Buyer preparation
- Defining the acquisition thesis: market, service line, size and budget
- Confirming the buyer can qualify for the authority being acquired
- Capital structure and funding readiness
- Post-closing operating plan and leadership
Acquisitions & turnkey opportunities
Ambulance and NEMT business acquisitions and turnkey opportunities
Advisory for qualified operators and investors evaluating the purchase of an existing ambulance or NEMT operation, its assets, or a turnkey opportunity when one is available.
Buying an operating company can compress a multi-year build, but only when the transfer of authority is understood before the money moves. Licenses, certificates and authorizations generally do not transfer automatically with a sale. Some require reissue, some require the buyer to qualify independently, and some do not survive a change of control at all.
Every transaction we advise on is structured in writing around the transfer, reissue or re-application requirements published by the relevant state, county or federal authority, including the FAA where aircraft are involved.
Availability varies. We do not maintain a standing inventory of companies for sale, and we do not represent that any specific opportunity exists at a given time.
Operational diligence
We review the operating substance of the business. Legal, tax and accounting diligence belongs with your attorney and CPA, and we work alongside them.
- Licensure, certificate and permit status and renewal history
- Fleet condition, age, maintenance records and equipment
- Staffing, credentials, medical direction and protocols
- Payer mix, contracts, trip volume and documentation quality
Transfer of authority
- What the state requires on change of ownership or control
- County certificate treatment on transfer, where applicable
- Payer enrollment and network participation consequences
- FAA and state requirements where air operations are involved
Transition
- Day-one operating continuity plan
- Staff retention and credential re-verification
- Systems, dispatch and billing cutover
- First-90-day compliance and performance checkpoints
Frequently asked questions
- Do licenses transfer when I buy an ambulance company?
- Not automatically. Treatment varies by state, county and payer, and some authorizations require reissue or a new application by the buyer. Confirming this before closing is central to the engagement.
- Do you have companies for sale right now?
- Availability changes and we do not advertise a standing inventory. Tell us what you are looking for and we will tell you honestly whether anything fits.
Discuss an acquisition
Tell us about your company, your market and what you are trying to accomplish. Consulting engagements are billed at an hourly or project rate, quoted before work begins. Submitting a request does not guarantee acceptance as a client.