NORCROSS, Ga.—HME provider Extrakare has made the 2009 Inc. 500 list of America's fastest-growing private businesses. According to the magazine, the company grew 834.6 percent between 2005 and 2008, with revenue jumping from $493,371 to $4.6 million.
 
Co-founded by Scott Lloyd and Kevin Godwin in 2004, the full-line HME serves metro Atlanta with an emphasis on home oxygen and PAP therapy. What differentiates the company, Lloyd said, is providing “innovative, patient-friendly products” like newer technologies in oxygen, such as Invacare’s HomeFill, and auto-titrating PAP devices as standards of care.
 
“When we started the company, we used non-delivery as the basis for our operating model in our oxygen business because at that time we felt like reimbursement would continue to decline, which has certainly been the case,” Lloyd said.
 
“We feel like having a non-delivery model allows us to grow faster than we otherwise would be able to because it simply requires less human resources.”
 
In addition, he said, “There has been a lot of genuine demand for some of the new oxygen technologies that exist, both from patients and referral sources.”  
 
Lloyd acknowledges the non-delivery model requires a large upfront investment, “and we’ve only been able to do that through vendor financing programs.” Because those programs can range in terms from one to three years, he said, “really now, five years into the business, we’re beginning to get the real benefit of that type of technology, financially speaking, because a significant portion of that asset base is paid off but continues to have a useful life.”
 
On the PAP side, Lloyd said, “We’ve always taken a premium product strategy where we offer what we believe are best-in-class products, including offering auto-titrating products if they are prescribed. We think that, plus our follow-up program during the compliance period and our resupply program that we rolled out last year, has paid off with recent growth in sleep.”
 
Its founders also attribute much of Extrakare’s success to “local ownership and management,” which they said allows the company to be responsive to patients, caregivers and referral sources.
 
According to Godwin, "Our disciplined operating model has allowed the company to expand at [a] high annual rate, while preserving an excellent reputation with patients and the Atlanta medical community at large."
 
With one location and 33 employees, Lloyd noted, the company has no immediate plans for additional branches. “I like being a local, small business,” he said, adding that he and Godwin are “pleased to have the hard work of our employees recognized in a national ranking.”
 
Extrakare's rank in the Inc. 500 places it as the 271st fastest-growing private business in America, the 25th fastest-growing private health care business in America and the 8th fastest-growing private business in Atlanta.
 
The top company in the “Health” category at No. 13 on the Inc. 500 list was San Diego-based MedVantx, which sells an integrated program to help physicians and patients manage prescriptions.
 
Inc.’s No. 1 fastest-growing private company across all industries: Northern Capital Insurance, Miami, which the magazine said stepped into the breach following the catastrophic 2004 and 2005 Florida hurricane seasons.
 
See www.inc.com for the entire Inc. 500 list.