PATIENT TRANSPORT SERVICE BUSINESS PLAN

I. Executive Summary

Company Description

MedRoute — named for medical routes and timely care — is a Houston-based technology marketplace launching in 2026 in the non-emergency medical transportation (NEMT) sector. We connect hospitals, clinics, and patients with a vetted network of specialized transit providers via a platform that combines proprietary routing and matching algorithms, on-demand scheduling, real-time vehicle tracking, and transparent pricing. Our multi-stream revenue model includes commissions on trips, facility and provider subscriptions, and targeted advertising fees. One-liner: we turn fragmented NEMT supply into a reliable, trackable service for healthcare operations.

We run provider vetting and compliance, integrate scheduling with facility workflows and EHRs, operate the scheduling and tracking engine, and manage customer support and billing. What sets us apart is our algorithmic matching tuned for medical needs, strict provider standards, ETA accuracy, and transparent trip pricing tied to payer rules. Target customers: Houston hospitals, outpatient clinics, dialysis centers, managed Medicaid brokers, and mobility-limited patients. Short-term goals: launch Q2 2026, onboard 200 providers, and achieve 5,000 monthly trips by month 12. Long-term goals: expand to 30 U.S. metro areas by 2029 and reach sustainable profitability by year 4. One-liner: we improve access and cut operational waste across the medical transit ecosystem.

Problem

Over 3.6 million Americans miss or delay medical care each year because they lack reliable transportation, driving worse health outcomes and higher hospital readmission rates. Older adults and patients with chronic conditions require assisted mobility—wheelchair securement, stretcher vehicles, and trained attendants—that standard rideshare services do not provide, and traditional non-emergency medical transportation (NEMT) is rigid, opaque, and poorly coordinated.

Missed appointments, higher readmissions, caregiver scheduling burden, lost provider revenue, invisible vehicle availability, and fragmented pricing persist across the care continuum; these gaps leave patients and healthcare facilities without a dependable, transparent, on-demand option. There is a clear need for a coordinated, specialized, technology-driven marketplace to connect facilities and patients with vetted medical transit providers.

Solution

We operate a technology-driven marketplace that connects patients and healthcare facilities with certified non-emergency medical transportation providers through a mobile app and web portal. The platform enables real-time booking and trip tracking, offers vehicle selection for specific mobility needs, integrates into healthcare discharge workflows, and replaces 24-hour advance notice with on-demand flexibility while enforcing rigorous driver and vehicle vetting.

The service reduces missed appointments and discharge delays, increases transparency for facilities and families, and gives NEMT providers digital tools to optimize fleets and acquire customers. One line: reliable, on-demand medical transport that fits clinical workflows and patient needs.

Mission Statement

To eliminate transportation as a barrier to healthcare by providing a reliable, transparent, and technology-driven marketplace that connects patients with compassionate, specialized transit and improves patient outcomes and healthcare efficiency through innovation in medical logistics.

We commit to safety, reliability, and empowerment for patients and transportation providers, and to becoming the national standard for non-emergency medical transportation through excellence in technology and service.

Key Success Factors

Meeting the financial targets and volume benchmarks below will determine operational viability.

• Breakeven by May 2027 & 30‑month payback
• Buyer CAC reduced to $50 and seller CAC to $800 by 2030
• Maintain 12.0 monthly orders per facility
• Scale insurance buyers to 25% of transaction mix
• Leverage proprietary technology to sustain 14.87% ROE

Financial Summary

Snapshot of the five-year financial trajectory for the Patient Transport Service: loss in year one, breakeven in mid‑2027, and strong profitability by year five.

Financial requirements: maintain a minimum cash buffer of $221,000 (target month Apr‑27) to reach breakeven (May‑27, month 17); expected payback in 30 months; overall IRR 7% and ROE 14.87%.

Financial outlook: profitable by year three with scaled EBITDA to $8.289M by year five.

Funding Requirements

We require funding to cover CAPEX, launch costs, and the first-year EBITDA shortfall; CAPEX is USD 155,000; working capital is USD 472,000.

One-liner: CAPEX is USD 155,000; working capital is USD 472,000. Year‑one EBITDA is -USD 472,000; year‑five profit is USD 8,289,000; projected IRR is 7%; ROE is 14.87%; minimum cash buffer is USD 221,000; revenue driven by a USD 2 fixed fee plus a commission optimizing to 13% by 2030.