š NEMT businesses can appear cash-flow strongābut risk is hiding in the details.
Watch for:
- Heavy reliance on Medicaid or brokered contracts
- Delayed reimbursements or denials
- Owner driving the majority of shifts
- CapEx and repairs for aging fleets not accounted for
š Free cash flow means nothing if itās based on unpaid invoices or a tired van.
ā Normalize for contract risk, fleet age, and actual driver wages.
