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Deloitte Unveils 2021 North America Technology Fast 500 Rankings

California-based global medical technology company claims top spot in 27th annual ranking of fastest-growing businesses

SAN FRANCISCO, Nov. 17, 2021 — Deloitte today released its “North America Technology Fast 500,” an annual ranking of the fastest-growing North American companies in the technology, media, telecommunications, life sciences, fintech, and energy tech sectors, now in its 27th year.

Axonics, Inc. claimed the top spot with a growth rate of 87,037% from 2017 to 2020. Based in Irvine, Calif., Axonics (Nasdaq: AXNX) is a global medical technology company focused on the development and commercialization of novel therapies for patients with incontinence. The Axonics® implantable rechargeable sacral neuromodulation system provides patients suffering from overactive bladder and/or fecal incontinence with long-lived, easy to use, safe, and clinically effective therapy. Axonics’ next-generation urethral bulking agent, Bulkamid®, provides women suffering from stress urinary incontinence with safe and durable symptom relief. Axonics is one of six California-based companies ranked in the top 20 this year.

“Axonics is proud to be recognized as the fastest growing company on the Deloitte Technology Fast 500 list,” said Raymond W. Cohen, chief executive officer of Axonics. “The strong growth of Axonics is a testament to the mission-driven culture of the company, the dedication of our employees, and our commitment to innovation and developing best-in-class incontinence solutions that improve the lives of patients. We are grateful for the trust physicians, patients and shareholders have placed in Axonics.”

Technology Fast 500 awardees are selected based on percentage fiscal year revenue growth from 2017 to 2020. Overall, the 2021 Technology Fast 500 companies achieved revenue growth ranging from 212% to 87,037% over the three-year time frame, with a median growth rate of 521%.

“Each year the Technology Fast 500 shines a light on leading innovators in technology and this year is no exception,” said Paul Silverglate, vice chair, Deloitte LLP and U.S. technology sector leader. “In the face of innumerable challenges resulting from the pandemic, the best and brightest were able to pivot, reinvent and transform and grow. We celebrate the winning organizations and especially the talented employees driving their success.”

The Technology Fast 500’s top 10 include:

2021 Rank Company Sector Revenue Growth (2017 to 2020) City, State
1 Axonics, inc. Medical devices 87,037% Irvine, CA
2 GetUpside Software and SaaS 60,259% Washington, DC
3 Attentive Software and SaaS 49,155% Hoboken, NJ
4 Shipwell Software and SaaS 32,670% Austin, TX
5 Snapcommerce Software and SaaS 32,526% Toronto, ON
6 Coherus BioSciences, Inc. Biotechnology/pharmaceutical 30,480% Redwood City, CA
7 Drift Software and SaaS 29,400% Boston, MA
8 Nufabrx Biotechnology/pharmaceutical 22,957% Conover, NC
9 VirnetX Holding Corp. Software and SaaS 19,463% Zephyr Cove, NV
10 Banyan Software Software and SaaS 18,309% Atlanta, GA

Silicon Valley region home to most winners

The Deloitte Technology Fast 500 winners represent more than 37 states and provinces across North America. California’s Silicon Valley continues to nurture fast-growing companies, leading the regional representation with 21% of this year’s Fast 500. The New York metro area was represented by 12% of the winning companies; New England by 8%; Greater Los Angeles by 6%; and Greater Washington, DC, Washington State, and Texas accounted for 5% each of the winning companies.

Below is a summary of the 2021 ranking by regions with a significant concentration of winners:

Location Percentage of List Fastest-Growing Company in the Region Overall Company Ranking Dominant Sectors in Location & Relevant %
Silicon Valley 21% Coherus BioSciences, Inc. 6 Software 81%
New York Metro Area 12% Attentive 3 Software 77%; Biotechnology/pharmaceutical 15%
New England 8% Drift 7 Software 54%; Biotechnology/pharmaceutical 43%
Greater Los Angeles Area 6% Axonics, Inc. 1 Software 81%
Greater Washington, DC 5% GetUpside 2 Software 85%
Washington State 5% Coinme 78 Software 83%
Texas 5% Shipwell 4 Software 77%


Software industry shows impressive representation for 26th straight year

Software companies continue to shine in the Technology Fast 500 listing, representing the majority of the winners for the 26th straight year (73%), beating last year’s record-breaking percentage in the history of the rankings. Of the software companies on the list, enterprise infrastructure and productivity (26%), fintech companies (19%), and digital platforms (18%) comprise the leading subsectors. Since the creation of the rankings, software companies have consistently made up the majority of the winners, with a median growth rate of 520% in 2021.

Biotechnology/pharmaceutical companies make up the second most prevalent sector in this year’s rankings, accounting for 14% of the Fast 500 companies and achieving a median growth rate of 642% in 2021. Electronic devices/hardware companies had a median growth rate of 564% and digital content/media/entertainment had a median growth rate of 455%.

The Technology Fast 500 by industry sector:

Sector Percentage Sector Leader Median Revenue Growth (2017 to 2020)
Software & SaaS 73% GetUpside 520%
Biotechnology/pharmaceutical 14% Coherus BioSciences, Inc. 642%
Electronic devices/hardware 3% Pela 564%
Digital content/media/entertainment 3% SolarLeadFactory 455%
Communications/networking 2% Discord 440%
Energy tech 2% Enercross 750%
Medical devices 2% Axonics, Inc. 357%
Semiconductor 1% GaN Systems 485%


Venture backing/private equity fuels majority of winners

In the 2021 Fast 500 rankings, 81% of the companies were backed by venture capital at some point in their company history. Notably, 27 of the top 30 companies on the Technology Fast 500 in 2021 received venture funding or private equity in their history.

“The pandemic has underscored the urgent need for tech solutions in a variety of areas across health care, fintech, energy tech, entertainment, to name a few, so reliance on innovators like the winners of the Technology Fast 500 is more important than ever,” said Christie Simons, partner, Deloitte & Touche LLP and industry leader for technology, media and telecommunications within Deloitte’s audit & assurance practice. “These companies are not only at the cutting edge, transforming the way we do business, but most importantly, recognize the strategic importance of ongoing innovation, especially in the ever-changing world of technology.”

For additional details on the Technology Fast 500, including the complete list and qualifying criteria, visit Connect with us on Twitter: @DeloitteTMT; #Fast500 or on LinkedIn at: @PaulSilverglate; @ChristieSimons.


About Deloitte­
Deloitte provides industry-leading audit, consulting, tax and advisory services to many of the world’s most admired brands, including nearly 90% of the Fortune 500® and more than 7,000 private companies. Our people come together for the greater good and work across the industry sectors that drive and shape today’s marketplace — delivering measurable and lasting results that help reinforce public trust in our capital markets, inspire clients to see challenges as opportunities to transform and thrive, and help lead the way toward a stronger economy and a healthier society. Deloitte is proud to be part of the largest global professional services network serving our clients in the markets that are most important to them. Building on more than 175 years of service, our network of member firms spans more than 150 countries and territories. Learn how Deloitte’s more than 345,000 people worldwide connect for impact at

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