Start a Respiratory Therapy Homecare Company

1. 1

   Pick your regulatory lane first

   Supplying oxygen and respiratory equipment to Medicare patients requires DMEPOS accreditation, a surety bond, and state licenses, while providing clinical respiratory services rides on RT licensure and often home health rules. Many founders start as a clinical services company contracting with existing equipment suppliers, then add the accredited supply side once revenue justifies the compliance load.

2. 2

   Build the clinical service menu

   Home visits for oxygen assessment and safety, nebulizer and airway clearance training, tracheostomy and home ventilator support in coordination with physicians, and caregiver education. The product is competence at the bedside; families with a vent at home can tell within one visit whether you know what you are doing.

3. 3

   Add mobile spirometry as the second engine

   Portable lung function testing sells to occupational health programs (respirator clearance and surveillance testing for employers), rural clinics without equipment, and research sites. It is the lowest-capital entry in this whole vertical: a quality spirometer, certified training, and a calendar of employer site visits.

4. 4

   Wire referrals at the discharge moment

   Hospital discharge planners, pulmonology practices, home health agencies without respiratory depth, and pediatric complex-care programs decide where these patients go. Pitch response time and clinical depth, and report back after every start of care; the planner who trusts you sends everyone.

5. 5

   Run the safety and compliance spine

   Oxygen is a fire risk and home vents are life support: documented safety checks, equipment maintenance logs, after-hours coverage, and emergency protocols are non-negotiable operating requirements, and they are also the reason clinical competitors are few. Build them into the company from patient one.

6. 6

   Scale through contracts, not just referrals

   Facility contracts (assisted living, group homes), payer network participation, employer occupational health accounts, and per-visit contracts with home health agencies stabilize the calendar. Add RT staff as contract volume justifies, keeping an on-call rotation that never leaves a vent family without backup.

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