Starting a non-emergency medical transportation (NEMT) business looks straightforward on the surface. You buy a vehicle, get some insurance, and start driving patients to their appointments. At least, that is what many new entrepreneurs assume when they first explore the industry. The reality, however, is far more complex — and that gap between expectation and reality is precisely why so many NEMT startups fail within their first year. The NEMT industry is one of the fastest-