Invacare 2013 Annual Report Download - page 11

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I-5
levels for government sponsored health care programs, and private insurance companies and state Medicaid programs often peg
their reimbursement levels to Medicare.
Reimbursement guidelines in the home health care industry have a substantial impact on the nature and type of equipment
an end-user can obtain and, thus, affect the product mix, pricing and payment patterns of the Company’s customers who are medical
equipment providers. The Company believes its strong market position and technical expertise will allow it to respond to ongoing
reimbursement changes. However, the issues described above will likely continue to have significant impacts on the pricing of
the Company’s products.
GEOGRAPHICAL SEGMENTS AND PRODUCT CATEGORIES
North America
North America includes the following segments in the United States and Canada: North America/Home Medical Equipment
(North America/HME) and Institutional Products Group (IPG).
North America/HME
This segment primarily includes: Mobility and Seating, Lifestyle and Respiratory Therapy product lines as discussed below.
This segment comprised 44.9%, 48.3% and 50.4% of the net sales from continuing operations in 2013, 2012 and 2011, respectively.
MOBILITY AND SEATING PRODUCTS
Power Wheelchairs. Invacare manufactures a complete line of power wheelchairs for individuals who require
independent powered mobility. The range includes products that can be significantly customized to meet an individual’s
specific needs, as well as products that are inherently versatile and meet a broad range of individual requirements. Center-
wheel drive power wheelchair lines are marketed under the Invacare® TDX® brand name. The TDX line of power
wheelchairs offers a combination of power, stability and maneuverability. Power tilt and recline seating systems are
offered as well. The Pronto® series of power wheelchairs with SureStep® stability feature center-wheel drive performance.
Custom Manual Wheelchairs. Invacare manufactures and markets a range of custom manual wheelchairs for
everyday, sports and recreational uses. These lightweight chairs are marketed under the Invacare® and Invacare® Top
End® brand names. The chairs provide mobility for people with moderate to severe disabilities in their everyday activities
as well as for use in various sports such as basketball, racing and tennis.
Personal Mobility. Invacare distributes personal mobility products, including power scooters available in three-
wheel and four-wheel versions.
Seating and Positioning Products. Invacare markets seat cushions, back supports and accessories under three
series: the Invacare® Seating & Positioning series provides simple seating solutions; the Invacare® Matrx® Series includes
versatile modular seating; and the Invacare® PinDot® series offers custom seating solutions. The Company also markets
specialty seating products, pediatric seating and wheelchairs, as well as various standers that allow people to stand who
otherwise would be unable.
LIFESTYLE PRODUCTS
Manual Wheelchairs. Invacare’s manual wheelchairs are sold for use inside and outside the home, institutional
settings or public places. Users include people who are chronically or temporarily disabled and require basic mobility
performance with little or no frame modification. Examples of the Company’s manual wheelchair lines, which are marketed
under the Invacare® brand name, include the 9000, the Tracer® and the Veranda™ wheelchairs. These wheelchairs are
designed to accommodate the diverse capabilities and unique needs of the individual.
Personal Care. Invacare is principally a distributor of a full line of personal care products, including ambulatory
aids such as crutches, canes, rollators, walkers, knee walkers and wheeled walkers. Also available are safety aids such
as tub transfer benches, shower chairs and grab bars, and patient care products such as commodes and other toilet assist
aids.
Homecare Beds. Invacare manufactures and distributes a wide variety of manual, semi-electric and fully-electric
beds for home use under the Invacare® brand name. Homecare bed accessories include bedside rails, mattresses, overbed