If you were referred to this form by a Seton or Ascension associate, or have already been communicating with a Seton or Ascension associate, please include their name(s) here.
The official name of your business as registered in the state where you do business.
If it is a specific product or service within your company, please name and describe it here. e.g. new MedRx medication dispenser.
Describe how the need/problem to be solved by your product or service aligns with the Quadruple Aim of improving health outcomes, patient experience, provider experience, and lowering cost.
Please outline what your objectives are and the proposed use case for your product or service. You may consider outlining what you want to accomplish in the immediate future as well as future growth goals with Ascension.
Mission statement: a clear statement that represents the purpose of your company. Vision statement: a statement about how you envision the future of the company.
A clear statement that explains how your product solves an unmet need of Seton and/or Ascension. Quantify the value of the benefits your product or service will deliver.
Who are your competitors and what sets you apart? A unique, measurable, and defendable explanation of the company's product or service. It should answer the question "Why should I purchase the product or service from you versus all other alternatives on the market, including purchasing and/or doing nothing?"
To which market segments do you plan to sell your product or service? Describe the end-user of your product or service. e.g. geriatric patients and their caregivers struggling to navigate available resources.
Upload any documents you may have received (e.g. one-pagers, pitch decks, overviews, business cards, peer-reviewed literature, pictures of prototypes) related to this new product or service.
Accepted file types: jpg, pdf, doc, gif, png, xls.Allowed file extensions - jpg pdf doc gif png xls.
This field is for validation purposes and should be left unchanged.