Ambulance Business Valuation
Ambulance & Medical Transport Valuation Calculator & Exit Planning Built for EMS Operators
We built one platform that tracks your medical transport company's value monthly, identifies exit gaps early, and ensures your personal finances align with your exit timeline.
1,000+ Businesses have joined YourExitValue.com
Most Medical Transport Owners Have No Idea What Their Business is Actually Worth
Current Ambulance / Medical Transport Valuation Multiples (2026)
Ambulance and medical transport valuations depend on contract mix and service capabilities. Here's the market:
Every business is different. That's why you need to track your value.
Included in Your Exit Value is a complete Exit Planning Assessment where you track your progress quarterly against your results from the previous quarter.
Know your number and watch it grow
Most business owners guess at their value. You'll know it with precision.
Our platform uses six proven valuation methodologies to give you a complete picture of what your business is worth today—and tracks how that number changes month over month. No more waiting for annual appraisals or paying $15K+ for outdated reports.
See your trends. Spot opportunities. Make informed decisions
What Actually Drives Ambulance Business Value
Your ambulance count is the starting point. Sophisticated buyers evaluate these factors that determine premium pricing:
Contract Base
911 + Healthcare Contracts
The gold standard is 911 municipal contracts—they provide steady call volume, often exclusive territory rights, and the prestige that attracts other business. Hospital inter-facility agreements, nursing home contracts, and dialysis transport arrangements round out a valuable contract portfolio. Buyers want diversified contracts that transfer with ownership.
No contracts = call-dependent
Service Capabilities
ALS + BLS + NEMT
Companies offering Advanced Life Support, Basic Life Support, and Non-Emergency Medical Transport serve the full spectrum of patient needs. ALS capability requires paramedics and more sophisticated equipment but commands better reimbursement. NEMT (wheelchair vans, stretcher transport) provides steady volume. The combination makes you attractive to healthcare systems wanting one vendor.
Single service type = limited market
Fleet Condition
< 5 Years, Type III Preferred
Ambulances are expensive—$150K+ for a new Type III—and buyers scrutinize fleet condition carefully. Vehicles under 5 years old with good maintenance records and current certifications reduce post-acquisition capital needs. Aging units with high mileage, DOT issues, or deferred maintenance get deducted from offers. Your fleet is probably your biggest asset; maintain it accordingly.
Old fleet = buyer discount
Coverage Territory
Exclusive Rights or Strong Position
Exclusive 911 contracts for specific municipalities or counties are enormously valuable—they're essentially government-granted monopolies with predictable call volume. Even without exclusivity, being the dominant provider in your service area creates competitive advantages. Document your territory position clearly; buyers will assess competitive threats.
Open competition = margin pressure
Staff Credentials
Licensed EMTs/Paramedics Retained
EMS staffing is challenging everywhere—finding and retaining licensed EMTs and paramedics is a constant battle. If your retention numbers beat industry averages, highlight that aggressively. Buyers know they're inheriting staffing challenges; demonstrating lower turnover and proper credentialing reduces their anxiety and increases your value.
Staffing issues = operational risk
Billing Operations
Clean Collections, Proper Coding
EMS billing is notoriously complex—Medicare, Medicaid, commercial insurance, all with different rules. Strong billing operations with clean collections history and proper medical necessity documentation demonstrate revenue reliability. Billing problems, past audit issues, or poor collection rates signal cash flow risk that buyers will discount heavily.
Bad collections = revenue leakage
How to Value an Ambulance or Medical Transport Business
The U.S. ambulance and medical transport industry includes approximately 18,000 services generating over $30 billion in annual revenue. This sector spans 911 emergency services, interfacility transport, non-emergency medical transport (NEMT), and air ambulance operations.
EBITDA is used for larger operations, while SDE applies to smaller services. Ambulance companies typically sell for 2.5x to 5.0x SDE, or 4.0x to 8.0x EBITDA for larger operations with government contracts or exclusive franchise territories.
Revenue multiples for ambulance services generally range from 0.40x to 0.80x annual revenue. Services with exclusive 911 contracts, which provide guaranteed call volume, command the highest multiples.
The unique valuation factor for ambulance services is the contract portfolio and territory exclusivity. Exclusive 911 contracts with municipalities or counties are the most valuable assets — they provide guaranteed call volume and are typically multi-year agreements. Interfacility transport contracts with hospitals and skilled nursing facilities provide predictable revenue. Fleet condition (ambulance age and mileage), EMT/paramedic staffing stability, and compliance with state EMS licensure requirements are all critical evaluation points.
The ambulance industry has seen consolidation through companies like AMR (Global Medical Response), Priority Ambulance, and regional operators. Services with exclusive territories and strong government relationships are highly sought after. Use our free calculator above to get your instant estimate, then track your value monthly with YourExitValue.
Frequently Asked Questions
What multiple do ambulance companies sell for?
Medical transport companies typically sell for 2.5x – 4.0x SDE or 4x – 7x EBITDA. Companies with 911 contracts, ALS capability, and modern fleets command the higher end.
How do 911 contracts affect ambulance business value?
Significantly. Municipal 911 contracts provide guaranteed call volume and often exclusive territory rights. A company with 911 contracts is far more valuable than one doing only transport or private calls.
Who buys ambulance and medical transport companies?
Regional EMS consolidators are most active, building multi-county networks. Hospital systems, national EMS providers expanding into new markets, and PE-backed platforms also acquire operations.
How does fleet age affect my ambulance company value?
Buyers assess fleet condition carefully. Ambulances under 5 years old with good maintenance records are assets. Older, high-mileage units get deducted from offers—sometimes significantly.
Should I add 911 service before selling?
If you can win a municipal contract, absolutely—it dramatically increases value. However, 911 contracts are competitive and require significant capability. Focus on what's achievable for your operation.
What's the fastest way to increase my medical transport value?
Three high-impact moves: 1) Pursue any available 911 or healthcare system contracts, 2) Update fleet to reduce average vehicle age, 3) Clean up billing operations to demonstrate strong collection rates.