How to create a financial forecast for a NEMT company?

Developing and maintaining an up-to-date financial forecast for your NEMT company is key in order to maintain visibility on your business’s future cash flows.
If you feel overwhelmed at the thought of putting together a NEMT company financial forecast then don’t worry as this guide is here to help you.
We'll cover everything from: the main objectives of a financial forecast, the data you need to gather before starting, to the tables that compose it, and the tools that will help you create and maintain your forecast efficiently.
Let's get started!
Why create and maintain a financial forecast for a NEMT company?
In order to prosper, your business needs to have visibility on what lies ahead and the right financial resources to grow. This is where having a financial forecast for your NEMT company becomes handy.
Creating a NEMT company financial forecast forces you to take stock of where your business stands and where you want it to go.
Once you have clarity on the destination, you will need to draw up a plan to get there and assess what it means in terms of future profitability and cash flows for your NEMT company.
Having this clear plan in place will give you the confidence needed to move forward with your business’s development.
Having an up-to-date financial forecast for a NEMT company is also useful if your trading environment worsens, as the forecast enables you to adjust to your new market conditions and anticipate any potential cash shortfall.
Finally, your NEMT company's financial projections will also help you secure financing, as banks and investors alike will want to see accurate projections before agreeing to finance your business.
Need a convincing business plan?
The Business Plan Shop makes it easy to create a financial forecast to assess the potential profitability of your projects, and write a business plan that’ll wow investors.

What information is used as input to build a NEMT company financial forecast?
A NEMT company's financial forecast needs to be built on the right foundation: your assumptions.
The data required to create your assumptions will depend on whether you are a new or existing NEMT company.
If you are creating (or updating) the forecast of an existing NEMT company, then your main inputs will be historical accounting data and operating metrics, and your team’s view on what to expect for the next three to five years.
If you are building financial projections for a new NEMT company startup, you will need to rely on market research to form your go-to-market strategy and derive your sales forecast.
For a new venture, you will also need an itemised list of resources needed for the NEMT company to operate, along with a list of equipment required to launch the venture (more on that below).
Now that you understand what is needed, let’s have a look at what elements will make up your NEMT company's financial forecast.
The sales forecast for a NEMT company
From experience, it usually makes sense to start your NEMT company's financial projection with the revenues forecast.
The inputs used to forecast your sales will include the historical trading data of your NEMT company (which can be used as a starting point for existing businesses) and the data collected in your market research (which both new ventures and existing businesses need to project their sales forward).
Your NEMT company's sales forecast can be broken down into two key estimates:
- The average price
- The number of monthly transactions
To assess these variables accurately, you will need to consider the following factors:
- Increase in demand for specialized transportation services for individuals with disabilities and elderly individuals, leading to an increase in the average price per ride for NEMT companies.
- Implementation of new regulations and compliance requirements for NEMT companies, resulting in a potential increase in operational costs and potentially affecting the average price per ride.
- Introduction of new technology and software solutions for NEMT companies, potentially increasing efficiency and reducing operational costs, which may result in a decrease in the average price per ride.
- Changes in government funding and reimbursements for NEMT services, potentially affecting the average price per ride and the number of monthly transactions for NEMT companies.
- Shifts in the demographics and population of the area served by the NEMT company, potentially affecting the demand for their services and the number of monthly transactions.
Once you have a sales forecast in place, the next step will be to work on your overhead budget. Let’s have a look at that now.
Need a convincing business plan?
The Business Plan Shop makes it easy to create a financial forecast to assess the potential profitability of your projects, and write a business plan that’ll wow investors.

The operating expenses for a NEMT company
The next step is to estimate the expenses needed to run your NEMT company on a day-to-day basis.
These will vary based on the level of sales expected, and the location and size of your business.
But your NEMT company's operating expenses should include the following items at a minimum:
- Vehicle Expenses: This includes fuel, maintenance, and repairs for your NEMT company vehicles.
- Staff Costs: You will have to pay salaries or wages for your drivers, dispatchers, and administrative staff.
- Accountancy Fees: You may need to hire an accountant to help with bookkeeping, tax preparation, and financial reporting.
- Insurance Costs: As a transportation company, you will need to have various types of insurance, including liability, workers' compensation, and vehicle insurance.
- Software Licences: You may need to purchase and maintain software licenses for dispatching, scheduling, billing, and other operations.
- Banking Fees: You will likely have to pay fees for business bank accounts, credit card processing, and other financial services.
- Marketing Expenses: You may need to invest in marketing efforts to promote your NEMT services and attract clients.
- Office Rent/Lease: If you have a physical office space, you will have to pay rent or lease fees.
- Utilities: This includes electricity, water, and other utility costs for your office space.
- Communication Costs: You will need to pay for phone, internet, and other communication services to stay connected with your staff and clients.
- Vehicle Registration and Licensing: You will have to pay for vehicle registration and licensing fees to operate your NEMT company.
- Training and Development: It is essential to invest in training and development for your staff to ensure high-quality services and compliance with regulations.
- Vehicle Cleaning and Sanitization: As a transportation company, you will need to regularly clean and sanitize your vehicles to maintain a safe and hygienic environment for your clients.
- Office Supplies: You will need to purchase office supplies such as paper, ink, and other materials for daily operations.
- Licensing and Permit Fees: You may need to obtain licenses and permits from local authorities to operate your NEMT company.
This list is, of course, not exhaustive, and you'll have to adapt it according to your precise business model and size. A small NEMT company might not have the same level of expenditure as a larger one, for example.
What investments are needed to start or grow a NEMT company?
Creating and expanding a NEMT company also requires investments which you need to factor into your financial forecast.
Capital expenditures and initial working capital items for a NEMT company could include elements such as:
- Vehicles: As a NEMT company, you will need to purchase vehicles to transport your clients. These can include wheelchair accessible vans, sedans, or mini-vans, depending on your specific services and target population.
- Medical Equipment: In addition to vehicles, your NEMT company may also need to invest in medical equipment such as stretchers, oxygen tanks, and other supplies to accommodate clients with medical needs.
- Technology: To efficiently manage your NEMT services, you will need to invest in technology such as GPS systems, dispatch software, and mobile devices for your drivers. These tools will help streamline your operations and provide better service to your clients.
- Office Space: Your NEMT company may require office space to manage administrative tasks, store records, and hold meetings with clients and staff. This can include renting a commercial space or purchasing a building.
- Fleet Maintenance: Regular maintenance and repairs of your vehicles are necessary to ensure safe and reliable transportation for your clients. This can include expenses such as oil changes, tire replacements, and general repairs.
Again, this list is not exhaustive and will need to be adjusted according to the circumstances of your NEMT company.
Need a convincing business plan?
The Business Plan Shop makes it easy to create a financial forecast to assess the potential profitability of your projects, and write a business plan that’ll wow investors.

The financing plan of your NEMT company
The next step in the creation of your financial forecast for your NEMT company is to think about how you might finance your business.
You will have to assess how much capital will come from shareholders (equity) and how much can be secured through banks.
Bank loans will have to be modelled so that you can separate the interest expenses from the repayments of principal, and include all this data in your forecast.
Issuing share capital and obtaining a bank loan are two of the most common ways that entrepreneurs finance their businesses.
What tables compose the financial plan for a NEMT company?
Now let's have a look at the main output tables of your NEMT company's financial forecast.
The projected profit & loss statement
The projected profit & loss shows how profitable your NEMT company is likely to be in the years to come.

For your NEMT company to be financially viable, your projected P&L should ideally show:
- Sales growing above inflation (the higher the better)
- Profit margins which are stable or expanding (the higher the better)
- A net profit at the end of each financial year (the higher the better)
This is for established NEMT companies, there is some leniency for startups which will have numbers that will look a bit different than existing businesses.
The projected balance sheet
Your NEMT company's projected balance sheet provides a snapshot of your business’s financial position at year-end.
It is composed of three types of elements: assets, liabilities and equity:
- Assets: represent what the business possesses including cash, equipment, and accounts receivable (money owed by clients).
- Liabilities: represent funds advanced to the business by lenders and other creditors. They include accounts payable (money owed to suppliers), taxes payable and loans from banks and financial institutions.
- Equity: is the combination of what has been invested by the business owners and the cumulative profits and losses generated by the business to date (which are called retained earnings). Equity is a proxy for the value of the owner's stake in the business.

The projected cash flow statement
A projected cash flow statement for a NEMT company is used to show how much cash the business is generating or consuming.

The cash flow forecast is usually organised by nature to show three key metrics:
- The operating cash flow: do the core business activities generate or consume cash?
- The investing cash flow: how much is the business investing in long-term assets (this is usually compared to the level of fixed assets on the balance sheet to assess whether the business is regularly maintaining and renewing its equipment)?
- The financing cash flow: is the business raising new financing or repaying financiers (debt repayment, dividends)?
Cash is king and keeping an eye on future cash flows is imperative for running a successful business. Therefore, you should pay close attention to your NEMT company's cash flow forecast.
If you are trying to secure financing, note that it is customary to provide both yearly and monthly cash flow forecasts in a financial plan - so that the reader can analyze seasonal variation and ensure the NEMT company is appropriately capitalised.
Need a convincing business plan?
The Business Plan Shop makes it easy to create a financial forecast to assess the potential profitability of your projects, and write a business plan that’ll wow investors.

Which tool should you use to create your NEMT company's financial forecast?
Using the right tool or solution will make the creation of your NEMT company's financial forecast much easier than it sounds. Let’s explore the main options.
Using online financial forecasting software to build your NEMT company's projections
The modern and easiest way is to use an online financial forecasting tool such as the one we offer at The Business Plan Shop.
There are several advantages to using specialised software:
- You can easily create your financial forecast by letting the software take care of the financial calculations for you without errors
- You have access to complete financial forecast templates
- You get a complete financial forecast ready to be sent to your bank or investors
- You can easily track your actual financial performance against your financial forecast, and recalibrate your forecast as the year goes by
- You can create scenarios to stress test your forecast's main assumptions
- You can easily update your forecast as time goes by to maintain visibility on future cash flows
- You have a friendly support team on standby to assist you when you are stuck
- It’s cost-efficient and much cheaper than using an accountant or consultant (see below)
If you are interested in this type of solution, you can try our projection software for free by signing up here.
Calling in a financial consultant or chartered accountant
Outsourcing the creation of your NEMT company financial forecast is another possible solution.
This will cost more than using software as you can expect as your price will have to cover the accountant’s time, software cost, and profit margin.
Price can vary greatly based on the complexity of your business. For a small business, from experience, a simple three-year financial forecast (including a balance sheet, income statement, and cash flow statement) will start at around £700 or $1,000.
Bear in mind that this is for forecasts produced at a single point in time, updating or tracking your forecast against actuals will cost extra.
If you decide to outsource your forecasting:
- Make sure the professional has direct experience in your industry and is able to challenge your assumptions constructively.
- Steer away from consultants using sectorial ratios to build their client’s financial forecasts (these projections are worthless for a small business).
Why not use a spreadsheet such as Excel or Google Sheets to build your NEMT company's financial forecast?
You and your financial partners need numbers you can trust. Unless you have studied finance or accounting, creating a trustworthy and error-free NEMT company financial forecast on a spreadsheet is likely to prove challenging.
Financial modelling is very technical by nature and requires a solid grasp of accounting principles to be done without errors. This means that using spreadsheet software like Excel or Google Sheets to create accurate financial forecasts is out of reach for most business owners.
Creating forecasts in Excel is also inefficient nowadays:
- Software has advanced to the point where forecasting can be done much faster and more accurately than manually on a spreadsheet.
- With artificial intelligence, the software is capable of detecting mistakes and helping decision-making.
Spreadsheets are versatile tools but they are not tailor-made for reporting. Importing your NEMT company's accounting data in Excel to track actual vs. forecast is incredibly manual and tedious (and so is keeping forecasts up to date). It is much faster to use dedicated financial planning tools like The Business Plan Shop which are built specially for this.
Need a convincing business plan?
The Business Plan Shop makes it easy to create a financial forecast to assess the potential profitability of your projects, and write a business plan that’ll wow investors.

Use our financial projection templates for inspiration
The Business Plan Shop has dozens of financial forecast templates available.
Our examples contain a complete business plan with a financial forecast and a written presentation of the company, the team, the strategy, and the medium-term objectives.
Whether you are just starting out or already have your own NEMT company, looking at our financial forecast template is a good way to:
- Understand what a complete business plan should look like
- Understand how you should model financial items for your NEMT company

Takeaways
- A financial projection shows expected growth, profitability, and cash generation for your business over the next three to five years.
- Tracking actuals vs. forecast and keeping your financial forecast up-to-date is the only way to maintain visibility on future cash flows.
- Using financial forecasting software makes it easy to create and maintain up-to-date projections for your NEMT company.
You have reached the end of our guide. We hope you now have a better understanding of how to create a financial forecast for a NEMT company. Don't hesitate to contact our team if you have any questions or want to share your experience building forecasts!
Need a convincing business plan?
The Business Plan Shop makes it easy to create a financial forecast to assess the potential profitability of your projects, and write a business plan that’ll wow investors.

Also on The Business Plan Shop
- Example of financial projections
- Sample financial forecast for business idea
- How to project sales for a business?
Know someone who runs or wants to start a NEMT company? Share our financial projection guide with them!