How to create a financial forecast for an ambulance company?

If you are serious about keeping visibility on your future cash flows, then you need to build and maintain a financial forecast for your ambulance company.
Putting together an ambulance company financial forecast may sound complex, but don’t worry, with the right tool, it’s easier than it looks, and The Business Plan Shop is here to guide you.
In this practical guide, we'll cover everything you need to know about building financial projections for your ambulance company.
We will start by looking at why they are key, what information is needed, what a forecast looks like once completed, and what solutions you can use to create yours.
Let's dive in!
Why create and maintain a financial forecast for an ambulance company?
Creating and maintaining an up-to-date financial forecast is the only way to steer the development of your ambulance company and ensure that it can be financially viable in the years to come.
A financial plan for an ambulance company enables you to look at your business in detail - from income to operating costs and investments - to evaluate its expected profitability and future cash flows.
This gives you the visibility needed to plan future investments and expansion with confidence.
And, when your trading environment gets tougher, having an up to date ambulance company forecast enables you to detect potential upcoming financing shortfalls in advance, enabling you to make adjustments or secure financing before you run out of cash.
It’s also important to remember that your ambulance company's financial forecast will be essential when looking for financing. You can be 100% certain that banks and investors will ask to see your numbers, so make sure they’re set out accurately and attractively.
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 an ambulance company financial forecast?
A ambulance company's financial forecast is only as good as the inputs used to build it.
If you are creating (or updating) the forecast of an existing ambulance company, then you mostly need your accounting information, key historical operating non-financial data, and your team’s input on what to expect for the coming years.
If you are building financial projections for an ambulance company startup, you will need to have done your research and have a clear picture of your competitive environment and go-to-market strategy so that you can forecast sales accurately.
For a new venture, you will also need a precise list of the resources needed to keep the ambulance company running on a day-to-day basis and a list of the equipment and expenditures required to start the business (more on that later).
Let's now take a closer look at the elements that make up your ambulance company's financial forecast.
The sales forecast for an ambulance company
From experience, it is usually best to start creating your ambulance company financial forecast by your sales forecast.
To create an accurate sales forecast for your ambulance company, you will have to rely on the data collected in your market research, or if you're running an existing ambulance company, the historical data of the business, to estimate two key variables:
- The average price
- The number of monthly transactions
To get there, you will need to consider the following factors:
- Government regulations: Changes in government regulations related to healthcare or emergency services may affect your average price or number of monthly transactions. For example, if new regulations require ambulances to have certain equipment or meet certain standards, this could increase your costs and potentially affect your prices.
- Competition: The presence of other ambulance companies in your area can also impact your average price and monthly transactions. If there is a lot of competition, you may need to lower your prices to stay competitive or find ways to differentiate your services to attract more customers.
- Population and demographics: The population and demographics in your area can also play a role in your sales forecast. For instance, if your area has a large elderly population, you may have more demand for your services, leading to higher prices and more monthly transactions.
- Healthcare policies: Changes in healthcare policies, such as insurance coverage or reimbursement rates, can also affect your average price and monthly transactions. If insurance companies start covering fewer ambulance services or reduce reimbursement rates, this could significantly impact your business's revenue.
- Technological advancements: Advancements in technology can also affect your ambulance company's sales forecast. For example, if new medical equipment or software becomes available, you may need to invest in these tools to stay competitive, which could impact your average price and monthly transactions.
Once you have an idea of what your future sales will look like, it will be time to work on your overhead budget. Let’s see what this entails.
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 an ambulance company
The next step is to estimate the costs you’ll have to incur to operate your ambulance company.
These will vary based on where your business is located, and its overall size (level of sales, personnel, etc.).
But your ambulance company's operating expenses should normally include the following items:
- Staff costs: This includes the salaries, benefits, and training costs for your team of paramedics, EMTs, and administrative staff.
- Accountancy fees: You will need to hire an accountant to handle your company's financial records, taxes, and other financial responsibilities.
- Insurance costs: As an ambulance company, you will need to have various types of insurance, such as liability insurance, vehicle insurance, and workers' compensation insurance.
- Software licenses: Your company will need to invest in software licenses for electronic medical records, dispatch systems, and billing software.
- Fuel costs: Ambulances use a significant amount of fuel, so you will need to budget for this ongoing expense.
- Medical supplies: Your ambulance company will need to stock up on essential medical supplies, such as bandages, medications, and medical equipment.
- Vehicle maintenance: Regular maintenance and repairs are necessary to keep your ambulances in good working condition.
- Communication expenses: This includes the costs of radios, cell phones, and other communication devices for your staff to stay in touch while on duty.
- Uniforms and equipment: Your employees will need uniforms, protective gear, and other equipment to perform their duties safely and effectively.
- Training and education: Continuous training and education for your staff are essential to maintain high-quality services and keep up with industry standards.
- Rent: If you do not own your own building, you will need to budget for rent for your office space and ambulance parking/storage.
- Utilities: This includes the costs of electricity, water, and other utilities for your office space.
- Marketing expenses: To attract new clients and maintain relationships with existing ones, you will need to invest in marketing efforts, such as advertising and promotional materials.
- Banking fees: Your company will have various banking needs, such as transaction fees, wire transfers, and check processing fees.
- Legal fees: As a business, you may encounter legal issues that require the services of a lawyer, so it's important to budget for these expenses.
This list is not exhaustive by any means, and will need to be tailored to your ambulance company's specific circumstances.
What investments are needed to start or grow an ambulance company?
Once you have an idea of how much sales you could achieve and what it will cost to run your ambulance company, it is time to look into the equipment required to launch or expand the activity.
For an ambulance company, capital expenditures and initial working capital items could include:
- Ambulance vehicles: These are the main assets of an ambulance company and are essential for providing emergency services. You will need to purchase and maintain a fleet of ambulances that are equipped with necessary medical equipment and supplies.
- Medical equipment: In addition to the ambulances, you will also need to invest in medical equipment such as stretchers, oxygen tanks, defibrillators, and other supplies to ensure your team can provide quality care to patients.
- Facility costs: Your ambulance company will need a base of operations, which could include a garage or warehouse for storing vehicles and equipment, as well as office space for administrative tasks. These facilities will require rent or mortgage payments, utilities, and maintenance expenses.
- Technology: In today's digital age, technology is an important investment for ambulance companies. This could include communication systems, GPS tracking devices, and electronic medical record software to improve efficiency and communication with dispatch and hospitals.
- Training and certifications: While not a tangible asset, investing in training and certifications for your team is crucial for providing high-quality emergency care. This could include CPR and first aid training, EMT certifications, and continuing education for medical staff.
Again, this list will need to be adjusted according to the specificities of your ambulance 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 ambulance company
The next step in the creation of your financial forecast for your ambulance 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 an ambulance company?
Now let's have a look at the main output tables of your ambulance company's financial forecast.
The forecasted profit & loss statement
The profit & loss forecast gives you a clear picture of your business’ expected growth over the first three to five years, and whether it’s likely to be profitable or not.

A healthy ambulance company's P&L statement should show:
- Sales growing at (minimum) or above (better) inflation
- Stable (minimum) or expanding (better) profit margins
- A healthy level of net profitability
This will of course depend on the stage of your business: numbers for an established ambulance company will look different than for a startup.
The projected balance sheet
Your ambulance 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 an ambulance 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 ambulance 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 ambulance 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 ambulance company's financial forecast?
Creating your ambulance company's financial forecast may sound fairly daunting, but the good news is that there are several ways to go about it.
Using online financial forecasting software to build your ambulance 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.
Hiring a financial consultant or chartered accountant
Hiring a consultant or chartered accountant is also an efficient way to get a professional ambulance company financial projection.
As you can imagine, this solution is much more expensive than using software. From experience, the creation of a simple financial forecast over three years (including a balance sheet, income statement, and cash flow statement) is likely to start around £700 or $1,000 excluding taxes.
The indicative estimate above, is for a small business, and a forecast done as a one-off. Using a financial consultant or accountant to track your actuals vs. forecast and to keep your financial forecast up to date on a monthly or quarterly basis will naturally cost a lot more.
If you choose this solution, make sure your service provider has first-hand experience in your industry, so that they may challenge your assumptions and offer insights (as opposed to just taking your figures at face value to create the forecast’s financial statements).
Why not use a spreadsheet such as Excel or Google Sheets to build your ambulance company's financial forecast?
Creating an accurate and error-free ambulance company financial forecast with a spreadsheet is very technical and requires a deep knowledge of accounting and an understanding of financial modelling.
Very few business owners are financially savvy enough to be able to build a forecast themselves on Excel without making mistakes.
Lenders and investors know this, which is why forecasts created on Excel by the business owner are often frowned upon.
Having numbers one can trust is key when it comes to financial forecasting and to that end using software is much safer.
Using financial forecasting software is also faster than using a spreadsheet, and, with the rise of artificial intelligence, software is also becoming smarter at helping us analyse the numbers to make smarter decisions.
Finally, like everything with spreadsheets, tracking actuals vs. forecasts and keeping your projections up to date as the year progresses is manual, tedious, and error-prone. Whereas financial projection software like The Business Plan Shop is built 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 forecast templates for inspiration
The Business Plan Shop has dozens of financial forecast examples available.
Our templates contain both a financial forecast and a written business plan which presents, in detail, the company, the team, the strategy, and the medium-term objectives.
Our templates are a great source of inspiration, whether you just want to see what a complete business plan looks like, or are looking for concrete examples of how you should model financial elements in your own forecast.

Takeaways
- A financial forecast shows expected growth, profitability, and cash generation metrics for your ambulance company.
- Tracking actuals vs. forecast and having an up-to-date financial forecast is key to maintaining visibility on your future cash flows.
- Using financial forecasting software is the modern way of creating and maintaining financial projections.
We hope that this guide helped you gain a clearer perspective on the steps needed to create the financial forecast for an ambulance company. Don't hesitate to contact us if you have any questions!
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
- Financial forecast example
- How to write an ambulance company business plan
- How to project sales for a business?
- Example of financial forecast for business idea
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