Medical Transport M&A in Florida
Sell My Medical Transport Business in Florida
Regional transportation operators, private equity-backed healthcare transportation platforms and healthcare services companies are buying Florida non-emergency medical transportation (NEMT) companies. They price your broker and facility contracts, drivers, fleet and safety record, and broker credentials may not transfer automatically. We help you see what your company is worth to each buyer and close without losing contracts or people.
Multi-county NEMT companies work with our mergers and acquisitions consultants, and owner-operated companies work with our licensed Florida business brokers. Freight carriers should see our guide to selling a trucking company, and multi-service healthcare companies our healthcare M&A advisor page. Either way, you start with a confidential conversation about what you want next.
Two Ways to Sell a Medical Transport Business in Florida. We Match the Process to Your Company.
Your contracts, your service area, your fleet and the buyers active in your market decide which path fits.
Mergers and Acquisitions Consultant
NEMT Companies Valued Around $5M and Above
For multi-county NEMT companies hearing from transportation platforms, private equity and healthcare services buyers. Work directly with a mergers and acquisitions consultant who runs a competitive process and puts every offer on the same page.
- Build the contract schedule. List every broker, plan and facility agreement with its assignment and credentialing terms.
- Show the trip data. Present trips and revenue by payer, service level and county with on-time performance.
- Compare the whole offer. Weigh cash at closing against rollover equity, earn-outs and your role after the sale.
- Protect value through closing. Line up broker consents, re-credentialing, insurance and vehicle titles alongside your counsel.
Business Brokerage
Owner-Operated NEMT Companies Under $5M
Ambulatory, wheelchair and stretcher transport companies sold to qualified independent and regional buyers, many using bank financing.
- Price on real earnings. Present normalized earnings, contract mix and fleet records a buyer and their lender can approve.
- Reach qualified buyers confidentially. Screen buyers and their financing before anyone learns which company is for sale.
- Plan the contract transfer. Build broker consents and credentialing into the closing calendar.
- Plan the handover. Script driver, facility and broker communication and your transition period before closing.
Not sure which path fits your company? Start with a conversation →
M&A Advisory Services for Medical Transport Owners at Every Stage
From the first “should I sell my NEMT company?” conversation to the wire at closing, and the years of preparation in between.
Sell-Side M&A Advisory for NEMT Companies
Preparation, contract and credentialing review, confidential outreach to transportation operators, healthcare platforms and qualified buyers, and a competitive process through diligence and closing.
See our M&A advisor services →Exit Planning for NEMT Owners
For owners one to five years out. We identify what a buyer will pay for, what they will discount, and the steps that raise value: more direct facility contracts, stronger scorecards, newer vehicles and lower claims.
Learn more →Contract and Fleet Review
Every broker and facility agreement with its consent terms, a fleet schedule with liens and a driver roster ready for diligence, so the price you agree to is the price you receive.
Learn more →NEMT Business Valuation
A defensible view of what your company is worth to each buyer type, the drivers behind that number, and what would move it. Delivered as part of an advisory or exit planning engagement.
Learn more →Unsolicited Offer Review
Received a letter of intent from a platform or operator? We assess the buyer, the structure, the contract transfer plan and the market before you respond, so a single offer does not set your price.
Learn more →Healthcare and Trucking Companies
Healthcare services companies and freight carriers have their own guides, including our page for owners who sell a trucking company, with the same care we bring to every transaction.
Healthcare M&A advisor →
PERSONAL. ON PURPOSE.
People you know.
Advice you can
talk through.
Rajiv Khatri
Managing Partner
Sarah Khatri
Managing Partner
We’ve built and sold businesses ourselves. We understand why selling a medical transport company reaches far beyond the deal: the riders who depend on you, the drivers and dispatchers you trained and kept, and the facilities that trust your team.
Sailfish is boutique by intention. We take time to understand your priorities, explain the tradeoffs between a regional operator, a healthcare transportation platform and an independent buyer, and help you make informed decisions through an important transition.
Our faith informs how we serve: with integrity in our advice, stewardship of what you’ve built, and care for the people a transition touches.
The Credentials Behind Every Closing
Sailfish advisors are trained, certified, and licensed by the industry's most respected associations.
A clear path from your first question to the sale of your medical transport company.
Discuss your goals. Prepare your company. Move forward with guidance. Our process gives an NEMT sale structure, and we tailor the work for exit planning, a partner buyout or an offer already on the table.
Discuss your goals
Spend about 30 minutes with a managing partner discussing your company, your timing and what you want your role to be after a sale. We help identify a useful next step.
Agree on the approach
Decide whether a focused sale to a qualified independent buyer, or an advisory process with transportation platforms and healthcare buyers, fits. Clarify scope, responsibilities and expectations before the engagement begins.
Prepare the company
Build the contract schedule, organize trip data, fleet, driver and insurance records and rebuild adjusted EBITDA before any buyer sees terms.
Engage suitable buyers
Present the business confidentially to screened buyers who can fund the deal and keep your contracts, riders and drivers.
Navigate the transaction
Compare offers on the same page, then work through negotiation, broker consents, credentialing, insurance, working capital and closing alongside your attorney and CPA.
Medical transport knowledge. Real buyer relationships.
Every medical transport model has its own buyers, its own contracts and its own reasons a deal falls apart. We work in the models where we know all three: who is acquiring right now, what they pay for, and what they walk away from. With 3,500 qualified buyers, PE platforms and strategic operators already in our network, your company goes to the people most likely to value it.
Ambulatory · Wheelchair · Stretcher→ Wheelchair Transport→ Stretcher Transport→ Dialysis Transportation→ Facility & Hospital Discharge Transport→ Senior Living Transportation→ Private Pay Medical Transport→ Medicare Advantage Ride Benefits→ Paratransit Contracts→ Long-Distance Medical Transport→ Healthcare ServicesSeparate guide for healthcare services companies→ TruckingSeparate guide for freight carriers→
700+ Florida Business Owners Trust Us
Real stories from owners who sold, scaled, and succeeded with Sailfish.
We’re listening. Not sure what your next step is? That is a good place to start.
“I’m thinking
about selling my medical transport business.”
“I want to step back
in a few years.”
“A competitor just
made me an offer.”
Selling a medical transport business in Florida: your questions answered.
You don’t need every answer before starting a conversation.
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Start by organizing trip data by payer and service level, your contract schedule, fleet and driver records and insurance history. Then decide whether a broker-led sale or an advisory process with transportation platforms and healthcare buyers fits your size. A confidential, competitive process usually produces the best terms.
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Value depends on adjusted earnings and the risk a buyer sees in them: contract mix and concentration, broker standing, driver retention, fleet condition and insurance history. A confidential valuation shows what each buyer type is likely to support.
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Regional transportation operators, private equity-backed healthcare transportation platforms, ambulance and healthcare services companies and independent buyers. Each values contracts, coverage area and fleet differently.
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Most Medicaid recipients get transportation through their managed care plan, which typically uses transportation brokers. For recipients not required to enroll in managed care, AHCA runs a separate NEMT waiver with statewide vendors. Many local providers receive trips through these brokers.
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Not automatically. Broker and facility agreements often require notice or consent, and new owners may need to be credentialed. Review these terms early and build them into the closing timeline.
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Often, yes. Direct contracts with dialysis centers, hospitals and senior living communities belong to your company and carry negotiated rates, so buyers usually see them as more dependable than broker assignments.
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Owner-operated NEMT companies valued under about $5 million usually fit a business brokerage process. Larger multi-county companies drawing platform and private equity interest usually need an M&A advisor running a competitive process. We help you decide which fits.
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Exit planning one to three years ahead lets you add direct facility contracts, improve scorecards, renew vehicles and reduce claims, all of which affect value. A conversation does not commit you to a sale.
Thinking about selling your medical transport business?
For 25+ years, we’ve helped Florida owners protect what they built and get the full value of it. The riders, drivers and contracts you earned deserve the same care.
Selling Your Medical Transport Business: Expert Guides & Insights
Stewardship, legacy, and the next chapter.
A medical transport company is more than a balance sheet. It is years of riders who depended on you to reach dialysis, chemotherapy and therapy on time, drivers who treat passengers like family, dispatchers who make a hard schedule work and facilities that trust you with their patients. We treat the sale as stewardship: honest advice even when it is not what you hoped to hear, a pace set by your goals rather than our calendar, and the willingness to tell you when a buyer or a deal is the wrong fit. We believe this work is a calling, and we try to do it the way we would want it done for our own family.
Sell My Medical Transport Business in Florida: What NEMT Buyers Look For
By Rajiv Khatri, Managing Partner, Sailfish Equity Advisors · Updated November 2026
Buyers Pay for Contracts That Renew, Drivers Who Stay and a Clean Safety Record.
If you want to sell your medical transport business in Florida, buyers will start with where your trips come from. A non-emergency medical transportation (NEMT) company that depends on one Medicaid broker is a different business from one with direct contracts with dialysis centers, hospitals and senior living communities, even at the same revenue. After contracts, buyers look at your drivers, your vehicles and your safety and insurance history.
Sailfish Equity Advisors represents owners of Florida NEMT companies, including ambulatory, wheelchair and stretcher transport providers, in sales to regional transportation operators, private equity-backed healthcare transportation platforms, ambulance and healthcare services companies and independent buyers. Across 25 years and more than 700 completed transactions, the healthcare deals that close on plan are the ones where contracts, credentials and people were organized before buyers asked.
Key Takeaways
Buyers value an NEMT company on contract quality and mix: Medicaid broker trips, direct facility contracts and private pay are valued differently.
In Florida, Medicaid NEMT runs through managed care plans and statewide transportation vendors, so broker credentialing and scorecards matter to buyers.
Broker and facility agreements may require consent to transfer, and new owners may need to be re-credentialed.
Driver retention, background screening and training records are central to diligence.
Insurance costs and claims history can move value as much as revenue.
Trip data by payer, service level and on-time performance is the evidence buyers rely on.
What Is NEMT, and How Is It Paid For in Florida?
Non-emergency medical transportation (NEMT) is scheduled transportation to medical appointments for people who cannot drive themselves and do not need an ambulance. Service levels usually include ambulatory, wheelchair and stretcher transport.
In Florida, most Medicaid recipients get transportation through their managed care plan, and plans typically contract with transportation brokers that assign trips to local providers. For recipients not required to enroll in managed care, the Agency for Health Care Administration runs a separate NEMT waiver, currently renewed through June 30, 2027, with two statewide vendors, Modivcare Solutions and Medical Transportation Management (MTM), according to AHCA. Florida also coordinates transportation for disadvantaged residents through county-level coordinators.
What this means for a sale: many Florida NEMT companies depend on broker trip assignments that can change with broker contracts, plan contracts or performance scores. Buyers will want to understand that dependence before they price it.
Who Buys Medical Transport Companies in Florida?
Regional transportation operators buy NEMT companies to add vehicles, drivers and broker relationships in new counties. They value density and credentialing.
Private equity-backed healthcare transportation platforms build multi-state groups. They value contract diversity, dispatch technology, management depth and safety programs.
Ambulance and healthcare services companies add NEMT to offer a full range of transport to hospitals and facilities. They value facility contracts and stretcher capability.
Independent buyers buy smaller companies, often with bank financing, and value steady contracts and a manager who stays.
NEMT is patient transport, not freight. If your company hauls freight, see our guide for owners who sell a trucking company or our article on selling a logistics business. If medical transport is one part of a broader healthcare services company, see our page on working with a healthcare M&A advisor in Florida. Owners of home health agencies have their own guide to selling a home health agency.
How Do Buyers Value NEMT Contracts?
Medicaid broker trips provide volume, but rates are set by the broker, trip assignments can shift and contracts can change when plans or vendors change. Buyers look at how long you have worked with each broker, your scorecards and what share of revenue each broker represents.
Direct facility contracts with dialysis centers, hospitals, skilled nursing facilities, senior living communities and health plans are often worth more because the relationship belongs to you and rates are negotiated. Written agreements with stated terms carry more weight than informal arrangements.
Private pay and Medicare Advantage supplemental benefits add diversity. Buyers want to see that this revenue repeats.
Concentration matters. If one broker or facility makes up a large share of revenue, buyers will ask what happens if that relationship changes. Our guide to customer concentration when selling a Florida business explains how buyers price it.
What Do Buyers Check About Drivers and Vehicles?
Drivers. Tenure, turnover, background screening, drug testing, training records such as CPR and passenger assistance, and whether drivers are employees or contractors. Worker classification is a common diligence issue.
Vehicles. A fleet schedule with year, mileage, type, wheelchair lift or ramp equipment, stretcher capability, ownership or lease status and maintenance records. Buyers will estimate the cost to replace older vehicles and deduct it from what they pay.
Safety and insurance. Accident and incident history, claims, and insurance premiums. Auto liability insurance is one of the largest costs in NEMT, and a poor claims history raises it for any buyer.
Do Broker Credentials and Contracts Transfer When You Sell?
Not automatically. Broker provider agreements and facility contracts may require notice or consent when ownership changes, and brokers may require new owners to complete credentialing. In a stock sale, the company keeps its agreements, but change-of-control terms can still apply. In an asset sale, contracts must usually be assigned. Our guide to asset sale vs stock sale for a Florida business covers the tradeoffs.
Build a contract schedule before going to market: every broker, plan and facility agreement, its term, its assignment and change-of-control terms and its credentialing requirements.
How Long Does It Take to Sell an NEMT Business?
Plan on six to twelve months for most Florida medical transport sales. Broker and facility consents, credentialing, insurance underwriting for the buyer and vehicle title transfers set the pace.
What Should NEMT Owners Prepare Before Selling?
Three years of financial statements and monthly trip counts by payer and service level.
A contract schedule for brokers, plans and facilities with assignment terms.
Broker scorecards and on-time performance data.
A fleet schedule with ownership, liens, mileage and maintenance records.
A driver roster with tenure, screening, training and classification.
Insurance policies, premiums and a five-year loss history.
Dispatch and trip software reports a buyer can verify.
How Sailfish Helps Florida Medical Transport Owners
We prepare the company the way buyers will review it: trip and revenue data by payer and service level, contract and consent schedules, fleet and driver records and earnings restated. Then we take the company confidentially to transportation operators, healthcare platforms and qualified independent buyers from our network of 3,500 buyers, compare every offer on the same page and manage the transaction through closing alongside your attorney and CPA.
If you are thinking about selling your Florida NEMT business in the next one to three years, a confidential valuation conversation is the right first step.