This credentialed non-emergency medical transportation (NEMT) provider has operated in rural New Mexico since 2017. This is a strong fit for a full-time owner-operator seeking a cash-flowing business with an established customer base or an existing NEMT operator looking to expand their footprint. The company holds contracts with multiple transportation brokers.

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With a fleet of 15 vehicles and 11 drivers, the business completes approximately10,000 trips a year. Demand is year-round and operations are straight-forward: schedules are created in advance, billing is submitted to brokers, and reimbursements are received on a 14- to 30-day cycle.

The owners work full-time and are on call 24/7. Upgrading to an integrated billing, scheduling, and dispatch system could reduce some of that load and create a platform ready to scale.

Why This Opportunity Stands Out

• Strong local market position: No direct NEMT competitors in the primary service area

• Diversified payer base: 5 transportation brokers and 7+ managed care organizations

• Reimbursement rates have trended upward across broker networks

• Favorable demographics: aging, rural population with limited transportation alternatives

• Clean compliance record: no audits, corrective action plans, or recoupments

• SDE has more than doubled over the past three years, from $181K in 2023 to $388K in 2025

• If structured as a stock purchase, credentials and licenses stay with the entity