1.
A R O C K R E P O R T B Y
2014MIDYEAR REVIEW
DIGITAL HEALTH FUNDING
2014 JUN 30
Midyear Funding Report

2.
N THE FIRST QUARTER OF 2014 WE FELT CONFIDENT STATING THAT
it would be another record year for digital health funding.
We were surprised however to see last year’s record funding total
surpassed just three months later, reaching $2.3B.
In our 2013 midyear report, we noted that digital health funding
growth had slowed, and external observers questioned whether
momentum in digital health would continue. There is no such
question this year, with year-over-year growth exceeding 170%.
These investments are coming from diverse healthcare,
technology, and corporate venture firms, suggesting a wide-open
space with multiple vectors of opportunity.
Everyone who follows funding is naturally waiting for the liquidity
events. We expect more multi-billion dollar exits over the coming
years—in the meanwhile, we’ve created the first Digital Health
Public Company Index to track the progress of our sector in the
equity markets. Bring on the rest of 2014!
A R O C K R E P O R T B Y
WITH HELP FROM
SONIA HAVELE
MITCHELL MOM
SHEILA SHAH
HALLE TECCO
ROCK HEALTH is powering the future of the digital health ecosystem,
bringing together the brightest minds across disciplines to build
better solutions. Rock Health funds and supports startups building
the next generation of technologies transforming healthcare.
ROCK HEALTH partners include Blue Shield of California, Deloitte, GE,
Genentech, Harvard Medical School, Kaiser Permanente, Kleiner
Perkins Caufield & Byers, Mayo Clinic, Mohr Davidow Ventures,
Montreux Equity Partners, NEA, Qualcomm Life and UCSF.
LEARN MORE AT rockhealth.com
I
AUTHORED BY
MALAY GANDHI
@mgxtro
TERESA WANG
@teresawang6

3.
PRESENTATION © 2014 ROCK HEALTH
3 Dollars and deals Venture funding of digital health companies (2011-2014 YTD)
Change in venture capital funding (2013 versus 2012 and H1 2014 versus H1 2013)
Total venture funding and S&P 500 price by quarter (1995-2014 Q2)
Deals by financing round (2013 vs. Q1-Q2 2014)
Funding by geographic location of company (2014 YTD)
11 Investors Digital health deals announced by the most active digital health investors (2014 YTD)
12 Alternative funding Campaigns and dollars raised on crowdfunding platforms (2014 YTD)
13 Exits and public markets Notable M&A transactions (2014 YTD)
Change relative to offering price for digital health companies with a 2014 IPO (2014 YTD)
Return performance of notable publicly-traded digital health companies (2014 YTD)
Poll of digital health investors vs. Rock Weekly readers on next company to IPO
17 Summary
Contents
KEY FIGURESSECTION

4.
PRESENTATION © 2014 ROCK HEALTH
$0.0B
$0.5B
$1.0B
$1.5B
$2.0B
$2.5B
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Venture funding of digital health companies (2011-2014 YTD)
Digital health funding in 2014 has broken previous records, with
funding through the first half of the year exceeding the 2013 total
Source: Rock Health funding database
Note: Only includes deals >$2M
OBLITERATING RECORDS
4
2013
2012
2011
2014
$2.3B

5.
PRESENTATION © 2014 ROCK HEALTH
15%
28%
176%
123%
73%
-17%
11%
39%
29%
8%
Change in venture capital funding (2013 versus 2012 and H1 2014 versus H1 2013)
Venture funding of digital health continues to significantly
outpace traditional healthcare sectors
PACESETTER
5
Source: PwC MoneyTree; digital health data based on Rock Health analysis
Note: Digital health only includes deals >$2M
ALL SECTORS SOFTWARE BIOTECH
MED DEVICE
TECHNOLOGY HEALTHCAREBENCHMARK
DIGITAL HEALTH
H1 2014 vs H1 2013
2013 vs 2012
LEGEND

6.
PRESENTATION © 2014 ROCK HEALTH
Total venture funding and S&P 500 price by quarter (1995-2014 Q2)
Whether there is a bubble in venture or not depends entirely on
where you’re sitting
Source: PwC MoneyTree, Google Finance
SPOT THE BUBBLE
6
$0.0B
$10.0B
$20.0B
$30.0B
$0
$500
$1,000
$1,500
$2,000
2000 Q11995 2014 Q22007 Q4 2011 Q2
S&P 500
VENTURE

7.
PRESENTATION © 2014 ROCK HEALTHPRESENTATION © 2014 ROCK HEALTHPRESENTATION © 2014 ROCK HEALTH7
146 digital health companies
each raised more than
$
2M
IN 2014 SO FAR
including eight Rock Health companies!

8.
PRESENTATION © 2014 ROCK HEALTH
Source: Rock Health funding database
Note: Rock Health categorizes digital health companies into 24 separate categories
The emerging themes of 2014 reflect a system shifting under
healthcare reform and represent nearly 50% of all funding YTD
........
........
........
........
........
........
........
Management and
administration tools
for payers
$
211M
PAYER
ADMINISTRATION
Software/hardware
designed to treat a
specific disease or
condition
$
206M
DIGITAL MEDICAL
DEVICES
Data aggregation and
analysis to support a
wide range of health-
care use cases
$
196M
ANALYTICS AND
BIG DATA
Consumer tools for the
purchasing of healthcare
services or health
insurance (B2B and B2C)
$
193M
HEALTHCARE
CONSUMER
ENGAGEMENT
Comprehensive
platforms for managing
the health of populations
under the shift to risk-
based payment models
$
162M
POPULATION
HEALTH
MANAGEMENT
Software platforms to
support the delivery of
medicine customized
to an individual’s
genetics
$
150M
PERSONALIZED
MEDICINE
.
8

9.
PRESENTATION © 2014 ROCK HEALTH
Largest venture rounds for digital health companies (2014 YTD)
The largest eight deals through the first half of 2014 make up
more than one-third of all funding this year
Source: Rock Health funding database
ONE OF THESE THINGS IS NOT LIKE THE OTHER
9
SERIES B SERIES C
D+ OR
GROWTH EQUITY
•
•
•
•
•
•
•
•$54M
$67M
$71M
$78M
$120M
$125M
$130M
$135M

10.
PRESENTATION © 2014 ROCK HEALTH
Deals by financing round (2013 vs. Q1-Q2 2014)
Year-over-year deal growth reached 64% and continues to be
driven by early stage deals
Source: Rock Health funding database
Note: Only includes deals >$2M with explicit deal stage announced
EARLY STAGE FOCUS
10
2013
Q1-Q2 2014
SEED OR A
49%
B
25%
C
13%
D+
13%
SEED OR A
57%
B
18%
C
12%
D+
13%
10 companies progressed from seed
or A to B stage from 2013 to 2014
4 companies progressed from
B to C stage from 2013 to 2014
6 companies progressed from C to D or D+
to further from 2013 to 2014

11.
PRESENTATION © 2014 ROCK HEALTH
The Bay Area remains the digital health hub, but New York City
and Boston are coming along, doubling in size relative to 2013
Note: Digital health companies based in California raised $907M in total
funding, representing almost 40% of all funding in 2014 YTD 11
Funding by geographic location of company (2014 YTD)
GOLD RUSH
37
8
6
5
5
15
17
$500M+
$100-500M
$50-100M
$10-50M
>$0-10M
# of deals in metro area
LEGEND

12.
PRESENTATION © 2014 ROCK HEALTH
Digital health deals announced by the most active digital health investors (2014 YTD)
A growing number of technology and strategic investors are
becoming the most active in digital health
Note: Only includes announced deals >$2M; multiple investments in the same
company in 2014 are considered a single deal for purposes of activity count
PROLIFIC INVESTORS
12
DEAL 1 DEAL 2 DEAL 3 DEAL 4
QUALCOMM VENTURES
ANDREESSEN HOROWITZ
BESSEMER VENTURE PARTNERS
EMERGENCE CAPITAL
GOOGLE VENTURES
MATRIX PARTNERS
VENROCK

13.
PRESENTATION © 2014 ROCK HEALTH
Campaigns and dollars raised on crowdfunding platforms (2014 YTD)
Source: Crowdfunding platform websites
Note: Only includes campaigns which concluded in 2014 YTD
SHY CROWDS
..........................................................................
13
......
..................CAMPAIGNS
(SUCCESS RATE)
$ RAISED CAMPAIGNS
(SUCCESS RATE)
$ RAISED CAMPAIGNS
(SUCCESS RATE)
$ RAISED
$2.3M
$66K
$286K
IN NUMBERS
• 98 campaigns tracked
• 16,575 individual backers
contributing $2.6M across
all campaigns
• 21% success rate across all
platforms
• 41% of all crowdfunding
dollars raised in 2014 YTD
came from 1 blockbuster
campaign (Healbe GoBe)
15%
22%
67%
While Indiegogo remains the most popular crowdfunding
platform, success rates are down almost 50% versus 2013

14.
PRESENTATION © 2014 ROCK HEALTH
ACQUIRER TARGET DESCRIPTION
Biosensing wearable to detect and
diagnose cardiac arrhythmias
including atrial fibrillation
Patient safety compliance software
to prevent retained foreign objects
during surgery
Implantable pulmonary artery
sensor paired with a wireless
receiver to transmit data
Biosensing wearable to detect heart
rate and other physiological
parameters in multiple form factors
Medical device companies involved with M&A transactions (2014 YTD)
Medical device companies have been busy acquiring digital
health companies as their business models evolve
Source: Company press releases
Note: Medtronic announced its intended acquisition of Covidien on 6/15/2014 14
WEARABLE EXITS TYING THE KNOT
Other notable acquisitions (2014 YTD)
PRICE TARGET ACQUIRER
$100M
$100M
$25M
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Basis Intel
MedPage Today Everyday Health
HealthPost The Advisory Board Company
Altos Clinical Flatiron
AmeriDoc Teladoc
API Healthcare GE
Audax Health Optum
Clarus Health HealthSparq
Mindbloom Welltok
Moves Facebook
RxAnte Millennium Laboratories
Sense4Baby AirStrip
Sessions MyFitnessPal
Wello Weight Watchers
$150M
$120M
$60M
Undisclosed

15.
PRESENTATION © 2014 ROCK HEALTH
The public markets welcomed four digital health IPOs with mixed
reception following the first day
Source: NASDAQ, S-1 filings, company websites
Note: Share price and market capitalization as of 6/30/2014 15
Change relative to offering price for digital health companies with a 2014 IPO
IPO DAY 1 CLOSE
CSLT
EVDY
IMPR
CRCM
$
0.5B
MARKET CAP
OFFERING: MAR 28 2014
$
0.4B
MARKET CAP
OFFERING: JUN 25 2014
$
1.4B
MARKET CAP
OFFERING: MAR 14 2014
$
0.4B
MARKET CAP
OFFERING: JAN 24 2014
JUN 30
0%
150%
90%
30%
-30%
POP AND SIZZLE

16.
PRESENTATION © 2014 ROCK HEALTH
The Digital Health Public Company Index has underperformed in
the public markets through the first half of 2014
16
-20%
-10%
0%
10%
20%
INDEXED COMPANIES
Imprivata and IMS Health will be included
starting Q3 2014
S&P 500
DIGITAL HEALTH INDEX
JAN APR JUNFEB MAR MAR
Note: “The Digital Health Index by Rock Health” on Motif Investing. Performance return as of 6/30/2014;
Calculations based on split adjusted total returns of each individual component weighted by market cap;
Available here: www.motifinvesting.com/motifs/the-digital-health-index-by-roc-O7xghiOF#/overview
Return performance of notable publicly-traded digital health companies (2014 YTD)
THE DIGITAL HEALTH PUBLIC COMPANY INDEX

17.
PRESENTATION © 2014 ROCK HEALTH
$155M $240M $130M $68M $66M $125M $138M $111M $82M $82M $108M
Investors (and our readers) are anxious to see name brand digital
health companies exit, given the amount of funding to date
Source: 36 investors were polled on May 9; 264 Rock Weekly readers were polled on May 12
Note: Companies are selected—chart does not show all companies that have raised >$50M;
ZocDoc funding includes $55M convertible note (2013) but not rumored new funding of $152M (2014) 17
3%4%
7%8%
2%2%
8%
3%
11%
6%
47%
0%
3%3%3%3%
6%
13%13%13%
16%
28%
AGGREGATE
FUNDS
RAISED
INVESTORS
ROCK WEEKLY READERS
Poll of investors at the Fenwick Digital Health Investor Summit vs. Rock Weekly readers
WHAT DIGITAL HEALTH COMPANY WILL IPO NEXT?

18.
PRESENTATION © 2014 ROCK HEALTH
FUNDING AND DEAL VOLUME Digital health funding reached $2.3B in 2014 YTD alone,
representing a year-over-year growth exceeding 170% and eclipsing the 2013 total. While 146
distinct companies raised over $2M, one-third of all funding is attributable to the eight largest
deals of the year thus far.
MAJOR THEMES OF THE YEAR The six themes (Rock Health tracks 24 categories) that emerged in
2014 YTD, representing nearly 50% of all funding included: payer administration, digital
medical devices, analytics and big data, healthcare consumer engagement, population
health management, and personalized medicine. Many of these themes are linked directly to
healthcare reform and the related business model shifts within the industry.
PROLIFIC INVESTORS EMERGE Seven separate investors (six of which are traditionally technology
and strategic investors) have already made three or more digital health investments in 2014.
ALTERNATIVE FUNDING FOR PRODUCTS There were 98 campaigns tracked but success rates across
the three major platforms have fallen almost 50% compared to 2013. More than 40% of all
funding raised came from a single blockbuster campaign (a campaign subsequently came
into question related to its claims).
EXIT ACTIVITY 2014 has been a big year for digital health IPOs—four new companies joined the
public markets for the first time. M&A activity has also been abundant (we tracked 51 deals
through the first half of the year), most notably medical device companies acquiring adjacent
digital health businesses that can support their core offerings.
SUMMARY OF FINDINGS
18

19.
SOURCES
The Rock Health Funding Database is updated
continuously by the Rock Health team using a wide
range of sources, including company announcements
and press releases, SEC filings (and websites that
report SEC filings) and CrunchBase. CapIQ is not a
primary source, but is used to reconcile and check for
missed entries. We are grateful to all the folks who
write about funding and make our lives a bit easier.
DATA
Our Funding Database is available for a fee on our
website. The dataset encompasses individual deals
back to 2011, provides details on each of the funded
companies, and profiles investors based on deal
volume. Updates are provided quarterly through the
end of the calendar year of your purchase. Please visit
rockhealth.com/research to learn more.
research@rockhealth.org
@rock_health
PRESENTATION © 2014 ROCK HEALTH