A multi-state Non-Emergency Medical Transportation (NEMT) provider serving patients who need reliable transportation to medical appointments and other essential care services. Founded in 2020 and active in the NEMT market since 2021, the business provides ambulatory, curb-to-curb, and door-to-door transportation through established broker contracts. Common trips include dialysis, behavioral health, adult day care, dental visits, primary care, hospital discharges, and school-related transportation.
The company operates 5 vehicles, which include 3 sedans and 2 minivans, supported by a 6-person team with 4 full-time drivers and 1 part-time driver. Averaging between 25 - 30 trips daily, about 150 per week, and as many as 700 per month. Trips average 10 miles and 15 minutes, with an average fare of $25 to $35. 80% of trip volume comes from recurring standing orders, helping the company maintain a steady schedule throughout most of the year.
Operations are supported through broker-managed scheduling, routing, trip records, and billing systems. Dispatch, routing, and communication are reported as 100% automated, while GPS tracking allows vehicles to be located during active trips. Drivers keep vehicles at their homes, supporting early-morning pickups and removing the need for a leased parking facility. The company is also run from a home office, allowing the administrative side of the business to be relocated or managed remotely.
Performance has remained strong, with 100% on-time service and no material cancellation or member no-show rate. The company reports no accidents, passenger incidents, regulatory actions, or insurance claims. Claims are accepted on the first submission with no reported denials.
Drivers complete annual training in defensive driving, CPR and first aid, HIPAA practices, and passenger assistance. New drivers can generally be screened, trained, and onboarded within 7 to 10 days for less than $100. Weekly vehicle inspections are completed each Saturday, and average annual maintenance is about $1,500 per vehicle. The current owner spends about 3 to 4 hours per day on administrative work and only drives on weekends, optional holidays, or when staffing is short.
The seller will provide 30 days of transition support and, with growth opportunities, include adding more vehicles and drivers to accept a larger number of assigned trips. A vehicle can be added to the operation in about one week, making fleet expansion a practical path to higher trip volume. A buyer could also pursue direct facility contracts, home care logistics, private-pay transportation, longer-distance trips, and wheelchair-accessible services. Hiring a manager would reduce the remaining owner duties and support a more hands-off structure as the fleet grows.
This NEMT provider presents a compelling acquisition opportunity for buyers looking to enter or expand their presence in the lucrative medical transportation industry. With a solid operational foundation, strong market presence, and ample growth potential, this business is primed for further success and scalability.
Key Valuation Points
- 6 Years Operating History.
- Contracts with SafeRide and MTM in place
- 25-30 Trips Daily
- 5 Company-Owned Vehicles.
- 80% Recurring Trip
- Up to 30 Days Transition Support
- Huge Scaling Potential
Code Name - Northstar
SF676
