Organization Name
*
Primary contact
*
The primary person in your organization who will receive I4H communications and participate in the I4H community
First Name
Last Name
Primary contact e-mail
*
Primary contact address
*
Other organization contacts and e-mails
As applicable
Background and mandate
*
Geographic focus
*
Investment size range
*
Sectors covered
*
Is the organization a signatory to the IFC Operating Principles for Impact Management or similar impact commitment?
*
Yes
No
Other
If selected "other" to the previous question, please add a brief description here.
Areas of expertise
*
Areas of interest for future investments
*
List of current investments
*
Name, geography, sub-sector, year of investment
Does the organization currently apply an impact framework or impact screening approach to investment decision making?
*
Yes
No
Please briefly describe how the organization applies an impact framework to its investment decisions
*
Does the organization monitor or evaluate impact?
*
Yes
No
Does the organization have impact-focused portfolio management or initiatives?
*
Yes
No
Please briefly describe the organization's approach to monitoring/evaluating impact
*
Number of patients treated by investee companies
Please disaggregate by inpatient, outpatient, etc. as appropriate
