|
ModivCare Inc. (MODV): Canvas du modèle commercial [Jan-2025 MISE À JOUR] |
Entièrement Modifiable: Adapté À Vos Besoins Dans Excel Ou Sheets
Conception Professionnelle: Modèles Fiables Et Conformes Aux Normes Du Secteur
Pré-Construits Pour Une Utilisation Rapide Et Efficace
Compatible MAC/PC, entièrement débloqué
Aucune Expertise N'Est Requise; Facile À Suivre
ModivCare Inc. (MODV) Bundle
Dans le paysage complexe du transport des soins de santé, ModivCare Inc. (MODV) émerge comme une solution transformatrice comble les lacunes critiques de la mobilité médicale. En intégrant de manière transparente les technologies de pointe, la logistique complète et les services centrés sur les patients, cette entreprise innovante révolutionne le transport médical non urgence pour les populations vulnérables, les prestataires de soins de santé et les organisations de soins gérés. Leur modèle commercial unique tire parti des technologies de routage de pointe, des partenariats stratégiques et une approche holistique pour fournir des solutions de transport fiables, efficaces et accessibles qui vont bien au-delà du simple mouvement point à point.
ModivCare Inc. (MODV) - Modèle d'entreprise: partenariats clés
Fournisseurs de soins de santé et installations médicales
Depuis le quatrième trimestre 2023, ModivCare a collaboré avec 47 500 prestataires de soins de santé dans 38 États. Le réseau de l'entreprise comprend:
| Type de fournisseur | Nombre de partenariats |
|---|---|
| Hôpitaux | 2,350 |
| Cliniques | 12,800 |
| Centres de dialyse | 1,275 |
| Centres de réadaptation | 3,100 |
Réseaux de services de transport
ModivCare maintient des partenariats stratégiques avec les réseaux de transport couvrant:
- 3 200 fournisseurs de services de transport
- 187 000 véhicules actifs
- Couverture dans 42 États
Compagnies d'assurance et organisations de soins gérés
| Type d'assurance | Nombre de partenariats |
|---|---|
| Organisations de soins gérés Medicaid | 285 |
| Plans avantage de l'assurance-maladie | 124 |
| Assureurs commerciaux | 215 |
Fournisseurs de plate-forme de technologie et de logiciels
Les partenariats technologiques de ModivCare comprennent:
- 7 fournisseurs de plate-forme logicielle de base
- 12 Partenaires technologiques de gestion des transports
- 5 fournisseurs de logiciels de logistique de soins de santé
Agences de santé gouvernementales et locales
| Type de partenariat gouvernemental | Nombre d'accords actifs |
|---|---|
| Agences d'État de Medicaid | 34 |
| Services de santé du comté | 276 |
| Départements des transports d'État | 29 |
ModivCare Inc. (MODV) - Modèle d'entreprise: activités clés
Services de transport médical non urgent
Modivcare a traité 61,3 millions de voyages au total en 2022, avec environ 46,4 millions de voyages médicaux non urgents Medicaid et Medicare.
| Métrique de transport | Volume annuel |
|---|---|
| Voyages annuels totaux | 61,3 millions |
| Voyages Medicaid / Medicare | 46,4 millions |
Coordination des soins et gestion de la logistique
ModivCare a géré les services de transport dans 32 États en 2022, en utilisant un réseau logistique complet.
- Plateforme technologique intégrée pour le suivi des voyages en temps réel
- Systèmes de répartition et de coordination centralisés
- Algorithmes de routage avancés
Développement de la plate-forme de technologie des soins de santé
ModivCare a investi 54,4 millions de dollars dans les frais de technologie et de développement en 2022.
| Catégorie d'investissement technologique | Dépenses annuelles |
|---|---|
| Développement technologique | 54,4 millions de dollars |
Planification des patients et optimisation des itinéraires
La plate-forme technologique de l'entreprise a traité plus de 170 000 demandes de transport quotidien en 2022.
- Algorithmes de planification automatisés
- Optimisation de l'itinéraire en temps réel
- Prévision de demande prédictive
Transport spécialisé pour les populations vulnérables
ModivCare a servi environ 20 millions de personnes nécessitant des services spécialisés de transport médical en 2022.
| Segment de la population | Volume de transport annuel |
|---|---|
| Clients de transport spécialisés | 20 millions |
ModivCare Inc. (MODV) - Modèle d'entreprise: Ressources clés
Flotte de véhicules de transport médical spécialisés
Depuis le quatrième trimestre 2023, ModivCare exploite une flotte de 4 800 véhicules de transport médical spécialisés à travers les États-Unis. La valeur totale de la flotte est estimée à 156,3 millions de dollars.
| Type de véhicule | Nombre de véhicules | Coût moyen du véhicule |
|---|---|---|
| Vans accessibles en fauteuil roulant | 2,340 | $45,600 |
| Véhicules de transport médical non urgence | 1,890 | $38,200 |
| Véhicules d'ambulance spécialisés | 570 | $85,000 |
Logiciel de routage et de planification avancé
ModivCare a investi 12,7 millions de dollars dans la technologie de routage et de planification propriétaire en 2023. Le logiciel prend en charge l'optimisation des itinéraires en temps réel pour plus de 250 000 transports mensuels de patients.
- Équipe de développement de logiciels: 87 ingénieurs à temps plein
- Budget de maintenance des logiciels annuelle: 3,4 millions de dollars
- Plateformes technologiques: algorithmes de routage à base de cloud et AI-AI
Réseau de professionnels des transports qualifiés
En décembre 2023, ModivCare emploie 16 500 professionnels du transport à l'échelle nationale.
| Catégorie professionnelle | Nombre d'employés | Compensation annuelle moyenne |
|---|---|---|
| Conducteurs | 12,340 | $45,600 |
| Répartiteurs | 2,100 | $58,200 |
| Gestionnaires des opérations | 1,060 | $82,500 |
Conformité des soins de santé et expertise réglementaire
Modivcare maintient une équipe de conformité dédiée de 124 professionnels avec un budget de conformité annuel de 7,6 millions de dollars.
Analyse des données et systèmes de gestion des patients
L'infrastructure de données de la société soutient le suivi de 3,2 millions de transports de patients par an, avec un investissement technologique de 18,5 millions de dollars en 2023.
- Capacité de stockage des données: 4,7 pétaoctets
- Systèmes de suivi des patients en temps réel: intégrés sur toutes les plateformes
- Investissement en cybersécurité: 3,2 millions de dollars par an
ModivCare Inc. (MODV) - Modèle d'entreprise: propositions de valeur
Solutions de transport fiables pour les patients ayant des besoins médicaux
Modivcare a transporté 40,2 millions de voyages en 2022, couvrant 513 millions de miles de transport médical.
| Métrique de transport | 2022 Performance |
|---|---|
| Total | 40,2 millions |
| Total des kilomètres couvert | 513 millions de miles |
Accès amélioré aux services de santé pour les populations mal desservies
Modivcare sert 59 000 clients de soins de santé Dans 38 États, en se concentrant sur Medicaid, Medicare et les populations commerciales.
- Couverture dans 38 États
- Services pour les destinataires de Medicaid
- Soutien du transport Medicare
- Clientèle de soins de santé commerciaux
Transport médical efficace compatible la technologie
| Investissement technologique | 2022 dépenses |
|---|---|
| Budget de technologie et d'innovation | 47,3 millions de dollars |
| Développement de plate-forme numérique | 18,6 millions de dollars |
Soutien complet de la coordination des soins
Modivcare gère 2,1 milliards de dollars de revenus totaux avec des services de coordination des soins spécialisés.
Solutions de mobilité rentables pour les prestataires de soins de santé
Économies de coûts moyens pour les prestataires de soins de santé estimés à 22% par le biais de Solutions de transport de ModivCare.
| Métrique de la rentabilité | Pourcentage |
|---|---|
| Réduction des coûts du fournisseur de soins de santé | 22% |
| Amélioration de l'efficacité du transport | 35% |
ModivCare Inc. (MODV) - Modèle d'entreprise: relations avec les clients
Services de soutien aux patients personnalisés
ModivCare fournit des services de transport spécialisés avec les mesures de relation client suivantes:
| Catégorie de service | Interactions annuelles des patients | Temps de réponse moyen |
|---|---|---|
| Transport médical non urgent | 14,2 millions de voyages de patients | 18 minutes |
| Soutien spécialisé aux patients | 3,6 millions d'interactions individuelles sur les patients | 12 minutes |
Plateforme numérique pour réserver et suivre le transport
Les plateformes d'engagement numérique comprennent:
- Application mobile avec un taux de satisfaction utilisateur de 92%
- Traitement du système de réservation en ligne 78 000 demandes de transport quotidiennes
- Suivi en temps réel pour 96% des services de transport
Direct Service et canaux de support Client
| Canal de support | Volume de contact annuel | Taux de résolution |
|---|---|---|
| Support téléphonique | 1,2 million d'interactions client | Résolution de 87% du premier appel |
| Canaux de support numériques | 640 000 interactions numériques | Taux de résolution de 82% |
Contrats à long terme avec des organisations de soins de santé
Métriques du portefeuille de contrats:
- 87 partenariats de système de soins de santé actifs
- Durée du contrat moyen: 3,4 ans
- Valeur totale du contrat: 412 millions de dollars de revenus récurrents annuels
Mécanismes de communication et de rétroaction continus
| Mécanisme de rétroaction | Participation annuelle | Taux d'amélioration de la mise en œuvre |
|---|---|---|
| Enquêtes de satisfaction client | 128 000 réponses | 64% d'améliorations de services directs |
| Suivi de l'expérience des patients | Revues complètes trimestrielles | 72% d'informations exploitables mises en œuvre |
ModivCare Inc. (MODV) - Modèle d'entreprise: canaux
Plateforme de réservation en ligne
Au quatrième trimestre 2023, la plate-forme de réservation en ligne de ModivCare a traité 1 247 563 réservations de services de transport et de soins de santé des patients.
| Métriques de la plate-forme | 2023 données |
|---|---|
| Réservations totales en ligne | 1,247,563 |
| Réservations mensuelles moyennes | 104,030 |
| Base d'utilisateurs de plate-forme numérique | 387 429 utilisateurs enregistrés |
Application mobile
L'application mobile de ModivCare a rapporté 276 432 utilisateurs mensuels actifs en 2023.
- Nombre de téléchargement d'application mobile: 512 867
- Durée moyenne de la session utilisateur: 7,3 minutes
- Pourcentage de réservation mobile: 42% du total des réservations
Équipe de vente directe
L'équipe de vente directe de ModivCare était composée de 637 représentants des ventes en 2023.
| Métriques de performance des ventes | 2023 données |
|---|---|
| Représentants des ventes totales | 637 |
| Valeur du contrat mensuel moyen | $87,453 |
| Taux de conversion des ventes | 38.6% |
Réseaux de référence du fournisseur de soins de santé
ModivCare a maintenu des partenariats avec 14 287 fournisseurs de soins de santé en 2023.
- Total Healthcare Network Partners: 14 287
- Couverture réseau: 47 États
- Références moyennes par fournisseur: 126 par mois
Assistance du centre d'appels
Le centre d'appels de ModivCare a géré 3 642 187 interactions client en 2023.
| Performance du centre d'appels | 2023 données |
|---|---|
| Interactions totales du client | 3,642,187 |
| Durée d'appel moyenne | 8,7 minutes |
| Taux de satisfaction client | 92.4% |
ModivCare Inc. (MODV) - Modèle d'entreprise: segments de clientèle
Patients Medicaid et Medicare
ModivCare dessert environ 20 millions de bénéficiaires de Medicaid et Medicare chaque année. Les services de transport médical non urgent (NEMT) de la société couvrent 40 États aux États-Unis.
| Segment des patients | Couverture annuelle | Portée géographique |
|---|---|---|
| Patients Medicaid | 15,2 millions | 37 États |
| Patiens de l'assurance-maladie | 4,8 millions | 33 États |
Personnes agées
ModivCare cible les personnes âgées de 65 ans et plus, représentant un segment critique de leurs services de transport.
- 65+ population ont servi: 3,6 millions de personnes âgées par an
- Voyages moyens de transport par senior: 24 par an
- Ad-à-dire des transports spécialisés pour les personnes âgées à mobilité réduite
Individus handicapés
L'entreprise fournit des services de transport spécialisés aux personnes handicapées dans plusieurs États.
| Catégorie de handicap | A servi de la population | Adaptations de service |
|---|---|---|
| Utilisateurs en fauteuil roulant | 1,2 million | Véhicules accessibles en fauteuil roulant |
| Malvoyant | 540,000 | Assistance à conducteur spécialisée |
Établissements de santé et fournisseurs
ModivCare s'associe à 2 300 réseaux et fournisseurs de soins de santé à l'échelle nationale pour faciliter le transport des patients.
- Hôpitaux servis: 680
- Cliniques et centres médicaux: 1 620
- Coordination mensuelle moyenne du transport: 425 000 voyages
Organisations de soins gérés
L'entreprise collabore avec 120 organisations de soins gérés pour optimiser les services de transport des patients.
| Type d'organisation | Nombre de partenariats | Valeur du contrat annuel |
|---|---|---|
| MCOS régionaux | 85 | 124 millions de dollars |
| MCOS nationaux | 35 | 210 millions de dollars |
ModivCare Inc. (MODV) - Modèle d'entreprise: Structure des coûts
Entretien des véhicules et gestion de la flotte
Pour l'exercice 2023, ModivCare a déclaré 87,4 millions de dollars de dépenses liées aux transports. La société exploite une flotte d'environ 12 500 véhicules à travers les États-Unis.
| Catégorie de coûts | Dépenses annuelles |
|---|---|
| Entretien des véhicules | 42,3 millions de dollars |
| Coût du carburant de la flotte | 23,6 millions de dollars |
| Remplacement du véhicule | 21,5 millions de dollars |
Salaire et formation des employés
En 2023, les dépenses totales du personnel de Modivcare étaient de 456,2 millions de dollars, ce qui représente 45% du total des dépenses d'exploitation.
- Salaire moyen du conducteur: 48 750 $ par an
- Coûts de formation annuels: 12,4 millions de dollars
- Santé et avantages sociaux: 67,3 millions de dollars
Infrastructure technologique
ModivCare a investi 34,6 millions de dollars dans la technologie et les infrastructures numériques en 2023.
| Investissement technologique | Frais |
|---|---|
| Développement de logiciels | 18,2 millions de dollars |
| Cloud computing | 8,7 millions de dollars |
| Cybersécurité | 7,7 millions de dollars |
Frais d'assurance et de conformité
Les dépenses totales de conformité et d'assurance pour 2023 étaient de 65,3 millions de dollars.
- Assurance véhicule: 42,1 millions de dollars
- Assurance responsabilité professionnelle: 15,6 millions de dollars
- Conformité réglementaire: 7,6 millions de dollars
Frais de marketing et d'acquisition des clients
ModivCare a dépensé 24,5 millions de dollars en marketing et acquisition de clients en 2023.
| Canal de marketing | Frais |
|---|---|
| Marketing numérique | 12,3 millions de dollars |
| Publicité traditionnelle | 6,8 millions de dollars |
| Équipe de vente | 5,4 millions de dollars |
ModivCare Inc. (MODV) - Modèle d'entreprise: Strots de revenus
Frais de service de transport
Au cours de l'exercice 2023, ModivCare a déclaré des revenus du service de transport de 2,45 milliards de dollars. La société fournit des services de transport médical non urgent dans plusieurs États.
| Type de service | Revenus annuels | Pourcentage du total des revenus |
|---|---|---|
| Transport de Medicaid | 1,87 milliard de dollars | 76.3% |
| Transport de l'assurance-maladie | 420 millions de dollars | 17.1% |
| Transport commercial | 153 millions de dollars | 6.6% |
Contractes avec les prestataires de soins de santé
ModivCare génère des revenus grâce à des contrats de prestataires de soins de santé stratégiques, avec 680 millions de dollars dans les revenus contractuels en 2023.
- Partenariats du réseau hospitalier: 310 millions de dollars
- Contrats d'organisation des soins gérés: 270 millions de dollars
- Accords de prestataires de soins spécialisés: 100 millions de dollars
Programmes de remboursement du gouvernement
Les remboursements du gouvernement constituent une source de revenus importante, totalisant 1,62 milliard de dollars en 2023.
| Programme | Remboursement annuel |
|---|---|
| Remboursements de Medicaid | 1,34 milliard de dollars |
| Remboursements de l'assurance-maladie | 280 millions de dollars |
Licence de plate-forme technologique
Licence de plate-forme technologique de ModivCare générée 42 millions de dollars en revenus en 2023.
- Licence de logistique de la logistique des soins de santé: 25 millions de dollars
- Licence du système de gestion des transports: 17 millions de dollars
Services de coordination des soins de santé à valeur ajoutée
Les services de coordination des soins de santé supplémentaires ont contribué 95 millions de dollars aux revenus de l'entreprise en 2023.
| Catégorie de service | Revenus annuels |
|---|---|
| Plateformes de coordination des soins | 48 millions de dollars |
| Surveillance à distance des patients | 37 millions de dollars |
| Services de soutien à la télésanté | 10 millions de dollars |
ModivCare Inc. (MODV) - Canvas Business Model: Value Propositions
Integrated supportive care solutions addressing social determinants of health (SDoH).
- Secured two new Medicaid managed care contracts valued at approximately $52 million annually.
- Platform includes Non-Emergency Medical Transportation (NEMT), Personal Care Services (PCS), and Remote Patient Monitoring (RPM) solutions.
Reduced overall healthcare costs for payors by preventing hospital readmissions.
Value-based care strategies link financial incentives to performance measures to achieve better value in quality and lower spending. Better health within a population often leads to reduced spending.
Reliable access to essential medical appointments for vulnerable populations.
- NEMT segment service revenue reached $449.0 million in Q1 2025.
- The self-service call to trip ratio reached 36.1% in Q1 2025.
High-touch, in-home personal care and monitoring for improved health outcomes.
PCS revenue was $181.8 million in Q1 2025, with Adjusted EBITDA up 8.5% year-over-year. Monitoring segment revenue was $18.1 million in Q1 2025.
Operational efficiency driving a 1.2% reduction in NEMT unit costs in Q1 2025.
ModivCare continues to automate and digitize its care access platform, which drove the unit cost reduction. The company also implemented a company-wide General and Administrative (G&A) reduction initiative targeting approximately $25 million in annualized savings.
ModivCare Q1 2025 Segment Performance Snapshot:
| Segment | Q1 2025 Service Revenue | Year-over-Year Revenue Change | Q1 2025 Adjusted EBITDA Margin |
| NEMT | $449.0 million | Down 6.3% | 6.2% |
| PCS | $181.8 million | Down 1.0% | 6.7% (Adjusted EBITDA of $12.2 million) |
| Monitoring | $18.1 million | Down 9.8% | 28.8% |
Consolidated service revenue for Q1 2025 was $650.7 million, compared to $684.5 million in the prior-year period. Adjusted EBITDA for Q1 2025 was $32.6 million, representing 5.0% of service revenue.
ModivCare Inc. (MODV) - Canvas Business Model: Customer Relationships
You're looking at how ModivCare Inc. manages its crucial relationships with the entities paying for its services and the members receiving them. It's a mix of deep, long-term government partnerships and high-frequency, digital interactions with members.
The foundation of the relationship structure rests on securing and maintaining long-term, high-value contracts with state and federal government payors. These contracts are the lifeblood, especially for the Non-Emergency Medical Transportation (NEMT) segment, which generated $449.0 million in revenue in Q1 2025, making up 69% of the total service revenue of $650.7 million for the quarter. The company is actively working to solidify this base; in Q1 2025 alone, ModivCare Inc. submitted four state renewals totaling $246 million in potential value.
For the large Managed Care Organizations (MCOs) that contract for these services, the relationship is managed through dedicated attention. This focus is clearly aimed at retention and growth, as evidenced by the strategic wins in Q1 2025. The company secured two new Medicaid managed care contracts worth $52 million ACV (Annual Contract Value) in the NEMT space during that quarter. This effort is part of a broader push, with the company building a pipeline exceeding $500 million in potential new contracts. To be fair, managing these large payors also involves handling working capital dynamics, as net contract receivables stood at $108.5 million as of the end of Q1 2025.
The relationship with the end-users, the NEMT members, is inherently high-volume and transactional. ModivCare Inc. manages support for approximately 34 million lives across its services. The NEMT operation alone processes over 35 million paid trips per year. The strategic focus here is on efficiency and satisfaction, which directly impacts contract retention. The company saw over 1 million digital trip transactions in Q1 2025, alongside achieving an on-time performance of 95.2% for that period. This operational rigor led to a 31.2% drop in complaints in Q1 2025.
To support this massive transactional volume and drive member satisfaction, ModivCare Inc. emphasizes digital self-service options through its technology platforms. The company is actively digitizing and automating its care access platform. This includes mobile apps for members and collaborations to deploy physical access points. For instance, a collaboration with Aetna Better Health of Illinois involves deploying Higi Smart Health Stations, expanding from five to 15 community partner locations to offer self-service health information and digital navigation. The company also reports over 2.5 million Remote patient monitoring interactions per year as part of its broader supportive care suite.
The relationships are segmented by service type, reflecting different engagement models:
- NEMT: High volume, focused on on-time performance.
- Personal Care Services (PCS): Generated $181.8 million in Q1 2025, representing 28% of service revenue.
- Monitoring: Generated $18.1 million in Q1 2025, representing 3% of service revenue.
- Total Supportive Care: The platform facilitates over 1B+ Moments of care.
Here's a quick look at the revenue contribution from the key customer-facing segments in Q1 2025:
| Segment | Q1 2025 Revenue (Millions USD) | % of Total Service Revenue |
|---|---|---|
| Non-Emergency Medical Transportation (NEMT) | $449.0 | 69% |
| Personal Care Services (PCS) | $181.8 | 28% |
| Monitoring | $18.1 | 3% |
Finance: draft 13-week cash view by Friday.
ModivCare Inc. (MODV) - Canvas Business Model: Channels
You're looking at how ModivCare Inc. gets its services-transportation, personal care, and monitoring-into the hands of members and payors as of late 2025. The channels are a mix of direct government/insurer sales and technology-enabled delivery, though recent financial turbulence definitely colors the picture.
Direct contractual sales to state Medicaid programs and MCOs
The core channel remains securing and managing large-scale contracts. ModivCare Inc. provides integrated supportive care solutions to public and private payors. For instance, in August 2025, the company entered into a Comprehensive Restructuring Agreement with West Virginia Medicaid and the West Virginia Children's Health Insurance Program (WVCHIP), confirming service continuity for members. This direct-to-payor approach is critical, as evidenced by the Q1 2025 Non-Emergency Medical Transportation (NEMT) segment revenue landing at $449.0 million. Also, the Personal Care Services (PCS) segment, which also relies on these contracts, generated $181.8 million in revenue for the same quarter. The company is actively pursuing growth here; in Q1 2025, ModivCare Inc. announced signing four strategic personal care agreements expected to contribute between 40,000 and 50,000 monthly service hours. Still, contract dynamics present risk; lawmakers in Maine sought to reconsider the state's 10-year, $750 million transportation contract following the company's August 2025 bankruptcy filing.
Digital platform and mobile apps for member trip booking and caregiver scheduling
Technology underpins efficiency across the service delivery. ModivCare Inc. is focused on digitizing and automating its care access platform, which resulted in a unit cost reduction in NEMT by 1.2% year-over-year as of Q1 2025. This platform supports the massive volume of services provided.
- Lives managed: 34M.
- Paid trips processed per year: 35M.
- Industry leading successful trip completion rate: 98%+.
Contact centers for high-touch, non-digital member and provider interactions
When digital isn't the fit, high-touch contact centers step in. These centers handle complex scheduling, support, and emergency response. The scale of these interactions is significant, with the company reporting over 1 billion+ moments of care delivered. For the Personal Emergency Response Systems (PERS) offering, the average response time when a patient uses the service is less than 10 seconds.
In-home delivery and setup of Remote Patient Monitoring (RPM) devices
For its Monitoring segment, ModivCare Inc. uses in-home delivery and setup as a key channel. The company reports handling 2.5 million Remote Patient Monitoring interactions per year. The revenue generated from this channel in Q1 2025 was $18.1 million. Nationally, by 2025, projections suggest approximately 71 million Americans are expected to use some form of RPM service.
Direct-to-consumer marketing for Personal Emergency Response Systems (PERS)
The PERS offering is marketed as providing round-the-clock peace of mind, featuring fall detection accessible at the simple touch of a button. While specific D2C sales figures aren't public, the service is a core component of the supportive care platform.
Here's a quick look at the scale of the services flowing through these channels, based on the latest available figures:
| Channel Metric / Service Line | Latest Reported Value (2025 Data) | Context / Period |
| NEMT Segment Revenue | $449.0 million | Q1 2025 |
| PCS Segment Revenue | $181.8 million | Q1 2025 |
| Monitoring Segment Revenue | $18.1 million | Q1 2025 |
| Total Paid Trips Per Year | 35M | Annual Run Rate |
| Annualized G&A Savings Target | $20.0 million+ | Announced in Q1 2025 |
| New Financing Executed | $105.0 million | Q1 2025 |
| Cash on Hand | $116.0 million | End of Q1 2025 |
Finance: review the working capital build from Q1 2025 against the current cash position by Tuesday.
ModivCare Inc. (MODV) - Canvas Business Model: Customer Segments
ModivCare Inc. serves distinct customer groups across its three primary service segments: Non-Emergency Medical Transportation (NEMT), Personal Care Services (PCS), and Monitoring.
| Segment | Q1 2025 Revenue (Millions USD) | Percentage of Total Q1 2025 Revenue |
| Non-Emergency Medical Transportation (NEMT) | $449.0 | 69% |
| Personal Care Services (PCS) | $181.8 | 28% |
| Monitoring | $18.1 | 3% |
State Medicaid programs are a primary payer source, especially for the PCS segment.
- PCS segment derived approximately 96.7% of its revenue from state Medicaid agencies and MCOs in 2024.
- In Q1 2025, ModivCare Inc. secured two new Medicaid managed care contracts in the Southwest and Pacific Region.
- These new NEMT contracts represent a combined Annual Contract Value (ACV) of approximately $52,000,000.
- The expected in-year revenue contribution from these two new Medicaid NEMT contracts was around $38,000,000.
Managed Care Organizations (MCOs) and commercial health plans represent significant contract partners across services.
- The NEMT segment generated 80.9% of its revenue in 2024 under capitated contracts.
- NEMT revenue for Q1 2025 was $449.0 million, a 6.3% year-over-year decline.
- ModivCare Inc. signed four strategic personal care agreements in Q1 2025, including two national and two regional plans.
- These new PCS agreements are expected to generate between 40,000 and 50,000 monthly service hours.
Vulnerable populations, including Medicaid and Medicare beneficiaries, are the end-users of the supportive care platform.
- ModivCare Inc. provides services across 48 states and the District of Columbia.
- The Monitoring segment saw a 9.8% revenue drop in Q1 2025, attributed in part to membership losses from a Medicare Advantage client exiting PERS service in select markets.
- Total consolidated service revenue for Q1 2025 was $650.7 million.
Individuals requiring Personal Care Services (PCS) and in-home assistance form a core part of the ModivCare Home division.
- PCS revenue was $181.8 million in Q1 2025, which is 28% of total service revenue.
- PCS revenue saw a modest 1.0% decline year-over-year in Q1 2025.
- Service hours in PCS declined by 2.1% in Q1 2025, though revenue per hour rose by 1.1%.
High-risk patients needing Remote Patient Monitoring (RPM) for chronic conditions are served by the smallest segment.
- The Monitoring segment generated revenue of $18.1 million in Q1 2025, representing 3% of service revenue.
- Monitoring revenue declined by 9.8% year-over-year in Q1 2025.
- The segment maintained a high Adjusted EBITDA margin of 28.8% in Q1 2025.
ModivCare Inc. (MODV) - Canvas Business Model: Cost Structure
You're looking at the cost side of ModivCare Inc. (MODV) as of late 2025, which is heavily influenced by the recent financial restructuring. Honestly, the biggest chunk of your spending is always going to be tied to delivering the actual service.
Variable service expense (purchased transportation and caregiver wages) is the largest cost. This is the direct cost of getting members where they need to go or providing in-home care. For instance, in the first quarter of 2025, consolidated service expenses dropped by 5.2% (or $30.6 million) compared to the prior year, largely because the Non-Emergency Medical Transportation (NEMT) segment saw its expenses fall by $27.6 million. Still, the Personal Care Services (PCS) segment generated $181.8 million in revenue in Q1 2025, showing where significant variable labor costs reside.
High interest expense due to significant debt, though reduced by restructuring. Before the August 2025 Chapter 11 filing, the debt load was substantial, reported around $1.3 billion to $1.4 billion. This debt translated directly into high financing costs; in Q1 2025 alone, interest expense surged by $20.2 million, representing a 107.8% increase year-over-year, which significantly widened the net loss to $50.4 million. The restructuring plan is designed to cut total funded debt by approximately $1.1 billion, which is more than 85% of the obligations, and this should meaningfully reduce the annual cash interest going forward.
General and Administrative (G&A) expenses, targeted for $20.0 million in annualized savings. Management has been actively targeting overhead. In Q1 2025, the company announced that targeted cost reduction actions were expected to generate greater than $20.0 million in annualized G&A savings. For context, Selling, General & Administrative expenses were reported at $302.0 million in the first quarter of 2025 (on a trailing basis), and the company noted an uptick of $1.4 million in Q1 2025 G&A year-over-year before the major restructuring.
You should also note the costs associated with the recent financial maneuvers and platform investment.
- Secured $100 million in debtor-in-possession (DIP) financing to fund the restructuring process and support operations during the Chapter 11 period.
- The restructuring is expected to conclude early in the fourth quarter of 2025, which involves significant professional fees, though the exact amount isn't itemized here.
- ModivCare Inc. aims to use the recapitalization to accelerate investment in innovation, which covers technology development and maintenance costs for the digital platform.
Here's a quick look at some of the key figures impacting the cost structure around the time of the restructuring announcement:
| Cost/Debt Component | Latest Reported Figure (Q1 2025 or Announcement) | Context |
|---|---|---|
| Targeted Annual G&A Savings | Greater than $20.0 million | Annualized savings from cost reduction actions. |
| Q1 2025 Interest Expense Surge | $20.2 million (or 107.8% increase) | Impact of existing debt structure in Q1 2025. |
| Projected Debt Reduction | Approximately $1.1 billion (over 85% of debt) | Goal of the August 2025 Chapter 11 restructuring. |
| Debtor-in-Possession (DIP) Financing | $100 million | Financing to support operations during restructuring. |
| Q1 2025 NEMT Segment Expense Change | Decrease of $27.6 million | Driver for the overall service expense reduction. |
| Q1 2025 Net Loss | $50.4 million | Reflecting high interest expense and operational pressures. |
The NEMT segment showed some operational cost control, with its Adjusted EBITDA margin reaching 6.2% in Q1 2025, up 50 basis points year-over-year, driven by pricing discipline and mode optimization. Also, the Personal Care Services (PCS) segment saw its Adjusted EBITDA at $12.2 million in Q1 2025, helped by structural cost savings and a temporary delay in wage rate changes, though margins were expected to normalize in Q2.
Finance: draft 13-week cash view by Friday.
ModivCare Inc. (MODV) - Canvas Business Model: Revenue Streams
ModivCare Inc. generates its service revenue across three primary segments as reported for the first quarter of 2025.
| Revenue Stream Component | Q1 2025 Revenue Amount | Percentage of Total Q1 2025 Service Revenue |
| Non-Emergency Medical Transportation (NEMT) | $449.0 million | 69% |
| Personal Care Services (PCS) | $181.8 million | 28% |
| Remote Patient Monitoring (RPM) (Monitoring) | $18.1 million | 3% |
| Total Consolidated Service Revenue | $650.7 million | 100% |
The structure of these revenues is tied to the underlying payment mechanisms from payors.
- Fixed monthly capitation payments from payors for managing member populations.
- Fee-for-service payments for specific trips or care hours rendered.
ModivCare Inc. has been executing a strategic shift in its contract mix toward Fee-For-Service (FFS) models and away from risk-based contracts, which are associated with capitation arrangements, to normalize working capital requirements in 2025. Finance: draft 13-week cash view by Friday.
Disclaimer
All information, articles, and product details provided on this website are for general informational and educational purposes only. We do not claim any ownership over, nor do we intend to infringe upon, any trademarks, copyrights, logos, brand names, or other intellectual property mentioned or depicted on this site. Such intellectual property remains the property of its respective owners, and any references here are made solely for identification or informational purposes, without implying any affiliation, endorsement, or partnership.
We make no representations or warranties, express or implied, regarding the accuracy, completeness, or suitability of any content or products presented. Nothing on this website should be construed as legal, tax, investment, financial, medical, or other professional advice. In addition, no part of this site—including articles or product references—constitutes a solicitation, recommendation, endorsement, advertisement, or offer to buy or sell any securities, franchises, or other financial instruments, particularly in jurisdictions where such activity would be unlawful.
All content is of a general nature and may not address the specific circumstances of any individual or entity. It is not a substitute for professional advice or services. Any actions you take based on the information provided here are strictly at your own risk. You accept full responsibility for any decisions or outcomes arising from your use of this website and agree to release us from any liability in connection with your use of, or reliance upon, the content or products found herein.