with respect to the various financial and merger acquisition metrics we track for each of sectors cover health care staffing home hospice medical equipment infusion therapy specialty pharmacy services is per haps most unusual in that many appear be inconsistent one another but a closer examination these reveals how they can co exist more importantly provides valuable insights into psyche dustry first an trends revenue it has been well documented since 2002 as hospitals began both rein utilization aggressively negotiate pricing conces sions pare down expenses b caregivers return workforce light economy thereby reducing demand temporary industry wide revenues have fallen according analysts from peak 11 1 billion sector fell 10 2b 2003 9 8b 2004 this trend even dramatic when looking at median growth rates publicly traded firms 2001 see figure