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HealthTech Startup Investment Checklist: Series A Stage (2026)

This checklist covers 24 due diligence items for HealthTech startups at the Series A stage. Each item has been validated against institutional investor practice. DDR automates the majority of these checks from a single pitch deck PDF upload.

24 checklist items · 4 red flags automatically detected · See a sample DDR report

Series A Requirements

✓ $1M+ ARR or strong path within 12 months
✓ Proven repeatable go-to-market motion
✓ Net Revenue Retention >100% (expansion > churn)
✓ Gross margins indicating sustainable unit economics
✓ Management team capable of scaling to $10M ARR
✓ Clear competitive differentiation and moat building

HealthTech Sector

✓ FDA regulatory status confirmed (clearance, exempt, or pre-submission in process)
✓ HIPAA compliance program documented with BAA template
✓ Clinical evidence reviewed with methodology assessment
✓ Payor coverage or CPT code strategy documented
✓ Reference customer interviews completed
✓ Data security assessment and breach history reviewed
✓ Stark Law / Anti-Kickback compliance verified for any referral arrangements

Deep Dive

✓ Verify FDA clearance status and any 510(k) submission history
✓ Confirm HIPAA compliance framework: BAA templates, security officer, breach history
✓ Review clinical evidence: study design, sample size, statistical significance
✓ Assess payor coverage and reimbursement status
✓ Interview reference customers (physicians, administrators, patients)

Regulatory

✓ Verify: FDA 510(k) or PMA: medical device and diagnostic claims require pre-market review
✓ Verify: HIPAA: PHI handling requires BAAs, security officer, breach notification protocol
✓ Verify: Stark Law and Anti-Kickback Statute: referral and compensation arrangements in healthcare

OSINT Signals

✓ Check: FDA 510(k) database: verify clearance status and device classification
✓ Check: PubMed: search for published clinical studies mentioning the company
✓ Check: ClinicalTrials.gov: check for registered studies
DDR AUTOMATES THIS CHECKLIST

Upload a HealthTech startup pitch deck and DDR automatically completes 17+ of these 24 checklist items — sourcing data from 13 OSINT signals, benchmarking against 3 comparable companies, and detecting all 4 critical red flags.

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