Welcome

The ARPA-H Investor Catalyst Hub was created to provide resources to help performers bring their ideas to market. Hubs consist of a Consortium Management Firm (CMF) and local consortium members. This dynamic Hub incorporates spokes in additional locations across the country to represent the diversity of people, settings, partners, and capabilities that comprise the American health innovation network ecosystem. Spokes enable ARPA-H to distribute innovations across the country and remain responsive to the needs of people in a variety of settings, ranging from rural to urban, hospital to home care, and everywhere in between.

We welcome you to complete this questionnaire in order to apply to become an official member of the ARPA-H Investor Catalyst Hub.

ARCHIVED_10_24_2023_By completing this form, you agree that the information you provide about your organization is accurate to the best of your ability. You are aware that the individuals you include in the form may be contacted by the CMF for purposes pertaining to the ARPA-H Investor Catalyst Hub & Spoke Network.

I agree

By completing this form, you agree that the information you provide about your organization is accurate to the best of your ability. You are aware that the individuals you include in the form may be contacted by the Consortium Management Firm ("CMF") for purposes pertaining to the ARPA-H Investor Catalyst Hub & Spoke Network. If Membership to the Consortium is extended to your organization as a result of a successful application, you agree to allow for publication of your organization and its respective web presence by the CMF to the Investor Catalyst Hub & Spoke Network website and any other collateral it creates.

I agree

Have questions about this application? Email us at arpa-h-ic-hub@venturewell.org with your questions or request to set up office hours with a member of our team.

Are you a company or entity incorporated in or organized under the laws of the United States of America?

Because you are a company or entity outside the United States, please visit the following link to complete the proper questionnaire to apply to become official members of the ARPA-H Investor Catalyst Hub: http://investorcatalysthub.govfa.net/f/international_member_application.

Spoke Member UEI Verification

Does your Unique Entity ID (UEI) match the UEI of a current Spoke in our Hub?

To accurately answer the question above, please search for your Unique Entity ID (UEI) in the "Search your UEI" field below. If your UEI appears when you search for it, this means you share a UEI with an existing Spoke in our Hub. If so, please select ‘Yes’ as your answer to the question above and your application will be linked with the existing Spoke member who shares your UEI. If your UEI number does NOT match any of our current Spokes, please select ‘No’ as your answer to the question above and your application will be processed as a new Spoke. If you do not currently have a UEI, please go to SAM.gov to obtain a UEI first and then proceed with this application.

Search your UEI

Accepted Spoke Member Name

CMA Acknowledgement

Consortium Membership Agreement (CMA): Please review the Investor Catalyst Hub and Spoke Consortium Membership Agreement provided below before submitting a Consortium Intake Application. By selecting the check box, you are stating that you understand and acknowledge the terms of this agreement. Be advised that acknowledging the membership agreement terms will not automatically result in your membership being granted. Full access to the consortium and member portal will be granted upon approval and issued CMAs must be signed within 90 calendar days of issuance to retain membership status.

Consortium Membership Agreement

Do you agree to the terms of the CMA?

I agree

General Information

Institution / Organization Information

Institution / Organization Name

Limit to 80 characters including spaces.

Website

Unique Entity ID (UEI)

A valid UEI is required. Visit SAM.gov to apply for a UEI.

Mailing Address

Address Line 1

Address Line 2

City

State/Territory

Postal Code

Physical Address

Address Line 1

Address Line 2

City

State/Territory

Postal Code

Contact Information

Your Information

First name

Last name

Title

Email

Phone number

Primary Point of Contact

First name

Last name

Title

Email

Phone number

Business / Signing Official

First name

Last name

Title

Email

Phone number

Institution / Organization Details

Please provide your tax identification number below.

Please select all categories below that best describes your government entity.

FederalStateLocalTribal/IndigenousPlease select all the apply.

Please select your primary and secondary sector/industry.

Please select your primary sector/industry.

Please select your secondary sector/industry.

Choose all that apply to your organization.

Not applicableSocially or Economically Disadvantaged (8a certification)Veteran-Owned Small Business (VOSB)Historically Underutilized Business (HUBZone location)Service-Disabled Veteran-Owned Small Business (SDVOSB)Small Disadvantaged Business (SDB)Economically Disadvantaged Women-Owned Small Businesses (EDWOSB)Women-Owned Small Businesses (WOSB)Please select all the apply.

Please provide the official name of your federally funded research and development center.

Please list the sponsor(s) for your federally funded research and development center.

Please select your primary and secondary service area.

Please select your primary service area.

Please select your secondary service area.

How many patients, entrepreneurs, customers, etc. does your institution / organization serve annually?

ARCHIVED_02_27_2024_Does your for-profit organization meet the following Small Business definition? A business that is independently owned and operated and not dominant in its field of operation; has its principal place of business in the United States and is organized for profit; is at least 51 percent owned, or in the case of a publicly owned business, at least 51 percent of its voting stock is owned by U.S. citizens or lawfully admitted permanent resident aliens; has, including its affiliates, not more than 500 employees; and meets other regulatory requirements established by the Small Business Administration at 13 Code of Federal Regulations (CFR) Part 121.

YesNo

ARCHIVED_02_27_2024_Please select the category below that best describes your for-profit organization.

Research organizationHealthcare organization or systemIndependent hospitalOther

ARCHIVED_02_27_2024_Please specify other for-profit category:

ARCHIVED_02_27_2024_Please specify other SBA Business Types:

ARCHIVED_02_27_2024_Please select the category below that best describes your non-profit organization.

ARCHIVED_02_27_2024_Please specify other non-profit category:

Immersive Experiences

The goal of one-to-two day immersive experiences is to create a sense of urgency and understanding or patients, physicians, and commercial entities) while helping ARPA-H Program Managers (PMs) understand how to accelerate marketability and commercialization of their ARPA-H funded solution(s). These experiences would serve to provide authentic, unique exposure to situations outside of their traditional environments. Experiences could showcase the specific perspectives and challenges faced by different groups of people within the innovation ecosystem, or facilitate relationship-building and teamwork. A few examples include immersion experiences in different geographic care settings (i.e. rural hospital/health centers, urban safety net hospitals/health centers, suburban long-term care facilities, etc.), specialty services/locations (i.e. entrepreneurial mentorship experiences, technology-focused business development, commercialization services, regulatory and legal support), and/or with target beneficiaries of specific health solutions (i.e. recipients of prosthetics, community-based organizations, patient advisory councils, etc.).

Would your organization be interested in hearing more about how to participate in an immersive experience?

Are you applying to become a member of the Investor Catalyst Hub network in order to respond to an ARPA-H request for solutions or other solicitation?

Which program/solicitation?

How did you hear about the Investor Catalyst Hub?

To submit your application, click on the Submit button below.

Welcome

CMA Acknowledgement

General Information

Contact Information

Institution / Organization Details

About Your Organization

Immersive Experiences