Broker and facility contracts
Agreements with transportation brokers, managed-care organizations, dialysis centers, and facilities are the recurring revenue engine — trip volume under contract is what gets financed.
El Paso Owner's Guide · NEMT, Wheelchair & Ambulance Transport
How to Sell a Medical Transport Company in El Paso, Texas
An aging population, dialysis and treatment schedules that never stop, and managed-care contracts that guarantee trip volume make medical transport one of the most durable businesses on the border. Buyers pay for contracted trips, licensure, and a fleet with drivers who stay.
- 3×–5×
- Typical multiple of earnings for a contracted operator
- $1M+
- Range where established transport companies commonly transact
- 100%
- Confidential — brokers, facilities, and drivers never know
The Local Market
What buyers pay for in an El Paso medical transport company
El Paso's demographics, its dialysis and specialty-clinic density, and recurring treatment schedules create trip volume that repeats every week. Buyers include regional transport platforms and operators, and they underwrite contracts and compliance above all.
Trip volume, mix, and reimbursement
Trips per day, the wheelchair-ambulatory-stretcher mix, revenue per trip, and payer breakdown drive the earnings a buyer capitalizes.
Licensure, insurance, and compliance record
Operating licensure, vehicle permits, driver credentialing, and a clean claims and complaint history determine which buyers can transact and how fast.
Fleet condition and driver retention
Wheelchair-equipped vans and stretcher units with documented maintenance, plus drivers who stay, are what keep the schedule running after closing.
Free Estimator · No Email Required
What is my El Paso medical transport company worth?
Move the slider. This uses owner's discretionary earnings (SDE) — your net profit plus your salary, personal expenses run through the business, interest, depreciation, and one-time costs. The fleet is addressed alongside the operating value.
$180,000 / year
$40K$1.2M
Which of these are true today?
Illustrative Range
Estimated enterprise value
$567,000 – $936,000
That’s roughly 3.1× to 5.2× your owner’s earnings, before any real estate you own.
Every box you check is a lever you can still pull before you list. Owners who fix the books and the lease first routinely land at the top of their range instead of the bottom.
Illustration only — not an appraisal or an offer.
Step by Step
The six steps that get a medical transport company sold — in that order.
- 01
Document trips, contracts, and earnings
Three years of P&Ls and tax returns, reconciled, plus trip volume by type and payer, revenue per trip, contract terms and renewal dates, driver roster with credentials, fleet list with financing, and dispatch records.
- 02
Commission an independent, certified valuation
Not a broker's opinion, and never a platform buyer's opening number. We commission a certified valuation from an independent NACVA-credentialed appraiser — the caliber of report banks, buyers, the IRS, and courts rely on.
- 03
Diversify beyond one broker before listing
A second and third contracted source of trips is the single most valuable preparation in this category, because broker concentration is the discount buyers apply hardest.
- 04
Fix what diligence will find
Operating licensure and vehicle permits, driver files and background checks, drug-testing program, billing documentation and audit exposure, insurance and claims history, HIPAA obligations, vehicle titles and liens, and unpaid taxes.
- 05
Market it confidentially — to more than one buyer
No word to your brokers, the facilities you serve, or your drivers. We market blind on contract and financial profile to vetted, financially verified buyers under NDA.
- 06
Negotiate, survive diligence, and close
Offers, escrow, quality-of-earnings and compliance review, contract consents and re-credentialing, license transition, driver retention, fleet schedules, and funding. We stay on it through closing.
Costly Mistakes
Six mistakes that cost medical transport company owners real money.
Depending on a single broker
One contract holding most of your trips is the defining risk of NEMT, and buyers structure around it with earnouts and holdbacks. Diversify first.
Weak trip documentation
Every billed trip must be defensible. Documentation gaps read as clawback exposure and shrink offers immediately.
Assuming contracts transfer automatically
Broker and MCO agreements typically require consent and re-credentialing under new ownership, and those timelines shape the entire closing schedule.
Driver files that do not hold up
Credentialing, background checks, and drug-testing records are audited by both buyers and their lenders. Fix the files before anyone looks.
Running the schedule from your own phone
If dispatch judgment lives only in your head, the buyer inherits a business that stops when you do.
Letting a tired fleet meet the buyer's inspector
Accessible vehicles are the product. Deferred maintenance becomes an itemized price deduction at exactly the wrong moment.
Questions Owners Ask
Medical Transport Company owners ask us these first.
Straight answers, no hedging. If yours isn’t here, call us and ask it directly.
Contracted operators commonly trade between roughly 3 and 5 times owner's discretionary earnings. Contract diversification, trip volume, compliance history, fleet condition, and management depth determine where you land. Only a certified independent valuation survives a lender's underwriting.
Most require consent, and many require the buyer to complete their own credentialing. That process drives the closing timeline, so it belongs in the plan from day one. Confirm specifics with your own counsel.
Frequently, especially where one broker dominates. How retention is measured, over what period, and what role you play during it deserve as much attention as the headline number.
Vehicles required to produce your earnings are generally reflected in enterprise value with financing paid off at closing, and lenders commonly order an appraisal. Well-maintained accessible units support the price; worn ones reduce it.
Qualified buyers can access SBA 7(a) financing up to $5 million. Lenders require clean, fully reported financials, defensible billing documentation, and a certified independent valuation. SBA pre-qualification is a preliminary, non-binding lender assessment, not a loan commitment.
No. We are brokers, not attorneys or healthcare compliance advisors. Confirm licensure, billing, and contract obligations with your own counsel.
Where we work
Medical Transport Company owners we represent across El Paso, West Texas, and southern New Mexico
Whether your medical transport company sits on the east side, downtown, out in the valley, or across the state line in Doña Ana County, the sale process is the same: verified financials, an independent certified valuation, and a confidential, competitive market of qualified buyers. We meet owners at a time and place of their choosing.
- El Paso
- West El Paso & Upper Valley
- East El Paso
- Northeast El Paso
- Central & Downtown
- Horizon City
- Socorro
- San Elizario
- Clint & Fabens
- Canutillo
- Anthony, TX & NM
- Fort Bliss corridor
- Las Cruces, NM
- Sunland Park, NM
- Doña Ana County
- Alamogordo & Deming, NM
- Van Horn & Fort Hancock
- Midland & Odessa
Medical Transport Company Owners · Confidential
Find out what your company is actually worth.
One confidential conversation with a partner — not a coordinator. We will tell you where your numbers put you today, what would move the multiple, and whether now is your moment.
- Confidential — nothing is shared or listed without your written consent.
- A reply within one business day, usually the same afternoon.
- No fee, no obligation, and no pressure for the first conversation.