Non-Emergency Medical Transportation Company, 20-Year Chicago Operator

Full Editorial Writeup

This is a Non-Emergency Medical Transportation (NEMT) operator based in DuPage County, Illinois, serving the greater Chicago region for over 20 years. The company moves seniors, special-needs individuals, youth and adults who need dependable, dignified transportation to and from medical appointments, rehabilitation centers, senior living communities and schools. On roughly $2.54M in revenue it throws off $930K of SDE, a healthy 37% owner-earnings margin that is unusually strong for an asset-and-labor business like ground transportation.

The standout feature is the revenue mix. Where most NEMT shops live or die by national transportation brokers (low-margin, price-controlled, slow-paying Medicaid-adjacent work), this business sources less than 1% of rides through brokers and calls itself 99% private pay. Instead it holds direct relationships with hospitals, rehab centers, senior living communities, school districts and nonprofits. That is a materially better position: better pricing power, faster cash conversion, and insulation from the reimbursement-rate risk that crushes broker-dependent operators.

The seller is retiring and running a confidential competitive bidding process through a broker, with no asking price disclosed. Positioning language points to strategic buyers, existing NEMT operators and healthcare-service platforms as the natural acquirers, with stated growth angles into special-education student transportation via retrofitting existing vehicles and processes.