, and press are invited to reach out directly.