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Deal Alert: High-Margin Healthcare Logistics Co. (Texas-Based)

šŸ“ Location: Texas
šŸ’° Revenue: $7.7M
šŸ’ø Asking Price: $12.5M (5x EBITDA)

šŸŒŸ Why This Business is Great:

āœ” Mission-Critical Service in a Growing Market
This isnā€™t just another transportation company. It sits at the intersection of healthcare and logisticsā€”two sectors that rarely go out of style. As the population ages and chronic conditions rise, the demand for reliable, non-emergency medical transport is only increasing. This company is already embedded in the system with 30+ facility contracts.

āœ” Recurring Revenue + Real Infrastructure
This business runs 24/7 with 19 ambulances, wheelchair vans, and a 100-person team. Most payments come from rock-solid sources: Medicare, Medicaid, and major insurers like Aetna and United. 80% of revenue is collected in under 60 days. Thatā€™s a working capital dream. Plus, theyā€™ve got a remote ops team in the Philippines keeping things lean.

āœ” Word-of-Mouth Growth = Untapped Marketing Upside
Zero dollars spent on digital marketing. All current growth has come through relationships and reputation. In a world obsessed with performance marketing and attribution dashboards, this is refreshingā€”and a massive opportunity for someone who knows how to turn on a paid growth engine.

āœ” Hands-Off Owner + Clean Ops
The owner only works ~20 hours per week. The business is tech-enabled using AngelTrack EMS software, and ops are clearly dialed in. This isnā€™t a mess you need to fix. Itā€™s a machine you can pour fuel into.

šŸš§ Challenges & Risks:

āŒ No SBA Lending Option
At this price point, SBA lending is off the table. Youā€™ll need real cash or a capital partner. Not a starter deal.

āŒ Regulatory Complexity
Itā€™s healthcare. Licenses, compliance, billing codesā€”itā€™s not beginner-friendly. But the good news is: itā€™s already compliant and running smoothly.

āŒ Staffing & Vehicle Management
Managing 100 people and a full fleet isnā€™t for the faint of heart. Dispatch, scheduling, and maintenance all need tight systems. Luckily, theyā€™re already in place. Still, operational discipline is key.

šŸš€ Growth Opportunities:

šŸ”¹ Digital Marketing to Attract Private Pay Clients
A simple Facebook/Google ad campaign could unlock high-margin direct-pay clients. No need to reinvent the wheelā€”just show up online.

šŸ”¹ Hospital Partnerships & Enterprise Sales
Hiring a sales lead to secure more institutional contracts (hospitals, hospices, specialty clinics) could drive serious volume.

šŸ”¹ Franchise Model or Regional Rollup
This business could be the platform for a regional roll-up. Texas is hugeā€”and so is the need. Smaller competitors are out there, and this brand could become the umbrella.

šŸ”¹ Fleet Utilization Optimization
Better software-driven dispatching = more revenue per vehicle. That alone could lift margins without lifting headcount.

šŸ” My Analysis:

This is a textbook example of an unsexy business that prints money. Healthcare logistics is boringā€”but boring is beautiful when it's systemized, stable, and in demand. The fact that theyā€™ve grown purely through relationships and referrals tells me thereā€™s significant low-hanging fruit on the growth side.

This deal is for a seasoned operator or investor who wants exposure to healthcare without dealing with physicians or surgery centers. Itā€™s a cashflow-rich, contract-backed business that could become the base for something much biggerā€”with a team, tech, and ops already in place.

If youā€™ve got the capitalā€”or the network to raise itā€”this could be your move into a recession-resistant, high-trust, service-first industry.

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This is a smart strategic bolt-on. Azelis isn't just buying customersā€”itā€™s buying expertise, long-term supplier trust, and deeper access to a fast-growing sector. These small, focused acquisitions are often overlooked but can compound growth and margin over time, especially in fragmented markets like nutraceuticals. I expect to see more moves like this across Europe.

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