How to Build a Million Dollar Medical Transportation Company

Dovie Salais

Welcome to the Non-Emergency Medical Transportation Industry, an industry that’s literally growing by the day. How do I know? Because the elderly population is literally in the process of doubling and the medical industry is experiencing huge change. Further, I know because […]

Welcome to the Non-Emergency
Medical Transportation Industry, an industry that’s literally
growing by the day. How do I know? Because the elderly
population is literally in the process of doubling and
the medical industry is experiencing huge change.

Further, I know
because I started my first company, a NEMT business in
1999. Since then, I have help and untold number of transportation
providers and entrepreneurs from all across the country
to grow, build, expand and diversify their NEMT businesses.

So what is Non-Emergency
Medical Transportation (NEMT)?

Also known as an
ambulette service, NEMT is the transportation of people
in wheelchairs, stretchers or those ambulatory who need

Do NOT be
confused: This is NOT an ambulance service!
This is strictly non-emergency transportation.
You do NOT need any kind of special life-saving
skills, training or equipment!

Million Dollar Medical Transportation Company

As a non-emergency medical transportation provider, you provide a critical service that helps people in need get to their medical appointments, dialysis and treatment centers, in and out of nursing, rehab, skilled care, and assisted living facilities.

Further, your service supports and sustains the daily mission of hospitals, facilities, doctor offices, and medical centers. Without you, people in need don’t get treated, residents don’t get to appointments, and facilities can?t discharge patients.

Do not confuse this high-demand service with a common senior transportation or elderly transportation service.

Trust me, I know the internet is flooded with common information regarding “how to start a senior transportation service,” but I can assure you, I am not going to waste your time or take your money attempting to teach you something that, essentially, amounts to you simply driving for Uber or Lyft.

There is no real money-making opportunity in rideshare services because you can’t scale it with such low rates of reimbursement. To the contrary, I am going to teach you how to build a real and legitimate non-emergency medical transportation company – one with increased capacity that you can grow and scale.

And here is the absolute best part. your two niche markets, the medical industry and the elderly population, are not just growing, they are exponentially booming!

The elderly
population is the fastest growing niche market in
the world – and it’s only getting bigger! By the
year 2030, the US elderly population will have doubled,
reaching in excess of 70 million!

US health care industry is one of the world’s
largest and fastest growing industries! By the
year 2016, the growth of the US medical industry
will have consumed almost 20% of our GDP!

Now seriously, if
you have any kind of keen business sense then these two
statistics, the growth of the elderly population and that
of the medical industry, have got to excite you and gain
your interest!

But let’s discuss
in further detail why starting a NEMT business is such
a great investment for ambitious, motivated entrepreneurs.

For starters, rarely
do entrepreneurs think of this kind of business when looking
for a business opportunity. Seriously, everyone is focused
on the get-rich-quick schemes and no money down pie-in-the-sky
dreams of riches.

Seriously, when
was the last time you heard someone say “I think I’m going
start a NEMT business?” The fact of the matter is you
probably haven’t. But you probably know someone, if not
even yourself, that has started some kind of “no money
down” real estate gig or some other online pie-in-the-sky

So realistically,
we are talking about a business opportunity for which
(1) your target market is booming, growing faster than
any real estate market or any other market, and (2) not
everyone knows about, let alone considers, when looking
to invest in a new business.

This is further
a great opportunity is because it is a service-based business.
There are no products to buy, store, ship or sell.

And when you follow
my strategies for success, people will be looking for
you. They will be looking for your business to meet the
needs of their loved one.

If you prepare
and operate your business properly, clients will be seeking
your service instead of you having to continuously find,
chase and solicit customers!

As I did, and so
many others, you can literally start your NEMT business
from your living room table, your home office or garage.
You are going to travel into your community to meet the
needs of your clients. You don’t need a high-priced fancy
office or an elaborate store front to encourage business.

Think about it.
What’s cheaper or more cost effective? Invest in a vehicle
that goes out into and meets the needs of your community
or invest in real estate for a retail business, franchise,
or some other traditional business idea?

And when you start
a business from home, it definitely limits your overhead
expenses which lead to a BIGGER bottom line and profitability!

Now that we’re talking
about profitability, let’s really start to talk about
making money!

Private Pay Clients:

These are clients who typically pay “out of pocket” for transportation service to and from medical appointments as well as private contracts and service agreements you cultivate with key facilities.

In building your senior transportation service, it is my hope that you build a strong foundation of private pay, contracted, and service agreement work because the rates of reimbursement tend to be higher as compared to other sources of reimbursement.

Further, private pay work empowers your service because it affords you more freedom and flexibility to establish your own terms versus having to comply with various forms of regulation from government agencies or entities.

As you will learn in my material, I encourage you to build a diverse and dynamic business model with multiple sources of profitable revenue, but if the rates of reimbursement are not profitable, you don?t provide service!

I continue to work with a growing number of client-providers who only provide private pay, contracted, and service agreement work because of the higher rates of reimbursement. For them, pursing lower forms of reimbursement simply are not worth their time. They are simply too busy cultivating private pay clients.

Private pay, contracted, and service agreement will strengthen the revenue and increase the profit margin of your medical transportation business.


In addition to receiving free healthcare, according to Article 1915 of the Social Security Act, qualifying Medicaid recipients also receive free non-emergency medical transportation to and from medical appointments. The logic for free Medicaid transportation service is out of both necessity and preventive care.

Obviously, Medicaid will not reimburse for personal errands or outings, but for medical related appointments, treatments, and therapies, transportation providers can make a lot of money.

Medicaid reimbursements are comprised of both state and federal funds. Therefore, as you can imagine, the processes, procedures, and rates of reimbursement will vary by state and even region.

An increasing number of states outsource some, if not all, of their Medicaid transportation processes to Medicaid brokers in an effort to reduce cost. Some states have multiple Medicaid brokers operating in their state.

In accordance with state mandates, Medicaid brokers establish policies and procedures and subcontract to transportation providers via Broker Agreements. The Medicaid broker is responsible for coordinating all Medicaid transportation with transportation providers in addition to overseeing provider fleet management.

Although Medicaid reimbursements can be very consistent, their per-trip rates of reimbursement tend to be lower as compared to private pay, private contracts, and private service agreement work.

Compensation Insurance:

This type of reimbursement is for the transportation of people hurt “on the job” and needing to get to and from physical therapy and related medical appointments. Workers Comp is one of the few forms of insurance that reimburses for non-emergency medical transportation and can be a great source of revenue.

Rates of reimbursement for workers compensation are typically higher as compared to Medicaid transportation, but not as much as private and contracted transportation.

Some workers compensation policies are managed and reimbursed directly through the underwriter while others are management and reimbursed through brokers.

how profitable your business can be when you have
a Private-Pay, Medicaid, and Workers Comp clients.
The possibilities are limitless!


The vast majority of hospitals outsource assisted transportation needs to local vendors and providers. They are critical strategic partners for your business and offer a wide variety of non-emergency medical transportation opportunities.

Hospitals provide “general” discharges and emergency room discharges. They can also provide inpatient transportation to and from other facilities and doctor offices for specific test and treatments outside the hospital.

For senior transportation providers serious about building a legitimate business that can be grown, scaled, and sold for a future profit, establishing strong working relationships with hospitals and their supply chain management is a must.

In order to ensure adequate coverage and access to reliable wheelchair and stretcher transportation for their patients, a growing number of hospitals and emergency departments are willing to consider contracts and service agreements with area providers.

Facility Care:

There are a wide variety of facilities offering different levels of care that require assisted transportation to meet the needs of their residents. Skilled care and rehabilitation facilities are a “staple” for the non-emergency medical transportation industry. Why? Because they are literally caring for your most important niche market – the elderly population!

Other facilities and retirement communities offering assisted and independent living services might provide transportation with their own vehicle(s), but frequently their service only operates a few days per week and during specific times. Therefore, it is very possible to position your senior transportation service as a “support” or “secondary” solution to further accommodate resident needs.

Like hospitals, skilled care, rehab, and even assisted living facilities can provide you with outstanding transportation opportunities. You will typically transport residents to medical appointments, dialysis, therapy, ambulatory surgery, outpatient services, and much more. You can even partner with Activity Departments to accommodate group outings for special events.

Dialysis Center:

There is probably no other source of revenue that is more predictable and stable than dialysis clients – bottom line. Because the vast majority of dialysis patients require treatment three days per week, regardless of holidays or weather, I refer to them as the “Golden Grail” because they are consistent money-makers!

For dialysis patients, treatments are mandatory – a medical necessity. Hence, underscoring why your medical transportation service is both weather and recession-proof. It doesn’t matter if it’s down pouring or if the economy is down, dialysis patients still have to get their appointments.

Many dialysis patients will be private pay while others are on Medicaid. Although the rates of reimbursement for private pay patients will typically be higher as compared to those on Medicaid, dialysis patients on Medicaid typically remain profitable. They offer volume and regularity with appointments being scheduled every other day in intervals of 3-4 hours. Such transports allow you to better plan and prepare your logistics and reimbursements.


Rest assured, non-emergency medical transportation is not just for the elderly. In fact, there are students of all ages needing your assistance to get to and from school, college, and university.

Did you ever consider how disabled students get to school if they can’t ride a typical school bus? Obviously, school districts are in need of assisted transportation service for students of all ages – typically issuing multi-year Requests for Proposal (RFPs) to interested transportation providers.

ONLY $97.95!

Million Dollar Medical Transportation Company

NOTE: This is a 324 page ebook that, for security purposes, will be sent to you via email immediately following your investment. There is NO waiting on “snail mail.” My goal is to get this material to you ASAP so you can start right now! This resource is NOT offered in stores, ONLY on my website.

I’m often asked:

“Joel, I have competitors in my area. Do I really have an opportunity?”

Yes! In fact, the level of competition is a great measure to the growing opportunity. Your competitors aren’t working for free! Even more, consider hospitals, nursing homes, skilled care facilities, assisted and independent living facilities in your community. How about dialysis centers, ambulatory surgery, physical therapy clinics and doctor offices. If you have such facilities in your community, then opportunity is staring you in the face!

Again, if you have competitors, they’re NOT working for FREE! Your competitors are busy making money, so the question begs, why aren’t you? Why aren’t you busy cutting a slice of the profitable pie?

And think about this

The further the transport in terms of distance and time, the more money you’ll make! Transports include the following :

Million Dollar Medical Transportation Company
Standard Pickup Fees (Wheelchair, Stretcher or Ambulatory)

Million Dollar Medical Transportation Company
Mileage Fees

Million Dollar Medical Transportation Company
Wait Time Fees

Million Dollar Medical Transportation Company
Assistant Fees

Million Dollar Medical Transportation Company
After-Hour Fees (Evenings, Weekends, and Holidays)

Let me also add,
in speaking from first-hand experience, transports after
hours, on weekends and holidays always generate more money!

Are you starting
to see the BIG picture? Trust me – I’m just scratching
the surface!

There are so many
other ways to make money in the NEMT industry as you’ll
continue to learn in my ebook, newsletter and associated
materials. The opportunities are wide and diverse.

Bottom line, the
NEMT business IS recession-proof – it’s NOT going anywhere!
Demand and opportunity are only going to continue to increase.

Think of other businesses
that are market dependent. Consider real estate for example.

The real estate
market has been in the tank and every business associated
with this industry has been adversely affected in some
capacity at some point in time!

But with the NEMT
industry, it doesn’t matter what the economy is doing
– patients on dialysis or radiation could care less if
it’s a “bull” or “bear” market. Whether the market is
up or down, patients have to get to their medical appointments!

Likewise with hospitals,
Emergency Rooms, discharges, and the like – when it’s
time to go, YOU GOTTA GO!

And don’t forget the
Tax Breaks:

Depending on your legal
structure, there are always tax benefits to owning
your own business. With a NEMT business, you have
HUGE depreciation costs because of your vehicles
and assets. You further have write-offs and benefits
to include possible handicap tax credits.

The easiest way to make
money is to save money.

Take what the government
gives you with tax breaks and incentives!

Although the NEMT
industry is growing and is in high demand, it’s NOT a
high-tech business. You don’t need a fancy degree or even
prior experience to start and be successful in the NEMT

When I started,
I had NO prior NEMT experience…let alone ANY business
experience! My NEMT business was my very first business!

Remember, unlike
an ambulance service you do NOT need any special life-saving
skills, equipment or training.

When you follow
my strategies, you’re going to be able to do exactly as
I did – start with one vehicle, follow a “Controlled Growth”
strategy, and systematically build your business. In time,
you’re going to have more time, more money, and the ability
to do whatever you want when you want!

Remember, you are
a service-based business. Because you are literally going
to be helping people you WILL become an asset within your
community. You will be helping clients, hospitals, nursing
facilities, doctor offices, treatment centers and the
like. You are literally helping these facilities to accomplish
their daily missions.

Think about it….
Without your service, how would doctors see their elderly
and disabled clients? How would these patients even get
to the doctors? How would hospitals empty their beds to
make room for new patients? Without your services, their
operation would come to a screeching halt!

The list goes on,
and on, and on….

Your NEMT business
can become a fixture within your community for which you
literally leverage to further grow, network and build
awesome relationships and partnerships.

But remember, as
a NEMT provider, you are charged with meeting the transportation
needs of your clients. That’s it!

We are NOT doctors,
nurses, nurses-aides or other. But although we are just
the transportation provider, we do bring a great deal
of help and assistance to our clients. And honestly, bringing
help to other does feel good!

Million Dollar Medical Transportation CompanyThere
are many elderly people sitting in nursing homes with
limited family and even fewer visitors. When you arrive
to take them to their medical appointments it is, in many
instances, literally their outing for day, week, or month.
Trust me, by providing these elderly people with helpful
and courteous service, service-with-a-smile, it makes
them feel special and makes you feel good!

Million Dollar Medical Transportation CompanyUnlike
you, when I was starting my business, I had no “How to”
Manual to learn how to start my NEMT business. I experienced
a great deal of success…but it wasn’t without a lot of
mistakes too – mistakes that cost me a lot of money that
you’re going to be able to avoid!

I know the NEMT
industry – bottom line. I teach, work with, and negotiate
contracts for providers all over the country. If my strategies
can work for others, they can definitely work for you.

I am going to teach
you how to become an asset within your community. Coupled
with the dramatic increase in the elderly population,
your growth and opportunities are limitless!

Let’s be
honest. There’s not too many ebooks on the market
of this size and detail. To say I stand by this
information and opportunity is an absolute understatement.
In fact, if you have questions, call my office
at (607) 343-3690. Seriously, we’re here to

If you call after
hours or if we are on another line, just leave us a message.
We will call you back – we do it every day. Again, we
look forward to speaking with you and answering your questions.
Again, my office number is (607) 343-3690.

Million Dollar Medical Transportation CompanyTo
further prove the legitimacy of my ebook and to demonstrate
how much I stand by this opportunity, I offer a full 30-day
no questions asked money back guarantee! If you are not
totally satisfied with this information then please, let
us know and we will be more than happy to refund your

Think long-term.
This is a business that is going to last and continue
to grow. This is a business in which you can make BIG
money and build a legacy. You can keep it, sell it for
profit or pass it onto your heirs.

If you are like
almost 80% of Americans, you have contemplated starting
your own business. But, if you have only thought about
starting your own business and you can’t find the right
opportunity, then look no further.

I am going to show
you how to generate millions of dollars in the world’s
two fastest growing niche markets – the elderly population
and the medical industry.

If you’re a caring
and compassionate person – if you like to help others
– then this could be the right business for you.

So now, it’s about
time for us to stop talking and start acting. We have
to get down to the business of making money and laying
the foundation for your business. Click on the link located
below and let’s get started!

Don’t forget, join
my FREE newsletter and start receiving even more information
right away!

Note: This information
is offered in ebook format ONLY! There is no physical
book to ship. There is no waiting on “snail mail!”

Invest NOW and you
will literally begin studying “How to Build a Million
Dollar Medical Transportation Company” immediately following
your investment!

Who cares more about
your financial future more than you?

Who cares more about
your success than you?

The answer is NO

The NEMT industry
has been a phenomenal opportunity for me and many others
who I have been blessed to work with. Now, it can be for
you too!

But if you always
do what you always did, you will always get what you always

So, if you are not willing
to be decisive and take bold action then you can’t complain
because nothing changes!

ONLY $97.95!

Million Dollar Medical Transportation Company

See you at the Top
Joel E. Davis

PS: Please take some time
to surf around this site to read and watch videos, comments,
and testimonials from others. They’re great and well worth your

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