In order for your nomination to count, all of the asterisks items must be filled in. Your response to question #11 carries the most weight in our evaluation of the executive. In the event your nominee is selected, they will be invited to become a member of The Healthcare Technology Report (membership is invite only and different than a subscription) and also be presented with an alternative option to purchase award production and rights for their particular recognition.

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* 1. Add your executive nomination for

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* 2. Executive’s Name

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* 3. Executive’s Title

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* 4. Company Name

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* 5. How would you best categorize the Company?

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* 6. How do you know the executive?

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