Description:
The business offering includes three entities, hereinafter referred to as the Company, that work collectively as a leading managed care organization (MCO) and preferred provider organization (PPO), specializing in workers’ compensation, personal injury protection, and auto claims. The Company provides medical cost containment services to help insurance carriers, employers, and third-party administrators reduce claim costs and improve patient care outcomes.

Key Aspects:
• The Company was the first approved MCO in its state, reflecting its long-established market presence and reputation, and has been recognized as one of the best places to work in 2025 & 2026.
• The Company utilizes a blended pricing model that includes percentage-of-savings fees and recurring monthly premium service agreements, generating diversified and recurring revenue streams.
• The Company leverages a proprietary PPO network that enables flexible negotiation strategies for patient care, resulting in an average client savings of 66.0%, according to management.
• Management notes that approximately 94.0% of 2025 revenue was attributable to repeat clients, showcasing a high client retention rate.
• The Company's proprietary technology integrates stakeholder communications, real-time claims monitoring, and robust reporting capabilities to provide actionable insights and improve operational efficiencies for its clients

Opportunities:
• Expand the Company's geographic footprint by leveraging its established provider network, technology platform, and remote service capabilities into new markets across the United States.
• Broaden the Company's decision point review services by leveraging its proprietary, automated platform to establish white-label and strategic partnerships with national repricing firms that are seeking PIP review capabilities.
• Expand strategic partnerships within the Company's provider network to enhance service capabilities and support increased claim volume from insurance carriers.
• Increase brand awareness through targeted business development initiatives, industry conferences, and strategic marketing efforts.

Headquartered:
• Northeastern U.S.

Current Markets:
• The Company serves insurance companies, self-insurers, third-party administrators, and insurance funds throughout the Northeastern United States.

Real Estate:
• The Company operates out of a 10,000 sq. ft. facility and additionally utilizes a virtual office space, owned by unrelated third parties. Management notes that both leases are assumable post-sale.

Shareholder Objectives:
• The Company is owned by one majority shareholder and two minority shareholders, who are seeking a full exit from the Company to pursue unrelated business opportunities. The owners are open to various deal structures to facilitate a smooth transaction.