Unlock Big Profits: Add Stretcher Work to Your NEMT | NEMT Experts Podcast Episode 79
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Howard Berkowitz provides the full playbook on how NEMT businesses can properly and safely get into doing lucrative stretcher/gurney work.
Top 3 Takeaways
- Stretcher work is a massively underused profit stream
- Most NEMT providers avoid stretcher transport due to misconceptions about difficulty, regulation, or startup cost—yet 80% of U.S. states allow it, and demand is high.
- Proper training is essential to avoid liability and grow safely
- Many operators skip formal training and risk lawsuits, injuries, or insurance cancellations. Hands-on instruction and certification (e.g. via NMTech) are vital for safety and long-term success.
- You need to do your homework before getting started
- Howard advises providers to first verify their jurisdiction allows stretcher NEMT, then assess local demand, choose the right vehicles and stretcher systems, and get properly trained before investing.
Top 3 Quotes
“The biggest problem today is individuals just jump into the business… and find out there’s no market where they are.”
— Howard Berkowitz
“You don’t want to take ambulance companies out of the loop… That’s one of the reasons non-emergency was actually developed.”
— Howard Berkowitz
“The bottom line is: you should be doing all the mobilities you can — ambulatory, wheelchair, stretcher, bariatric… don’t leave money on the table.”
— Howard Berkowitz





