It’s not sexy like tech, but it’s real, stable, and profitable.
• The market: Non-Emergency Medical Transportation (NEMT)
• The clients: Hospitals, nursing homes, and private pay patients
Here’s what stood out to me:
This Texas-based ambulance service brings in $7.7M in revenue with $2.47M in EBITDA.
It’s been running for over 10 years and has 100 employees.
Owner only works ~20 hours a week.
Asking price: $12.5M (5x multiple).
But what makes it interesting?
The demand is rising—aging population, more disabilities, and a system that needs transport between hospitals and care facilities.
This company is in the middle of it all. And it already has contracts with 30+ facilities.
Let’s break it down:
The business runs 24/7 with a fleet of 19 ambulances and multiple wheelchair vans.
They do everything from basic transport to critical care, and even event coverage for nursing homes.
80% of revenue is collected in under 60 days.
Most payments come from Medicare, Medicaid, United, Aetna, etc.
Bad debt? Minimal.
They’re not even doing digital marketing yet.
Growth is all word-of-mouth.
That’s rare.
That means huge upside for someone who knows how to scale.
Here’s why I think this is a strong play:
• Healthcare space
• High-margin recurring contracts
• 100% W2 staff + remote ops team in the Philippines
• Tech-enabled (using AngelTrack EMS software)
• Expandable to Dallas, Austin, San Antonio
What would I do post-acquisition?
- Launch digital marketing to attract private pay clients
- Hire a growth lead to lock in more hospital contracts
- Consider franchising or rolling up smaller competitors
- Push utilization per vehicle up with better dispatch optimization
What’s the catch?
No SBA loan available—it’s too large.
So you need to come in with capital or partner with someone who does.
But it’s clean.
Owners are transparent.
Operations are in place.
And they’re open to a full exit or strategic partner.
This is for someone who likes real-world businesses with strong infrastructure, real cashflow, and scale potential.
Interested in this kind of deal?
Comment “Ambulance” below and I’ll share the IM and more deals like this every week.