Buyer Questionnaire

Contact Info

Acquisition Criteria

Geographical Preference

[ Select All States that Apply ]

ALL STATES

Northeast

ConnecticutMassachusettsMaineNew HampshireNew JerseyNew YorkPennsylvaniaRhode IslandVermont

Southeast

Washington, DCDelawareFloridaGeorgiaMarylandNorth CarolinaSouth CarolinaVirginiaWest Virginia

South Central

AlabamaKentuckyMississippiTennessee

South West

ArkansasLouisianaOklahomaTexas

Midwest

IowaIllinoisIndianaKansasMichiganMinnesotaMissouriNorth DakotaNebraskaOhioSouth DakotaWisconsin

West

AlaskaArizonaCaliforniaColoradoHawaiiIdahoMontanaNew MexicoNevadaOregonUtahWashingtonWyoming

Industry Preference

[ Select All Acquisition Interests that Apply ]

BEHAVIORAL HEALTH

Acquired Brain InjuryAddictions and Substance AbuseAdult Mental HealthAt Risk Youth / Child WelfareAutismEating DisordersI/DDOpiate Treatment ProgramTelepsychiatry

HEALTHCARE STAFFING

AlliedInternationalLocumsPer DiemPlacementTravelUrgent Care

HOME HEALTH AND HOSPICE

HospiceMedicaid / WaiverMedicare-CertifiedPediatricPrivate Duty

HOME MEDICAL EQUIPMENT

Diabetic SuppliesDME/OxygenMobilitySleep DiagnosticsSupplies

ANCILLARY SERVICES

Medical/Physician Group

PHARMACY

CompoundingInfusion TherapyMail Order RXPBMRX DistributionRX InstitutionalRX RetailSpecialty Pharmacy

URGENT CARE

Occupational MedicineOrthopedicPediatricTelemedicineUrgent Care Centers

HEALTH CARE IT

All: Looking at all sectors of HITData: Health Information Exchange; Interoperability; Predictive Analytics; Storage & CollectionPatient Engagement: Content; Clinical Informatics; Mobile Health; Patient Satisfaction; Personal Health Records; Remote Patient MonitoringPopulation Health: Care Coordination; Consulting; ConvenersRevenue Cycle Management: Claims Processing; Clinical Decision Support; Compliance; EMR; Practice ManagementTelehealth: B2B Telemedicine; B2C Telemedicine

Financing Information

Interest as Minority Investor: YesNo

List Present Portfolio Companies in Health Care Service Sectors:

List Past Portfolio Companies in Health Care Service Sectors:

Financing Information Comments:

Additional Comments: