2021 TripleTree iAwards Application

Thank you for your interest in the 2021 TripleTree iAwards! To complete your application, please submit the following questions and a brief overview / investor presentation to iawards@triple-tree.com.

The TripleTree iAwards process is blinded, meaning that we only evaluate information submitted in this application and supporting overview presentation. For the best representation, we advise against incomplete or partial answers to the following questions.

All responses are confidential.

Current TripleTree investment banking clients and TT Capital Partners portfolio companies as of July 1, 2021 are ineligible to apply.

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* 1. Primary Applicant

Company Name

Brand Name of Solution, Product or Service

Website

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* 2. Key Contact (Individual)

Name

Title

Email Address

Phone Number

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* 3. Number of Employees

1-24

25-49

50-99

100-249

250-499

500+

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* 4. In 200 words or less, describe your solution, target market, value proposition and how it is driving innovation in healthcare. Please also email a brief overview / investor presentation (10 slides or less) to iawards@triple-tree.com.

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* 5. In 150 words or less, describe how your solution is differentiated from competitive solutions. Making specific competitive comparisons is acceptable.

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* 6. Name your top competitors. (Note: Answering "we don't have any competition" is not valid.)

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* 7. What was your company's GAAP revenue in 2020, or its most recent fiscal year?

$5M - $10M

$11M - $15M

$16M - $20M

$21M - $25M

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* 8. For the target markets listed along the left column, please indicate your sales and marketing approach.

	Direct Sales	Channel / Partner Sales	Physician Referral	Retailer	App Store	Other
Consumer	Consumer Direct Sales	Consumer Channel / Partner Sales	Consumer Physician Referral	Consumer Retailer	Consumer App Store	Consumer Other
Employer	Employer Direct Sales	Employer Channel / Partner Sales	Employer Physician Referral	Employer Retailer	Employer App Store	Employer Other
Payer	Payer Direct Sales	Payer Channel / Partner Sales	Payer Physician Referral	Payer Retailer	Payer App Store	Payer Other
Pharma	Pharma Direct Sales	Pharma Channel / Partner Sales	Pharma Physician Referral	Pharma Retailer	Pharma App Store	Pharma Other
Provider	Provider Direct Sales	Provider Channel / Partner Sales	Provider Physician Referral	Provider Retailer	Provider App Store	Provider Other
Alternate Site, Home Care, Etc.	Alternate Site, Home Care, Etc. Direct Sales	Alternate Site, Home Care, Etc. Channel / Partner Sales	Alternate Site, Home Care, Etc. Physician Referral	Alternate Site, Home Care, Etc. Retailer	Alternate Site, Home Care, Etc. App Store	Alternate Site, Home Care, Etc. Other

Please clarify the answers above if needed

Question Title

* 9. As a percentage, please rank the target markets below in terms of annual revenue contribution for your company (or list n/a).

Consumer

Employer

Payer (Commercial / Government)

Pharma

Provider (Physician, Hospital)

Provider - Alternate Site (i.e. Home Care)

Other (please specify)

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* 10. How dependent is your revenue stream on reimbursement (commercial insurance, Medicare, Medicaid)?

100%

Partially

Minimally

Not at all

Please elaborate.

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* 11. Select how your solution is deployed for users or technically delivered to your target markets.

Software (subscription or license)

Device license

Product sale

Professional services / consulting

Online affiliate web site

Downloadable App

Ad Revenue

Please elaborate.

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* 12. What is needed for your solution to realize stronger growth and market adoption?

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* 13. Please summarize your best client / customer case study, or indicate that you will submit a PowerPoint presentation describing it. Be sure to include:
• Your client's business objective
• How your solution addressed their business needs
• Summary of implementation
• Measurable results

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* 14. How has your organization responded to the COVID-19 pandemic? If applicable.

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* 15. Have you received external funding?

Yes

Prefer not to answer

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* 16. Do you anticipate needing growth capital or investment banking support in the next 12 months?

Likely

Likely in 18 months

Unlikely

Please print this page for your records and proceed to the next page where you will complete your application submission.

Question Title

* 1. Primary Applicant

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* 2. Key Contact (Individual)

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* 3. Number of Employees

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* 4. In 200 words or less, describe your solution, target market, value proposition and how it is driving innovation in healthcare. Please also email a brief overview / investor presentation (10 slides or less) to iawards@triple-tree.com.

Question Title

* 5. In 150 words or less, describe how your solution is differentiated from competitive solutions. Making specific competitive comparisons is acceptable.

Question Title

* 6. Name your top competitors. (Note: Answering "we don't have any competition" is not valid.)

Question Title

* 7. What was your company's GAAP revenue in 2020, or its most recent fiscal year?

Question Title

* 8. For the target markets listed along the left column, please indicate your sales and marketing approach.

Question Title

* 9. As a percentage, please rank the target markets below in terms of annual revenue contribution for your company (or list n/a).

Question Title

* 10. How dependent is your revenue stream on reimbursement (commercial insurance, Medicare, Medicaid)?

Question Title

* 11. Select how your solution is deployed for users or technically delivered to your target markets.

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* 12. What is needed for your solution to realize stronger growth and market adoption?

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* 13. Please summarize your best client / customer case study, or indicate that you will submit a PowerPoint presentation describing it. Be sure to include:• Your client's business objective• How your solution addressed their business needs• Summary of implementation• Measurable results

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* 14. How has your organization responded to the COVID-19 pandemic? If applicable.

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* 15. Have you received external funding?

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* 16. Do you anticipate needing growth capital or investment banking support in the next 12 months?

* 13. Please summarize your best client / customer case study, or indicate that you will submit a PowerPoint presentation describing it. Be sure to include:
• Your client's business objective
• How your solution addressed their business needs
• Summary of implementation
• Measurable results