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Unit-hours are promised. Utilization has to pay for them.

Response commitments, payer mix, and collections that land months after the run — EMS finance is a timing problem wearing an operations uniform. We build the transport economics, the payer-lag cash engine, and the dials that catch a mix shift the month it starts.

The pains we see

You don't have a reporting problem. You have a visibility problem.

The posting plan outruns the revenue.

Response-time commitments set the unit-hours; utilization decides whether they're affordable. When UHU slips, the loss arrives quietly, spread across a thousand shifts.

A payer-mix shift erases the rate case.

Win a rate increase, lose two points of commercial mix, and the blended revenue per transport goes backwards — while volume looks fine.

Overtime eats what the rates won.

Open shifts get covered at premium, and the premium compounds. OT percentage of labor is the most expensive number nobody posts.

Cash lands in 60–120 days. Payroll lands Friday.

The collections curve by payer decides survivability — and most operators see A/R as one blurry total instead of a timed pipeline.

The dials we wire

The numbers that actually run a ems & medical transport company.

Every engagement starts by wiring these to your reality — your data, your definitions, posted live. If a dial doesn't change a decision, it doesn't make the wall.

Unit-hour utilization Cost per unit-hour Revenue per transport Payer mix % Denial rate Days in A/R Overtime % of labor Fleet cost per mile Crew turnover Contract vs 911 mix Collections curve by payer Revenue per unit-hour

The dials are the standard for the industry — the thresholds, targets, and drill-downs are designed around how your operation actually makes money.

What we build

Four builds, in your language.

Each one plays as a two-minute film — the same build we'd run on your numbers.

THE OPERATING MODEL

Transports × rate × payer mix, with unit-hour costs modeled honestly — so posting plans and bids get tested before they're signed.

Watch the build →
THE CASH RHYTHM

A collections-curve cash engine that turns 90-day payer lag from a monthly scare into a planned number.

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THE COMMAND CENTER

UHU, payer mix, denials, and OT premium — posted, live, and attributable the month they move.

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THE VALUATION

Contract books and payer mix drive agency value. Walk into a municipal bid or a sale conversation with the number already defended.

Watch the build →

A regional operator with facility contracts — what changes

THE BLIND SPOT

A slow two-point payer-mix shift had quietly outweighed a hard-won rate increase; OT premium was the largest unposted number in the building.

THE BUILD

Per-transport economics by payer, a timed collections curve, and a command center with UHU and mix pages.

THE DIFFERENCE

The mix shift was caught in month one instead of month nine, posting plans got tested against utilization first, and payroll Fridays stopped depending on hope.

Bring us the decision you're weighing.

A free consultation — 15 minutes, no prep. We'll talk about your operation in its own language, and what the build would look like on your numbers.

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