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Benchmarking HME

Do you know whether your home medical equipment business is being run efficiently and profitably?

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The effects of Medicare's competitive bidding delay are a complicated matter.

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FACTS & Figures

IT'S TIME TO get out the yardstick. As you work to ensure your home medical equipment business' success, it helps to measure your company's performance against that of your peers and set goals accordingly.

To help you out, we've put together the latest available industry statistics in this, our annual Facts & Figures feature. On the following pages, you can find answers to such questions as: What is the biggest revenue generator for providers? What is the average accounts receivable days sales outstanding? How much revenue do providers generate from managed care?

We encourage you to take a look at the data here and then answer, as only you can, this question: How do you measure up?

Growth Markets

Providers at Medtrade 2000 were asked:

WHICH THREE OF THE FOLLOWING 10 MARKETS WILL BRING YOU THE BIGGEST REVENUE INCREASES IN 2001?
Rank Product % of Providers
1 Respiratory 60.2%
2 Power Wheelchairs 42.9%
3 Manual Wheelchairs 40.8%
4 Beds/Mattresses 35.6%
5 Sleep Disorders 27.5%
6 Bath Safety 26.5%
7 Seating/Positioning 21.5%
8 Scooters 20.4%
9 Pediatrics 17.4%
10 Women's Health 7.1%
Source: HomeCare Point of View Survey 2000

Five-Year Revenue Growth Trend By Home Care Business Mix

ANNUAL GROWTH
Size of Firm 1995 1996 1997 1998 1999
Home Infusion 33% 10% 31% 15% 19%
Respiratory 19% 16% 16% 9% 12%
HME 14% 17% 16% 12% 6%
Home Health Agencies 18% 1% 12% 5% N/A
Mixed Market Firms N/A 10% 12% 10% 10%
Source: American Association for Homecare

Purchasing Sources
Percent of 1999 Purchases From:
Manufacturers Wholesale/Distributors
Industry Average 71% 29%
By Company Size:
Under $1 million 60% 40%
$1 - $3 million 71% 29%
$3 - $10 million 72% 28%
Over $10 million 73% 27%
By Primary Business:
HME 82% 18%
Respiratory 70% 30%
Home IV 40% 60%
Source: American Association for Homecare

Top Mobility Products

Providers at Medtrade 2000 were asked:

WHICH OF THE FOLLOWING MOBILITY PRODUCTS WILL BRING YOU THE BIGGEST REVENUE INCREASE IN 2001?
Rank Product % of Providers
1 Power Wheelchairs 36.7%
2 Manual Wheelchairs 20.4%
3 Scooters 12.2%
4 Seating Products for Wheelchairs and Scooters 12.2%
5 Sport or Lightweight Wheelchairs 6.1%
* None of the above 12.2%
Source: HomeCare Point of View Survey 2000

Top Respiratory Products

Providers at Medtrade 2000 were asked:

WHICH OF THE FOLLOWING RESPIRATORY PRODUCTS WILL BRING YOU THE BIGGEST REVENUE INCREASE IN 2001?
Rank Product % of Providers
1 CPAP/Bi-Levels 30.6%
2 Oxygen Concentrators 26.5%
3 Sleep Therapy Devices 6.1%
4 Liquid Oxygen Systems 5.1%
5 Portable Oxygen Systems 2.0%
6 Oxygen Conserving Devices 2.0%
7 Sleep Diagnostic Equipment 2.0%
8 In-Home Fill Systems 0.0%
* None of the above 5.5%
Source: HomeCare Point of View Survey 2000

Billing Productivity Revenue and Number of Patient Accounts Per Billing Employee
Revenue
(in thousands)
Per Employee
Patient Accounts
Per Employee
Industry Average $663 624
By Business Segment:
Primarily HME $691 558
Primarily Respiratory $624 478
Primarily Home IV $637 500
By Company Size:
Under $1 million $450 500
$1 - $3 million $607 619
$3 - $10 million $687 553
Over $10 million $873 790
Source: American Association for Homecare

Dealer Buying Group Participation
Type of Equipment % of Dealers
Belonging
to a Group
% of 1999
Purchases Made Via
Group Programs*
Total Annual
Cost of
Membership
Industry Average 78% 30% $1,800
Under $1,000,000 78% 20% $1,600
$1,000,000 - $2,999,999 79% 35% $1,650
$3,000,000 - $10,000,000 78% 20% $2,400
Over $10,000,000 75% 25% $3,000
*Among firms that belong to dealer buying groups
Source: American Association for Homecare

Accounts Receivable Profile
Strategic and Size Differences
Company
Characteristic
Accounts
Days Outstanding
Relation
to the
Industry Average
Industry Average 81 N/A
By Size of Firm:
Under $1,000,000 75 -6
$1,000,000 - $2,999,999 73 -8
$3,000,000 - $10,000,000 85 +4
Over $10,000,000 101 +20
By Type of Firm:
Respiratory 77 -4
Home IV 72 -9
HME 75 -6
Mixed 89 +8
Source: American Association for Homecare

Top 15 HME Medicare Codes Ranked
by Expenditure — 2000
Code Description Allowed Charges
E1403 Oxygen concentrator; 4-5 liters $533,621,062
A4253 Blood glucose/reagent strips $408,865,286
E1400 Oxygen concentrator; less than 2 liters $296,934,546
E1401 Oxygen concentrator; 2-3 liters $285,066,392
E0260 Hospital bed; semi-electric w/ mattress $275,740,653
K0011 Std. wt. power wheelchair w/control $259,287,715
K0518 Ipratropium brom inh sol u d $253,400,558
K0505 Albuterol inh sol u d $248,844,463
B4035 Enteral feed supp pump per d $215,064,358
B4150 Enteral formulae category I $205,876,080
E0431 Portable gaseous 02 $159,276,131
E1402 Oxygen concentrator; 3-4 liters $135,996,984
E0439 Stationary liquid 02 $124,061,387
E0453 Ventilator 12 hours/less per dose $109,545,656
E0277 Powered pressure-reducing mattress $100,067,188
Source: Health Care Financing Administration

Medicare Claims Processing Information
(1998 and 1999)
1999 Approved Services Denied Services Total Services Paid
Region A 220,985,373 38,697,743 $775,912,492
Region B 305,736,798 51,776,176 $1,055,088,734
Region C 714,418,907 92,215,470 $2,291,075,961
Region D 276,622,049 40,904,301 $907,273,856
TOTAL 1,517,763,127 223,593,690 $5,029,351,043
1998 Approved Services Denied Services Total Services Paid
Region A 214,244,863 44,426,333 $738,600,106
Region B 284,964,394 41,061,450 $990,798,528
Region C 644,537,459 86,889,292 $2,047,102,131
Region D 245,138,119 31,730,722 $847,696,789
TOTAL 1,388,884,835 204,107,797 $4,624,197,554
Source: Health Care Financing Administration

2000 Expenditures by Region for
Top 10 HME Medicare Codes
Region A
Code Description Allowed Charges
E1403 Oxygen concentrator; 4-5 liters $82,710,938
A4253 Blood glucose/reagent strips $57,205,018
B4035 Enteral feed supp pump per d $46,113,669
E0260 Hospital bed; semi-electric w/mattress $43,766,885
E1400 Oxygen concentrator; less than 2 liters $43,068,565
B4150 Enteral formulae category I $40,664,098
E1401 Oxygen concentrator; 2-3 liters $30,070,131
E0439 Stationary liquid 02 $29,116,709
K0518 Ipratropium brom inh sol u d $25,690,687
K0011 Std. wt. power wheelchair w/control $24,838,899
Region B
Code Description Allowed Charges
E1403 Oxygen concentrator; 4-5 liters $132,891,280
A4253 Blood glucose/reagent strips $110,502,694
E1400 Oxygen concentrator; less than 2 liters $75,840,284
E1401 Oxygen concentrator; 2-3 liters $50,315,882
E0260 Hospital bed; semi-electric w/mattress $46,961,649
B4150 Enteral formulae category I $45,403,296
K0518 Ipratropium brom inh sol u d $44,887,456
B4035 Enteral feed supp pump per d $44,844,093
K0505 Albuterol inh sol u d $43,377,306
E0431 Portable gaseous 02 $38,534,977
Region C
Code Description Allowed Charges
E1403 Oxygen concentrator; 4-5 liters $196,422,613
A4253 Blood glucose/reagent strips $175,700,816
K0011 Std. wt. power wheelchair w/control $167,535,811
E1401 Oxygen concentrator; 2-3 liters $159,181,429
K0505 Albuterol inh sol u d $141,200,720
E0260 Hospital bed; semi-electric w/mattress $140,747,917
K0518 Ipratropium brom inh sol u d $135,187,810
E1400 Oxygen concentrator; less than 2 liters $114,670,511
B4035 Enteral feed supp pump per d $91,927,315
B4150 Enteral formulae category I $77,295,128
Region D
Code Description Allowed Charges
E1403 Oxygen concentrator; 4-5 liters $121,596,018
A4253 Blood glucose/reagent strips $65,456,698
E1400 Oxygen concentrator; less than 2 liters $63,355,186
K0011 Std. wt. power wheelchair w/control $51,788,644
K0518 Ipratropium brom inh sol u d $47,634,605
E1401 Oxygen concentrator; 2-3 liters $45,498,950
E0260 Hospital bed; semi-electric w/mattress $44,264,202
B4150 Enteral formulae category I $42,513,558
K0505 Albuterol inh sol u d $41,147,543
E1402 Oxygen concentrator; 3-4 liters $39,099,261
Source: Health Care Financing Administration

1999 Medicare Part B
Fee-for-Service Enrollment
Per State
Alabama 594,028
Alaska 37,159
Arizona 363,475
Arkansas 399,331
California 2,097,748
Colorado 271,735
Connecticut 379,241
Delaware 100,419
District of Columbia 59,353
Florida 1,903,569
Georgia 808,102
Guam 5,109
Hawaii 96,580
Idaho 139,644
Illinois 1,362,181
Indiana 775,545
Iowa 442,530
Kansas 347,032
Kentucky 556,958
Louisiana 454,843
Maine 202,234
Maryland 506,185
Massachusetts 648,997
Michigan 1,262,808
Minnesota 530,975
Mississippi 394,186
Missouri 695,078
Montana 127,473
Nebraska 227,890
Nevada 139,249
New Hampshire 140,214
New Jersey 943,646
New Mexico 171,292
New York 2,035,602
North Carolina 1,027,517
North Dakota 98,387
Ohio 1,325,229
Oklahoma 432,730
Oregon 277,684
Pennsylvania 1,426,351
Puerto Rico 378,707
Rhode Island 100,144
South Carolina 533,300
South Dakota 113,849
Tennessee 739,521
Texas 1,742,504
Utah 183,113
Vermont 81,665
Virgin Islands 9,022
Virginia 784,766
Washington 498,262
West Virginia 299,163
Wisconsin 705,604
Wyoming 60,372
Source: Health Care Financing Administration

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