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Non-Emergency Medical Transport, $4.5M Revenue, 53-Vehicle Fleet
An established non-emergency medical transportation company in upstate New York, founded in 2013 and run since by its sole owner, a former certified public accountant. It moves Medicaid-eligible riders to dialysis, treatment programs, clinic appointments, hospital discharges, and outpatient care across a multi-county service area, using 53 ambulatory and wheelchair-capable vehicles and about 48 drivers. Revenue grew from $2.39 million in 2023 to $2.73 million in 2024 to $4.53 million in 2025, a 65.8% increase in the most recent full year. That growth is not a rate increase and it is not an acquisition. In late 2024 the company was awarded seven preferred provider zones by the state's Medicaid transportation manager, with staggered start dates from November 2024 through January 2025. Monthly billings stepped up in exactly that sequence, from roughly $292,000 in November 2024 to $360,000 in December, $368,000 in January 2025, and $518,000 by March. Those zones carry negotiated per-leg rates above the general assigned rate, and all nine zone and destination pairings received a further rate increase effective July 2026. Current activity is running ahead of the 2025 full year. Five consecutive settled remittance weeks in July and August 2026 averaged $97,098 per week, an annualized run rate of approximately $5.05 million. Revenue quality is unusually verifiable. Platform billed charges were compared to cash actually remitted by the state fiscal agent across those same five weeks: $481,884 billed against $485,488 paid, a 100.7% realization, every week inside four percent. Denial leakage is effectively nil, and a buyer can validate the top line from third-party payment records rather than the seller's books. Operations run on a dispatch and claims platform that assigns every leg and files claims daily. Across 53 service days in July and August 2026 the company completed 24,738 legs, averaging 556 legs and about 300 unique riders on a weekday, at a blended $33.20 per leg. Roughly 41% of per-leg revenue is earned above the base ambulatory rate, the direct economic signature of the awarded zone work. Revenue mix is about 60% general assigned Medicaid trips, 30% preferred provider zone work, and 10% direct long-distance rehabilitation discharge transport under a single provider relationship. The company is enrolled and in good standing as a Medicaid transportation provider and participates in a captive insurance program, with incurred claims down from $310,000 in 2023 and $256,000 in 2024 to $57,000 in 2025 and $23,000 year to date in 2026. A full-time mechanic maintains the fleet in-house from the company's own garage. Staffing is deliberately elastic: a core of full-time drivers is paired with a part-time bench that absorbs seasonal demand, so fixed labor cost is not carried through the winter trough. The owner works a partial day and describes his role as high level, limited to correspondence with the state transportation manager on territory and rates, escalated rider incidents, and vehicle policy. Dispatch, billing, administration, maintenance, and bookkeeping are handled by staff expected to remain. Growth is available without inventing anything. The awarded zones are less than two years old and not yet at full utilization, and more are awarded by application to the same counterparty the company already deals with directly. Wheelchair-capable capacity is two units against a service area with materially more wheelchair demand than the company can serve, and wheelchair legs bill at a substantial premium to ambulatory. Suited to a strategic buyer in medical transportation, a healthcare services platform, or an operator with working capital to fund receivables and fleet. Detailed financials and the confidential information memorandum are available following a signed non-disclosure agreement and buyer qualification. All figures are unaudited and subject to verification.
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Charter, Limo, NEMT, School Transportation
This company does it all. With a good stock portfolio, you diversify and don't put all your eggs in one basket, so why shouldn't you do that with a business. This is a once in a generation multi-faceted transportation company located in New England has multiple divisions that provides stability and predictability with revenues and profits. A combination of on-demand services and stable long-established contracts feed into the success of this company both on top and bottom-line numbers. This is a turn-key operation with all critical staff in place. The company specializes in transportation for medical appointments, tourism, education, corporate and private events and controls all its own maintenance of vehicles. Tremendous growth opportunities exist in expansion of services, geographical expansion and in AI. Ideal buyer is a strategic buyer looking for expansion or private equity group. Vehicle asset value is roughly $6.6 million and is in addition to the purchase price but is being discounted to $4 million to make the combined asking price for business and assets at $8.95 million.
Non-Emergency Medical Transportation Company with Multiple Contracts
Established and growing Non-Emergency Medical Transportation (NEMT) business serving the Nashville, Tennessee metropolitan area. The company provides reliable, scheduled transportation for ambulatory, wheelchair, and mobility-assisted clients traveling to medical appointments, dialysis treatments, rehabilitation facilities, hospitals, and other healthcare destinations. With a reputation for dependable service and quality customer care, the business operates in an essential industry supported by consistent demand. The company has developed efficient operating procedures, an experienced team, and a scalable business model designed to support future growth. Fleet assets, operational systems, and established processes are included in the sale, allowing a new owner to transition smoothly while continuing to serve existing customers. Nashville's growing population and expanding healthcare sector provide a strong foundation for continued success. This opportunity is well suited for an owner-operator, an existing transportation company seeking to expand, a healthcare services provider, or an investor looking to acquire an established business with recurring revenue potential. There are multiple avenues for growth, including expanding the service area, increasing fleet capacity, developing additional healthcare relationships, and pursuing new transportation contracts. The current owner is committed to facilitating a successful transition and is willing to provide training and support for a reasonable period following the sale. Additional confidential information regarding the business, financial performance, and operations will be made available to qualified buyers following the execution of a Non-Disclosure Agreement (NDA) and verification of financial capability.
Profitable Medical Transport | $80K Earnings | Memphis TN
Established Non-Emergency Medical Transport (NEMT) Business – Memphis, TN This is a rare opportunity to acquire a fully operational, licensed, and Medicare/Medicaid-approved non-emergency medical transport company serving the greater Memphis market. In operation since 2019, the business has built a solid foundation of recurring revenue, established broker relationships, and a loyal patient base. Business Highlights: Seller Discretionary Earnings of approximately $80,000+ Medicare and Medicaid approved — the most significant barrier to entry in this industry, already cleared Established contracts with major brokers including United Healthcare and Amerigroup/Wellpoint Recurring revenue base driven by dialysis patients (3x weekly transports) and regular medical appointments Trained, long-tenured crew in place Dispatch, scheduling, and billing systems already set up and operational Fleet of ambulances and equipment included in the sale Seller willing to stay on through transition to ensure a smooth handover Growth Opportunity: A business-minded buyer with a focus on sales and relationship-building could significantly grow revenue by adding crews, expanding broker relationships, and pursuing VA transport contracts — a largely untapped market for this business. No medical background required. This is a management and relationship-driven business.