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Is my DME unique?
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Dawei Offline

Preferred Members-2

Posts: 342
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Respironics "FitLife"
Humidifier: H5i
CPAP Pressure: 10-20
CPAP Software: ResScan SleepyHead

Other Comments: Began CPAP in 2006; spent the first 6 years with a "brick"

Sex: Male
Location: Western North Carolina

Post: #1
Is my DME unique?
Does anyone else have a not-for-profit DME?
Although I have been with my present DME from the beginning of entry as a new hosehead, I just learned this surprising fact about it.
It's regional in coverage (not a huge area, which I knew) and it was put together with original financing supplied by hospitals located in each city/area that it serves. I'm not sure but would guess that the hospitals involved are themselves also nonprofit.
This makes me take a new look at issues such as profit margins on the sale of machines with various price tags, which has come up again and again among board members.
It may also explain why an RT at this DME did not steer me away from the desire to switch from an S9 Elite to an AutoSet. Matter of fact, it was the RT who explained to me that even though I was beyond the first 30 days of ownership of the Elite, I could still move up to the AutoSet as long as I was in the initial 13 mos. per Medicare rules. Looking forward to comparing notes with others regarding my discovery about my DME.
05-18-2012 09:54 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,988
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #2
RE: Is my DME unique?
(05-18-2012 09:54 AM)Dawei Wrote:  Does anyone else have a not-for-profit DME?

Never heard of such a thing, in the US at least.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
05-18-2012 10:09 AM
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SuperSleeper Offline

Administrators

Posts: 9,958
Joined: Feb 2012

Machine: PR System One REMstar Auto (DS560)
Mask Type: Nasal pillows
Mask Make & Model: ResMed Mirage Swift II
Humidifier: none
CPAP Pressure: 12.5 - 18.5 cmH20 (auto range)
CPAP Software: SleepyHead

Other Comments: Have diabetes Type II

Sex: Male
Location: Illinois, USA

Post: #3
RE: Is my DME unique?
Many times an organization can set themselves up as "not-for-profit" organization as far as their legal and tax status is concerned. But they do indeed make money (profits).

From the above linked Wiki article:

Wikipedia Wrote:While not-for-profit organizations are permitted to generate surplus revenues, they must be retained by the organization for its self-preservation, expansion, or plans.[2] NPOs have controlling members or boards. Many have paid staff including management, while others employ unpaid volunteers and even executives who work with or without compensation (occasionally nominal).

Designation as a nonprofit and an intent to make money are not related in the United States. This means nothing can be conferred by the declaration

Many of the paid executive and managerial positions within these "not-for-profit" organizations are well-paid. Sometimes, pay bonuses are linked to the amount of increase in "funding levels" a company manager can achieve. Thus, they get monetary rewards for bringing in cash flow to the organization.

As one example, Goodwill Industries is a not-for-profit organization. However, organizations like it have been criticized for compensating their execs at very high levels:

Wikipedia Wrote:In 2005, Goodwill Industries of the Columbia Willamette (GICW), Goodwill's Portland, Oregon branch, came under scrutiny due to executive compensation that the Oregon attorney general's office concluded was "unreasonable." President Michael Miller received $838,508 in pay and benefits for fiscal year 2004, which was reportedly out of line in comparison to other charity executives and placed him in the top one percent of American wage earners.

So, the non-profit or not-for-profit distinction does not mean that these organizations make no profit. Many times, especially in the larger organizations, the higher up management is getting quite rich.

As far as a DME, they may be set up as a not-for-profit, but doing that sets no quantified limitations (legally) on executive or managerial compensation. The DME's board members and managers can still be getting quite wealthy, even though they work for a so-called "non-profit" organization.

SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.

05-18-2012 10:43 AM
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notyorz Offline

New Members

Posts: 2
Joined: May 2012

Machine: none
Mask Type: Not using mask
Mask Make & Model:
Humidifier: none
CPAP Pressure: none
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #4
RE: Is my DME unique?
I'd be interested to know which one, since I am out in WNC as well. My insurance deals with Apria, who I have heard both good and bad things about.

I am set up to receive my equipment soon, so I have not yet had my first visit with any DME. I just completed my titration study last night. I have, however, asked for my sleep doctor to specifically write the prescription for the machine I have researched and feel will do the best for setting me up with success with CPAP (a Resmed S9 AutoSet).

Marianne
05-18-2012 01:56 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #5
RE: Is my DME unique?
(05-18-2012 01:56 PM)notyorz Wrote:  I am set up to receive my equipment soon, so I have not yet had my first visit with any DME. I just completed my titration study last night. I have, however, asked for my sleep doctor to specifically write the prescription for the machine I have researched and feel will do the best for setting me up with success with CPAP (a Resmed S9 AutoSet).

Marianne
Hi Marianne
It would help if the doc write on the prescription S9 Autoset and the pressure range for example 8-12 and dispense as written so you get the exact machine whats on the prescription bc its known for some DME to give you something else. also make sure it says AutoSet next to stop/start button as the S9 Escape Auto is not full data capable. it should look like this one http://www.apneaboard.com/s9-pic1.jpg

You might be lucky with the mask used at the titration study but for most it take several to find the right mask and the right mask is the most essential for successful therapy
Best of luck on your CPAP journey
05-18-2012 05:16 PM
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Dawei Offline

Preferred Members-2

Posts: 342
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Respironics "FitLife"
Humidifier: H5i
CPAP Pressure: 10-20
CPAP Software: ResScan SleepyHead

Other Comments: Began CPAP in 2006; spent the first 6 years with a "brick"

Sex: Male
Location: Western North Carolina

Post: #6
RE: Is my DME unique?
Welcome to the board, Marianne, and good for you re: doing the research and specifically requesting an AutoSet!
My DME is Advanced Home Care.
05-18-2012 05:17 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,062
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #7
RE: Is my DME unique?
And mine is Blue Ridge. Run from them. Quickly and steadily. In my opinion, that is.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
05-18-2012 05:31 PM
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notyorz Offline

New Members

Posts: 2
Joined: May 2012

Machine: none
Mask Type: Not using mask
Mask Make & Model:
Humidifier: none
CPAP Pressure: none
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #8
RE: Is my DME unique?
Thanks Zonk for the info. I'm looking forward to trying on different masks in time to find "The One". For now, I think I'll start with the one that worked during the test.

Dawei, thank you for the warm welcome!
05-21-2012 12:31 PM
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