Provider Profiles

First Choice Home Medical

Kentucky HME provider’s business strategy helps it defy the odds

had Connally is a believer in political activism and HME association membership.Sometimes when you take a leap of faith, you fly. Ten years ago, Thad Connally made that leap and started First Choice Home Medical in Bowling Green, Ky. “I was between jobs and decided it was time for me to take a risk and follow the dream I’d always had. I’ve always wanted to be an entrepreneur,” the certified respiratory therapist explains.

It wasn’t exactly a propitious time to open an HME business. Battered by steep Medicare reimbursement cuts, the industry also faced a host of toughened regulations, not to mention the specter of competitive bidding.

From his research Connally knew “the odds were stacked against me,” he says. Yet in the following decade—inarguably the most devastating and challenging of all time for the HME industry—Connally managed to defy the odds and build First Choice Home Medical into a thriving company that has tripled its size since opening. In 2010 he was named the Small Business Person of the Year by the Bowling Green Area Chamber of Commerce, an award based partly on growth.

How did that happen in such down times? Chalk it up to hard work, a group of employees he calls “the Dream Team” and a strategy built on sound business practices and driven by his own motivating interest. “My passion is taking care of people,” he says.

The Nature of Things

When Connally decided to open First Choice, he knew it would not be easy. In addition to the challenges facing the industry, his competition was stiff: a hospital-based HME company, two national companies, two regional companies and two local companies.

It would not do to focus only on what he knew best: respiratory therapy. “We hung our hat on nebulizers, sleep and respiratory, but we are a full-line HME company,” he says. “You can’t limit yourself.”

Connally had specific priorities when he opened the company. “One was to understand and control my inventory and the cost of inventory. We’ve been able to track our equipment since day one. Back in the day when reimbursements were higher I believe companies didn’t focus on that. Now with everything so much tighter, you do have to really pay attention to inventory control.”