Sell an NEMT Company: a business broker for NEMT owners
NEMT companies run on Medicaid broker contracts, facility agreements, and a fleet that has to pass inspection. Buyers underwrite trip volume, how much of it comes from one broker, and what the vans will cost to replace.
Home care, adult day, and other Medicaid providers often buy NEMT to serve the same members, which widens the buyer pool beyond other transportation companies.
What drives valuation in NEMT
Broker concentration
One Medicaid broker supplying most of your trips is a risk a buyer prices. Direct contracts with dialysis centers, facilities, and private pay riders lower it.
Fleet age and condition
Vehicle age, mileage, and wheelchair or stretcher equipment decide how much capital the buyer has to spend in year one.
Driver retention and credentialing
Background checks, drug testing, and training records have to be current, and drivers who stay keep the on-time rate up.
On-time performance
Brokers track on-time and no-show rates, and a weak record can cost you trip volume after the sale. Buyers ask for the reports.
What buyers pay
| Size | Range | Who buys |
|---|---|---|
| Under $750K revenue | 2.0x to 3.0x SDE | Owner-operator, often an individual buyer or a local provider. |
| $750K to $3M | 3.0x to 4.0x EBITDA | Regional transportation companies and Medicaid providers adding a service line. |
| Above $3M | 4.0x to 5.0x EBITDA | Multi-county operators with diversified contracts. |
Ranges are indicative. Your number comes from your own financials, operations, and compliance record.
Change of ownership and regulatory considerations
These items set the closing date on NEMT transactions. We check each one before your company is marketed so a buyer never finds the problem first.
Broker contract transfer
Most broker agreements are not assignable without approval. The buyer is credentialed by each broker before closing so trips keep flowing.
Fleet and insurance
Vehicles are inspected, titles are confirmed, and commercial auto coverage is bound in the buyer's name before the effective date.
Licensing timeline
Plan 45 to 90 days, set mostly by broker credentialing and any state or county permit transfers.
- Medicaid broker contracts usually require the new owner to be credentialed before trips are assigned, so that process starts early.
- Vehicle titles, commercial insurance, and any state or local operating permits transfer on their own timelines.
- Medicaid provider enrollment, where the company bills directly, must be transferred or reissued.
Current NEMT records
0 activeNo active records in this category right now. Most of what we sell is placed with buyers already on the list, before it is ever published. Tell us what you are looking for and you hear first.
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