North Sonoma County Hospital District helps more than just those who have tripped while stomping grapes. The district operates Healdsburg District Hospital, an acute care community hospital in northern California. North Sonoma County hospital offers a full array of health services, including emergency and trauma, surgery and rehabilitation, occupational medicine, and clinical laboratory. It also provides hospice care, a clinical laboratory, and an imaging center. Since taking the hospital over from Columbia Healthcare (now HCA) in 2002, the district has doubled the size of the ER and upgraded equipment.

Navilyst Medical is charting a new course for itself in the world of vascular disease. Formerly part of Boston Scientific, Navilyst Medical was spun off, acquired by private equity firm Avista Capital Partners in February 2008, and given a new name. The medical device maker will continue to market its two main fluid management and vascular access products to cardiologists, oncologists, and radiologists around the world. Its NAMIC kits, which account for about 60% of revenue, are used to manage fluids during cardiac catheterization procedures. Its Pressure Activated Safety Valves (PASV) account for the remaining 40% and are used to administer drugs during such procedures as chemotherapy.

Integtra Radionics designs and produces medical devices for neurosurgery and radiation therapy. Its products include non-invasive radiosurgical systems, stereotactic surgery systems which facilitate the placement of instruments on the brain during neurosurgery, aspirators used in ultrasonic surgical procedures, and extracranial systems to hold patients in place during surgery. Formerly a division of Covidien, Integra Radionics was acquired by Integra LifeSciences Holdings in 2006. The wholly-owned subsidiary fortifies Integra's radiosurgery/radiotherapy and image-guided surgery devices business.

Consulate Health Care is a consummate elder care provider. The company offers long-term care, including assisted living, skilled nursing, and independent living services, to residents of its facilities in half a dozen states. Consulate owns, manages, and leases dozens of nursing homes and other long-term health care centers staffed with physicians, nurse practitioners, and physician assistants. It also provides rehabilitation, diagnostic imaging, hospice, and pharmacy services. In addition, Consulate offers Alzheimer's care and short-term transitional care programs for patients needing complex medical treatment. Consulate Health Care, Inc. operates facilities in Florida, Maryland, Ohio, Pennsylvania, Tennessee, and Virginia.

ROHO aims to make your ride more comfortable. The ROHO group manufactures cushions that can be used in both medical equipment and commercial seating applications. The company's core technology is its dry flotation system, originally used in cushions as a way to prevent bedsores and since adapted for use in seats for aircraft, commercial trucks, motorcycles, and office chairs. Robert Graebe founded ROHO, Inc., in 1973; in 2001 ROHO, Inc., ROHO International, and Crown Therapeutics joined to form the ROHO group.

Ascent Healthcare Solutions is banking on the idea that one doctor's trash could be another doctor's treasure. The company is out to help hospitals with the three "R"s -- reduce, reuse, and recycle. Ascent focuses on reprocessing disposable medical devices for health care facilities (from small rural providers to surgery centers and group purchasing organizations). Its OR-based systems permit the collection of thousands of tons of devices marketed as "single-use," as well as a range of recyclable materials. After collecting the used devices, it cleans, sterilizes, tests, and then returns them from its centers in Florida and Arizona. The company is part of the MedSurg division of medical products maker Stryker.

University of Iowa Hospitals and Clinics partners with the University of Iowa Roy J. and Lucille A. Carver College of Medicine and the University of Iowa Physicians group practice organization to make up the University of Iowa Health Care network. The organization provides residents of the Hawkeye State with an acute care hospital serving a variety of inpatient and outpatient needs, including more than 200 health care specialties. The facility also houses the Children's Hospital of Iowa and the Holden Comprehensive Cancer Center. As an teaching facility, it also houses 20 academic departments. The health care system, founded in 1898, has some 680 beds.

HealthAmerica Pennsylvania is doing its part. HealthAmerica Pennsylvania, a subsidiary of Coventry Health , provides health insurance products and related services to more than 700,000 members in Pennsylvania and Ohio. The company offers HMO and PPO benefit plans to small, medium, and large businesses under the HealthAmerica and HealthAssurance brands. Its provider network includes more than 21,000 providers and about 170 hospitals. HealthAmerica Pennsylvania was founded in 1975 and acquired by Coventry Health in 1988.

Joerns Healthcare Inc. manufactures beds, furnishings, repositioning equipment, and wound management products for the long-term care industry, including numerous hospitals and nursing homes. It has operations throughout the US, as well as in Canada, the UK, and the Netherlands, and has key partners in Australia, Germany, New Zealand, and Norway. Originally founded in 1889 as Joerns Brothers Furniture by Charles, Paul, and Frederick Joerns, the company eventually shifted its focus from high-end residential furniture to furnishings designed for the healthcare sector. In 1983 it took the Joerns Healthcare name.

Over the seasons of your life, your needs change. With more than 15,000 people in its care at more than 400 facilities, Four Seasons Health Care is one of the largest care home (nursing home) operators in the UK. The company runs nursing homes with specialized care for dementia, end of life care, and palliative care. Its Huntercombe division operates specialized health care centers which provide services to persons with neurodisabilities, brain injuries, mental health disorders, and addictions. To reduce its debts, Four Seasons Health Care has given its lenders significant equity stakes; Royal Bank of Scotland's stake accounts for some 40% of company shares.

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