March 24, 2012

NEMT: Investing in the Non-Emergency Medical Transportation Industry

INVESTING IN NEMT - For anyone looking into possible investment in the Non-Emergency Medical Transportation (NEMT), some of the unique aspects of the industry should be taken into consideration. Specifically, the size and make up of the companies that provide the actual service. NEMT service providers are typically small, independent, privately owned companies that operate within a local market. Take a look through my NEMT Services Directory to see for yourself. One exception to this has been the involvement of EMS/Ambulance companies in the provision of NEMT services in the United States, but that industry itself is going through some major changes.

Two of that industries biggest players, American Medical Response (AMR) and Rural/Metro Corp. have recently been acquired by private equity firms. As a consequence, Rural/Metro is no longer publicly traded, and the same is planned for AMR. One area for public investment in the NEMT Industry that is available, and not only that but growing, is the brokerage part of the industry. NEMT is expensive to operate. There are now, and will continue to be enormous pressures put upon programs such as Medicaid to cut transportation costs. One such development has been the trend towards state Medicaid programs handing over management of NEMT coordination to private companies such as LogistiCare (see below).

Over the next 20 years, as the aging baby boomers enter retirement, the demand for healthcare and other services responding to this changing demographic will greatly increase. NEMT is one of those services poised to benefit from this. Although, what exactly the NEMT industry will be like 20 years from now is uncertain, one thing that is certain is that an increasing number of people will still need some form of specialty transport service to access health and medical services. Other publicly traded companies that service the NEMT industry, such as Stryker and Wabtec, both shown below, are strategically positioned to benefit from these changes.

Providence Service Corporation - Parent company of LogistiCare Solutions, LLC, it provides transportation network management for state Medicaid programs. Founded in 1996, it pioneered the Medicaid brokerage model and remains the biggest player in the NEMT Management industry. LogistiCare was acquired by Providence Service Corporation in 2007. Providence has similar expertise in providing outsourced service of government social service programs. Providence Service Corporation is traded on the NASDAQ (Symbol: PRSC). Read More...

Stryker - Stryker Stretchers are considered by EMS professionals to be among the best in the medical transport industry. Their General Purpose Transport Stretchers are commonly used by NEMT service providers in their ambulettes. From it's beginnings in 1941, Michigan based Stryker has grown into one of the world's leading medical technology companies. They produce a wide variety of health and medical products and operate world wide. Stryker (SYK) is listed on the New York Stock Exchange.

Wabtec Corporation - Parent company of Ricon Corporation, California manufacturer of one of the most commonly used wheelchair lifts in the transportation industry including Personal Mobility, Commercial (such as NEMT), Transit, School Bus, and Rail. There is also a Ricon Europe division. Through Ricon and it's other subsidiaries, Wabtec is involved in a number "value-added, technology based products for Railroad, Transit, and other Global Industies." Wabtec was formed in 1999 from a merger between Westinghouse Air Brake Company and MotivePower Industries, Inc. Wabtec is based in Pennsylvania. It is listed on both the New York Stock Exchange (Symbol: WAB) and on the Berlin Stock Exchange (Symbol: WB2).

See NEMT Business Opportunities to learn more about the NEMT Industry.

March 22, 2012

Cabbies: The Ultimate Taxi

ASPEN, COLORADO - Back in 1984, Jon Barnes began transporting tourists around Aspen, Colorado in his 1978 Checker Cab. During that time he experimented with all sorts of electronic gadgets, lights, and musical instruments to make his job more fun for both himself and his passengers. In 1990 he went independent, he purchased the vintage Checker and transformed it into the Ultimate Taxi. Customers can wear 3-D glasses to watch a laser light show, while listening and singing along to an eclectic soundtrack, and have Jon play along as dry ice creates a fog on the floor. He set out to make it the "craziest" taxi in the world, and it may well be. On the Ultimate Taxi website you can see pictures of some of the happy customers (many of them famous), as well as videos from various news sources that have come to Aspen to experience the "world's only musical comedy taxi theatre night club". The Ultimate Taxi usually operates in the evening when it's dark. When Jon is on the road you can watch live by streaming webcam (see below). For more information you can download the mp3 & pdf transcript of a 1 hour interview of Jon Barnes by Michael Senhoff called: Marketing Lessons From a Colorado Taxi Driver. It is also available as a podcast on iTunes.

March 18, 2012

Non-Profit Spotlight: WRVS, UK

NON-PROFIT SPOTLIGHT - Founded in 1938 as the Women’s Voluntary Services for Air Raid Precautions to support UK civilians during WWII, today WRVS acts as a volunteer supported non-profit organization that provides practical services for seniors and others in the community that need assistance. Included among the many services and programs provided by WRVS are the over 45 Community Transport services across the UK services that help approximately 7,000 clients Get Out and About. An example of which (shown in the following video), are the WRVS Good Neighbour volunteers that provide companionship and assistance with a range of tasks including providing driving and assisting clients to medical appointments.

March 17, 2012

NEWS: New Tri-Cities Dial-A-Ride Buses

TRI-CITIES, WASHINGTON - March 14, 2012 - Benton Franklin Transit has purchased 5 used buses from Spokane Transit to serve as Dial-A-Ride buses. The new acquisitions are replacing older vehicles that are in need of costly repairs. It is hoped that the new buses will improve trip availability for customers when they are put into service in April. Dial-A-Ride is the Tri-Cities Area door-to-door transportation service for those unable to use the regular fixed route Benton Franklin Transit.

Non-Profit Spotlight: Osher Marin JCC

MARIN COUNTY, CALIFORNIA - The Jewish Community Federation and Endowment Fund (JCF) is a non-profit organization in the Bay Area that supports community programs in San Francisco, the Penninsula, Marin and Sonoma Counties. Community-Wide Senior Transportation is an area of particular interest that they support. The 2009 Impact Report (pdf) published by the JFC, sighted transportation as a "glaring service need" for many seniors in the Bay Area. 10% of the annual JFC budget allocation for elder care went towards senior transportation in that year (page 13). An example of one such program that JFC supports is Osher Marin JCC. Shown in the following video, Osher Marin JCC is a non-profit community organization based in San Rafael, California that reflects the unique values of Jewish history and culture. Their transportation service helps elders access senior programs at the Osher Marin JCC center.

March 16, 2012

Profile: United Taxi, Tampa Bay, Florida

TAMPA BAY, FLORIDA - United Taxi is a transportation company that services the Tampa Bay Area of West Central Florida. It is the second largest cab company in Pinallis County, Florida. Besides providing regular taxi services, they also have corporate and government contracts such as PSTA Dart Choice Provider and Florida Medicaid. As well, United Taxi offers a Safe-Ride-Home Program to promote responsible drinking. To find more local services, go to the Florida Taxi Cab Services page.

March 14, 2012

NEWS: Complaints Leveled Against Florida NEMT Broker, GPTMS

CLEARWATER, FLORIDA - March 13, 2012 - After taking over the contract in 2010 to provide Medicaid transportation services for Pinellas County, the transportation coordination service: Greater Pinellas Transportation Management System (GPTMS), has been the subject of numerous customer complaints. The allegations against GPTMS range from denial of services to unacceptable wait times, as well as trouble for customers getting through on the phones. Pinellas County. A resent public audit suggested there was a "potential conflict of interest exists between GPTMS company officials and service providers".

March 13, 2012

NEMT: Mt. Zion Medical Transportation

WOODBRIDGE, VIRGINIA - Mt. Zion Medical Transportation is a medical transportation company located in Woodbridge, Virginia. They have been providing non-emergency medical ambulatory, wheelchair and stretcher transports throughout Northern Virginia for 20 years. For more information visit the Mt. Zion Medical Transportation website. Find more Virginia Non-Emergency Medical Transportation Services.

March 11, 2012

Company Profile: Wheelchair Getaways

ACCESSIBLE VAN RENTALS - Wheelchair Getaways is a national franchisor of accessible van rentals operating in over 80 locations across the United States. They feature vehicles from lowered floor van manufacturers such as Vantage Mobility and BraunAbility. Daily rental rates vary from $80 to $145, depending on location. Wheelchair Getaways also has Pre-Owned Accessible Vans for sale through their website. The following video features the Wheelchair Getaways of Connecticut franchise located in Bethel, Connecticut. Go to the Wheelchair Accessible Van Rental Directory page to find local rental services in your area.
Go to Opening a NEMT Franchise, to learn more about transportation franchises.

NEMT Profile: NEPAT Mobile Transport

NORTH CAROLINA - NEPAT Mobile Transport is a non-emergency medical transportation company based in Winston Salem, North Carolina. They provide local and long-distance door-to-door wheelchair accessible transports for medical, personal, or group trips from their locations in Winston Salem, Forsyth, Guilford, Alamance, Davidson. NEPAT Mobile Transport was started by Dr. Joe White. In 2006 he bought a struggling transportation company, Truliant Mobile Transport, and within 3 years turned it around into the top accessible transportation company in it's market area. Dr. White has used this experience to start and build NEPAT Mobile Transport, a national franchisor of non-emergency medical transportation.

VIDEO #1: Non-Emergency Transportation (Company Information)

VIDEO #2: NEPAT Promo Comercial (Franchise Information)

Find more North Carolina Non-Emergency Medical Transportation Providers.

March 10, 2012

Retirement Home Transportation: Integral Senior Living

RETIREMENT HOME TRANSPORTATION - Integral Senior Living is a privately owned company founded in 2000 that specializes in management of senior independent living, assisted living, and memory care facilities. Currently, there are over 40 Integral Senior Living operational locations in Arizona, California, Idaho, New Mexico, Montana, Utah, and Washington State. One example is Paramount House Senior Living, located in Vacaville, California. Among the various Assisted Living Services and Amenities provided there is Scheduled Transportation to local doctor's appointments. For information visit the Integral Senior Living website.

March 9, 2012

NEMT: Southern States Insurance

NON-EMERGENCY MEDICAL TRANSPORTATION - Southern States Insurance is an independent insurance agency in Georgia. They provide a variety of home, life, automobile, and business insurance including Non-Emergency Transportation (NET) Insurance. Purchasing insurance for a Non-Emergency Medical Transportation company can be complicated and time-consuming. NET Insurance involves a combination of coverages. In the following video, Michael Mellars of Southern States Insurance provides an overview of NET Insurance. He answers some of the common questions they hear, such as: What will insurance companies ask before quoting me?, How can I manage my insurance costs?, and Are team safety meetings worth it? Southern States Insurance can provide NET Insurance not only for Georgia businesses but out-of-state as well. For more information visit their Non-Emergency Transportation Insurance page. Southern States Insurance is also on Facebook and Twitter.

Find more NEMT Insurers on the NEMT Resources page.

March 8, 2012

Retirement Home Transportation: Talmage Terrace-Lanier Gardens

ATHENS, GEORGIA - Talmage Terrace-Lanier Gardens is a retirement community located in Athens, Georgia. Established over 30 years ago, Talmage Terrace is Athens' only continuing care retirement home. Scheduled transportation to medical appointments and activities is included among the various residential services and amenities available through it's Assisted Living Program. For more information visit the Talmage Terrace-Lanier Gardens website.

March 6, 2012

Accessible Vehicles: The Friendly Bus

WHEELCHAIR ACCESSIBLE BUSES - The Friendly Bus is an ADA approved low-floor shuttle bus designed and produced by Dallas Smith Corp. The body, produced by Supreme Corporation's bus division: Startrans, is built on a Ford F-450 chassis. The low floor design allows for easy wheelchair access, and means no more stairs to deal with when boarding for seniors, those with mobility challenges, and parents with kids in strollers. The Friendly Bus is available in shuttle and paratransit versions. American Bus Products is the main North American distributer of The Friendly Bus. Find more bus manufacturers.

March 5, 2012

Retirement: Kisco Senior Living

RETIREMENT HOME TRANSPORTATION - Kisco Senior Living is a California based company that currently owns and operates 19 senior retirement communities in California, Nevada, Texas, Virginia, North Carolina, and Florida. One such community is Cypress Court (see video), a full-service senior community located in Escondido, California. There, as at other Kisco Senior Living communities, transportation is included among the many Senior Living and Community Features available to residents. For more information visit the Kisco Senior Living website.

March 4, 2012

Provider Profile: St. Anthony's Medical Center Patient Transportation

ST. LOUIS, MISSOURI - St. Anthony's Medical Center is a medical health care center that serves over 800,000 residents of St. Louis, Missouri and surrounding counties. Besides the medical services one would expect from a regional health facility, St. Anthony's Medical Center also provides community health education, health care support care services, health care education, and community building activities. Non-Emergency Patient Transportation is a key component to accessing many of these services. Senior Services provides free transportation to St. Anthony's Medical Center for ambulatory or wheelchair residents of skilled-nursing, assisted-living or independent-living facilities in South County on their scheduled appointment days through the Home Transport Program for Seniors & Disabled Adults. Homebound patients also may use the service for $15 per round trip.

Retirement Home Transportation: American Baptist Homes of the Midwest

MIDWEST - American Baptist Homes of the Midwest is a non-profit faith-based organization that operates retirement communities in Colorado, Iowa, Minnesota, Nebraska, North Dakota, South Dakota, and Wisconsin. The Trail Ridge Retirement Community (see video) is an example of one such retirement community operated by American Baptist Homes of the Midwest. It is located on 18 landscaped acres overlooking the city of Sioux Falls, South Dakota. The campus features both residential apartment homes, and a cottage assisted living residence. Transportation for group outings or private trips are included among the many services available for clients living in the Independent Apartment Homes. For more information visit the American Baptist Homes of the Midwest website.

March 2, 2012

Taxi Profile: Yellow Cab of Coos Bay, Ore.

COOS BAY, OREGON - In 1985 Dick Leshley began driving for Yellow Cab Taxi of Coos Bay Oregon. The following year when the owners of the company went bankrupt, Mr. Leshley and his wife were able to purchase the company. Beginning with 2 cars in 1986, the company now operates a fleet of 20 taxicabs. In 2006, the Taxicab, Limousine, & Paratransit Association recognized his success by naming his company: TLPA 2006 Taxicab Small Fleet Operator of the Year. In the following video produced by the Oregon Small Business Development Center, Dick Leshley shares some of the background to the growth of Yellow Cab Taxi and the role that the Oregon Small Business Development Center played in it.

VIDEO - Yellow Cab Taxi's Business Success with Dick Leshley

Find more Oregon Taxi Services

Retirement Home Transportation: Carlton Senior Living, California

CALIFORNIA - Carlton Senior Living is a family-owned company that operates several retirement home communities in the San Francisco Bay Area. Carlton Senior Living communities are located in Pleasant Hill, Concord, San Leandro, Fremont, San Jose, Sacramento, East Bay, South Bay, San Francisco and Oakland, California. Residents in Independent Living communities such as Chateau Of Pleasant Hill (see video) can access flexible transportation services which include escorted trips to medical appointments. For more information go to the Carlton Senior Living website.