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Component 01 of the NEMT Scaling Framework

Vision

Most NEMT targets live in one person’s head and move when the month is bad. A target is only real when somebody other than you can act on it.

What this component covers

Vision in an NEMT company is three numbers and one question. It is not a mission statement and nothing here goes on a wall.

The three numbers are the trips per day you are building toward, the margin you will not go below, and the fleet size that gets you there. The question is whether a buyer could run this company without you.

01Make the margin floor a ruleTurning the margin you will not go below into something dispatch can apply.
02The three numbers have to add upTrips per day, the margin floor and the fleet, tied together, with break-even as the floor under the target.
03The buyer questionWhether the company could run without you, and the three things that would break.

Ask an NEMT owner what this year’s target is and you get a revenue number. A million. Two million. Double last year.

When someone offers you forty more trips a week, a revenue target cannot tell you whether to take them. You know what they pay. Whether that covers what those trips cost you to run is a different question, and revenue says nothing about it. Your dispatcher cannot use it either, and they are usually the one deciding.

That is the test, and it is the only one worth applying: a target is real when someone who is not you can act on it without asking you first. Revenue fails because it is an outcome. The things that produce it are what a team can actually work with.

Make the margin floor a rule

Quarterly · Owner and dispatch

The problem

“I accept or reject trips by gut.”

A margin floor that lives in your head protects nothing, because the person deciding whether to take a trip is usually the dispatcher, with ninety seconds before the caller needs an answer.

So turn the floor into a rule they can apply without seeing your books. Start with a minimum per loaded mile, built from your cost per mile in Fleet and tools. Run every account’s rates against it and you get two lists: trips accepted on sight, and trips that need a call to you first. Add a minimum per trip by type later, if short runs clear the mile floor and still lose money.

Fuel, wages and rates all move, so restate the rule to dispatch every quarter. A floor set two years ago is not a floor.

Check itTrips accepted this month that fell below the floor.

The three numbers have to add up

Once a year, checked quarterly · Owner

The problem

“My target is a number in my head, and it changes when the month is bad.”

Three numbers run an NEMT company: the trips per day you are building toward, the margin you will not go below, and the fleet that gets you there. You can probably name each one. The harder question is whether they agree, because they usually get set separately, in different moods.

They are tied together by one piece of arithmetic:

trips per day ÷ trips per vehicle per day = vehicles

100 trips per day ÷ 8 trips per vehicle = 13 vehicles

Across the fleets we see, a vehicle runs about eight trips a day on a six-day week. Twelve and a half, rounded up.

If you run nine vans, the target is not real until four more have a date and a budget against them. Working this through is often the first time an owner sees that the growth plan needs a fleet nobody planned to pay for.

Then check the target against what the company costs to run. Add up what leaves every week whatever you run (insurance, office and software, vehicle loans, dispatcher and office payroll, and your own pay) and divide by profit per trip. That is your break-even week, and the target should sit well clear of it. A company that only breaks even when the owner works for free has not broken even.

If the three numbers do not tie, decide which one bends. That is the real decision, and it is far easier to make in January on paper than in June with an account on the phone.

Check itNext year’s trips per day, divided by trips per vehicle per day, against the vans you actually run.

The buyer question

Quarterly · Owner

The problem

“The business can’t run without me.”

Once a quarter, ask one question honestly: if a buyer walked in tomorrow, could they run this company without you? It matters whether or not you ever sell. A buyer pays for written processes, a team that runs the day, contracts that are not friendships, and numbers someone else can pull. That is the same list that makes a company calm to own.

There is a concrete version. If you were unreachable for two weeks, what would break? Not slow down. Break. Write down the first three answers. They are next quarter’s work, and the SOPs in People are usually where the fix starts.

Then check that your targets reached the team. Ask your dispatcher, with no warning, what this year’s trips-per-day target is. If they cannot say it, the target is not shared yet.

Check itThe three things that would break in a two-week absence, each with a name and a date.

Putting it in place

Who does what, and when

Quarterly

4 times a year

  • Margin floor restated to dispatch as a ruleOwner and dispatch
  • Break-even trips per week recalculated, loans and owner pay includedOwner
  • Quarterly check: on track, and did anything real changeOwner
  • The buyer question asked honestlyOwner

Yearly

Once a year

  • The three numbers set and reconciledOwner
  • The two-week test: what breaks without youOwner
Download the vision sheet

PDF, two pages, no email required.

Next

02 · People

Write an SOP for every position.

All six components

01 of 6 · Vision