I've included an attachment for your reference -- we are a healthcare/medical company and part of our mission is to provide a streamlined, efficient, and transparent service for employers and employees in the healthcare industry to connect, communicate and work with each other.
I have filled in the letter 'A' with 'blue water' like color to allude to the water-based name of the company and the moving towards the source or the vertex (of the letter 'A'). Other ideas include emphasizing the letters 'med,' in some way/shape/form or stylizing the word UPSTREAMED as a stream/river with a gradient from right to left ending with an up-arrow on the left side of the letter 'U.'
Our goal is for our logo to not only reflect the name (water/river/stream) but also the mission (clean, transparent, streamlined, efficient, rising/moving together towards a source/goal, etc.).
Feel free to exercise your creativity.
Ultimately, we would like this to be the start of a long artistic partnership as our company has many other design projects in the pipeline. I look forward to see the designs! Thanks!