Established NEMT Company with Contracts & Growth Potential
Business Description
Established and privately held for more than 30 years, this non-emergency medical transportation company has built a strong reputation for reliability, recurring healthcare transportation demand, and operational consistency throughout North and South Carolina. Centrally located within North Carolina, the company services hospitals, skilled nursing facilities, rehabilitation centers, hospice providers, and other healthcare-related organizations requiring dependable patient transportation services.
The business operates within a growing healthcare transportation market benefiting from increased demand driven by an aging population, expanded outpatient care, and healthcare providers relying more heavily on transportation partners to coordinate patient movement between facilities, appointments, and treatment centers. The company benefits from recurring trip volume and longstanding healthcare relationships that help generate a consistent pipeline of transportation requests throughout the year.
Financially, the company has demonstrated strong historical performance and scalability. Revenue in 2025 was approximately $1,851,855.00 with Seller’s Discretionary Earnings of approximately $844,604.00. The business reflects a two-year revenue run-rate average of approximately $1,720,035 while maintaining an average annual revenue scaling rate of approximately 17% during that same period.
Operations are supported by approximately 15 employees, including experienced drivers, dispatch personnel, scheduling coordinators, and administrative staff who manage daily routing, transportation coordination, trip scheduling, and customer communication. Management systems, dispatch workflows, customer relationships, and operational procedures are already established, allowing a new owner to step into a functioning transportation platform without needing to build infrastructure from the ground up.
The business is owner operated but considered highly scalable with opportunities to continue strengthening management layers, improving route density, and expanding operational efficiencies. Included in the sale are 12 vehicles utilized within daily operations.
Demand for non-emergency medical transportation continues to expand as healthcare systems increasingly rely on transportation providers to support patient coordination and continuity of care. The business is positioned within an active healthcare transportation corridor and maintains opportunities for continued growth through additional direct healthcare facility contracts, expanded private-pay transportation services, school transportation relationships, and broader community transportation offerings. Additional upside may also exist through continued diversification away from lower-margin broker volume toward stronger direct facility relationships and recurring transportation agreements.
The ideal buyer may possess transportation, healthcare, operations, dispatch, or contract management experience; however, industry-specific experience is not necessarily required for a qualified operator with strong organizational and leadership capabilities. The existing operational systems and experienced team help support transition continuity and day-to-day execution.
Ownership is pursuing a strategic transition while focusing on other business interests and is seeking a qualified buyer to continue operating and growing the company. The seller is willing to provide reasonable transition support, including introductions to key facility relationships, operational guidance, dispatch workflow training, and assistance with staffing transition to help facilitate a smooth ownership handoff.
This opportunity represents the acquisition of a long-established transportation company with recurring healthcare demand, experienced personnel, operational infrastructure already in place, scalable systems, and meaningful opportunities for continued regional growth within an expanding healthcare transportation market.
The business operates within a growing healthcare transportation market benefiting from increased demand driven by an aging population, expanded outpatient care, and healthcare providers relying more heavily on transportation partners to coordinate patient movement between facilities, appointments, and treatment centers. The company benefits from recurring trip volume and longstanding healthcare relationships that help generate a consistent pipeline of transportation requests throughout the year.
Financially, the company has demonstrated strong historical performance and scalability. Revenue in 2025 was approximately $1,851,855.00 with Seller’s Discretionary Earnings of approximately $844,604.00. The business reflects a two-year revenue run-rate average of approximately $1,720,035 while maintaining an average annual revenue scaling rate of approximately 17% during that same period.
Operations are supported by approximately 15 employees, including experienced drivers, dispatch personnel, scheduling coordinators, and administrative staff who manage daily routing, transportation coordination, trip scheduling, and customer communication. Management systems, dispatch workflows, customer relationships, and operational procedures are already established, allowing a new owner to step into a functioning transportation platform without needing to build infrastructure from the ground up.
The business is owner operated but considered highly scalable with opportunities to continue strengthening management layers, improving route density, and expanding operational efficiencies. Included in the sale are 12 vehicles utilized within daily operations.
Demand for non-emergency medical transportation continues to expand as healthcare systems increasingly rely on transportation providers to support patient coordination and continuity of care. The business is positioned within an active healthcare transportation corridor and maintains opportunities for continued growth through additional direct healthcare facility contracts, expanded private-pay transportation services, school transportation relationships, and broader community transportation offerings. Additional upside may also exist through continued diversification away from lower-margin broker volume toward stronger direct facility relationships and recurring transportation agreements.
The ideal buyer may possess transportation, healthcare, operations, dispatch, or contract management experience; however, industry-specific experience is not necessarily required for a qualified operator with strong organizational and leadership capabilities. The existing operational systems and experienced team help support transition continuity and day-to-day execution.
Ownership is pursuing a strategic transition while focusing on other business interests and is seeking a qualified buyer to continue operating and growing the company. The seller is willing to provide reasonable transition support, including introductions to key facility relationships, operational guidance, dispatch workflow training, and assistance with staffing transition to help facilitate a smooth ownership handoff.
This opportunity represents the acquisition of a long-established transportation company with recurring healthcare demand, experienced personnel, operational infrastructure already in place, scalable systems, and meaningful opportunities for continued regional growth within an expanding healthcare transportation market.
About the Business
- Years in Operation
- 33
- Employees
- 15 (12 Full-time, 3 Part-time)
Team consists of drivers, mgmnt., and admin. - Currently Relocatable
- Yes
- Facilities & Assets
- Included in the sale are 12 newer non-emergency medical transportation vehicles specifically outfitted for NEMT operations, several of which were recently replaced in 2025 and currently maintain very low mileage. The fleet has been consistently maintained, regularly updated, and remains in excellent operational and cosmetic condition. The business also includes office furniture, desks, partitions, conference table, computers, printers, communication equipment, and general operational infrastructure utilized in daily dispatching, scheduling, and administrative operations. Buyers are encouraged to request a comprehensive FF&E list during the due diligence process.
- Market Outlook / Competition
- The non-emergency medical transportation industry remains highly active and continues to experience increasing demand as healthcare systems, rehabilitation providers, skilled nursing facilities, hospice organizations, and outpatient care centers rely more heavily on transportation coordination services. While competition exists within the market, this company has developed longstanding relationships and secured select transportation contracts intended to convey with the transition, helping provide operational continuity and recurring trip volume for a new owner. The business also benefits from strong regional positioning and established referral relationships within its service territory, allowing it to maintain a favorable presence for ongoing transportation requests and healthcare-related referrals throughout the area.
- Opportunities for Growth
- Significant growth opportunities exist through additional healthcare facility contracts, expanded service relationships, improved route density, and broader community transportation offerings throughout the region. Private-pay transportation currently represents only a small percentage of total revenue, creating additional upside potential through expanded direct-to-consumer transportation services and higher-margin trip opportunities. Ownership has identified additional contract and growth opportunities that may be available to a qualified buyer following execution of a Non-Disclosure Agreement and receipt of a formal offer. Additional discussions regarding strategic expansion opportunities, referral relationships, and contract development initiatives are intended to occur during the due diligence phase of the transaction.
Real Estate
- Owned or Leased
- Owned
- Not included in asking price
- Building Sq. Ft.
- 6,600
About the Sale
- Seller Motivation
- Retiring from daily operations to focus on real estate investments.
- Transition Support
- The owner is willing to provide reasonable transition support for a negotiated period following closing to help ensure a smooth and successful ownership transition. Support may include introductions to key healthcare facility relationships, operational guidance, dispatch and workflow training, staffing transition assistance, and general oversight of day-to-day procedures during the handoff period. The existing operational systems, routing procedures, and management structure are already in place, allowing a qualified buyer to transition into a functioning and established operation with continued seller support available as needed.
- Financing Options
- The seller is open to discussing reasonable transition support for qualified buyers.
Listing Info
- ID
- 2510669
- Listing Views
Listing ID: 2510669 The information on this listing has been provided by either the seller or a business broker representing the seller. BizQuest has no interest or stake in the sale of this business and has not verified any of the information and assumes no responsibility for its accuracy, veracity, or completeness. See our full Terms of Use. Learn how to avoid scams.
Businesses for SaleNorth Carolina Businesses for SaleNorth Carolina Health & Medical Businesses for SaleNorth Carolina Ambulance & Medical Transportation Service Businesses for Sale




