The environment may not rank high among the top priorities at most HME companies, but officials at Maldonado Medical believe a green initiative can help their company stay in the black.

PHOENIX — With HME companies caught in a reimbursement squeeze and dealing with all sorts of legislative and regulatory changes, the environment may not rank high among top priorities. But officials at Maldonado Medical believe a green initiative can help the company stay in the black.

Investments in paperless recordkeeping, video conferencing, electronic signature capture and low-emission vehicles have already paid for themselves "In travel, fuel, ink and storage," said company President Brandon Maldonado.

He figures electronic signature capture saves over 10,000 sheets of paper annually for the company. In the Santa Monica, Calif., branch, the local delivery vehicle is a four-door GEM car, an electric car that can operate for up to 30 miles on one charge. And video conferencing among company managers saves on travel costs.

"It's not just good for the environment, it's good for business," Maldonado said of the company's green program, noting that "the positive response from our clients, doctors and patients has helped our company grow during a time when many in our health care sector are downsizing."

The eight-year-old company specializes in the TEC iceless cold compression/DVT prophylaxis system, continuous passive motion, CPAP and lymphedema therapy.

With three locations in Phoenix, Santa Monica and Beverly Hills, Calif., Maldonado said the company is planning to add another office — and more GEM cars — in San Francisco by the end of the year.