DEADLINE: JUNE 4
Sorry, incomplete applications won’t be considered.

All applicants will receive a free 2017 HME Benchmarking Toolkit via email!

BUSINESS TYPE

* 1. What is your primary business type?

* 2. For Home Respiratory Provider Only

* 3. For Rehab Technology Provider Only

FINANCIALS

* 4. What was your average annual rate of sales growth for the last two years?

* 5. What was your average pre-tax profit margin over the last three years?

COMMUNITY INVOLVEMENT

* 6. List membership, dates and leadership positions in trade groups. (i.e. AAHomecare, NYMEP, MED, VGM)

* 7. List membership, dates and leadership positions in clinical associations. (i.e. NRRTS, AARC)

* 8. List your three most significant community outreach activities in past year. Activity must be non-profit.

STAFFING

* 9. Please List

QUALITY CONTROL

* 10. Note the number of years accredited with the following accrediting organizations:

* 11. Do you have a dedicated compliance officer? If no, leave blank.

LAST, BUT NOT LEAST

* 12. In 100 words or less, tell us one thing that makes your company extraordinary.

* 13. Contact Information

*PLEASE NOTE: All information is for judging purposes only and will be kept confidential.


BONUS: Winners will receive a free registration to the 2018 HME News Business Summit in Savannah, GA - hmesummit.com

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