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The NEMT Experts Podcast
Scaling & Growth
Episode
114
Published
July 8, 2026
·
28 min 29 sec
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He's selling his NEMT business 5 years after starting it!!

What does a NEMT company need to look like for private equity to buy it? Cedric Pashi was told 25 vehicles, $75,000 a month, 20% margins.

In this episode

Cedric Pashi
MyRyde
Cincinnati, Ohio
Hosted by
Nirav Chheda
CEO and co-founder of Bambi
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About this episode

Cedric Pashi co-founded MyRyde in Cincinnati, Ohio two years ago with a fixed plan to sell it in five, and private equity firms have already handed him the spec: at least 25 vehicles, $75,000 a month, and roughly 20% profit margins. MyRyde runs eight vehicles today, has never taken broker work, and books a 60% wheelchair, 40% ambulatory mix through facility and senior-housing partnerships. Pashi plans to add stretcher transport in December by absorbing a small operator that already owns one or two stretcher vans, trading relationships, oversight, compliance, and a mechanic team for a share of that revenue.

Key takeaways

  • About three private equity firms gave Pashi the same floor for a sellable NEMT company: a 25-vehicle fleet minimum, $75,000 per month, and roughly 20% profit margins.
  • Buyers pay for recurring revenue and exclusivity, so MyRyde pursues enterprise contracts with communities of 100-plus residents rather than one-off rides anyone with a car can cover.
  • MyRyde operates eight vehicles, has never done broker work, and splits 60% wheelchair to 40% ambulatory. Private pay arrives unadvertised, purely from the company's Google rank.
  • Pashi reverse-engineers the $75,000 target into roughly 15 partnerships billing $5,000 to $10,000 monthly, pressure-testing the math with a board of three executives that meets quarterly.
  • Seniors prefer a live voice, so MyRyde uses a third-party 24/7 answering service, and dispatchers write route notes drivers read the night before to pre-solve tight transfers.

Chapters

  • 0:00 Build to sell: the 5-year NEMT exit plan
  • 0:23 Meet Cedric Pashi, co-founder of MyRyde NEMT (Cincinnati, Ohio)
  • 2:48 Why they started a non-emergency medical transportation business
  • 4:59 More than transportation: private pay ride packages
  • 6:27 Why 5 years? Learn, earn, scale
  • 8:00 Getting the buyer's blueprint from private equity
  • 9:18 Why NEMT is a growing business opportunity
  • 12:28 What a sellable NEMT company looks like: 25+ vehicles, $75K/month, 20% margins
  • 14:59 The blueprint evolves: niching down on facility partnerships
  • 15:55 How MyRyde wins facility contracts
  • 17:08 8 vehicles, zero broker work: the MyRyde business mix
  • 18:14 The scale plan for the next 3 years
  • 20:56 Recurring revenue and exclusivity: what buyers pay for
  • 22:11 Dispatching that makes the driver's job easy
  • 23:50 Collaborating with competitors: the abundance mindset
  • 25:32 Adding stretcher transport by buying another NEMT company
  • 27:32 The Bambi origin story

Fuel for Your Fleet (and Your Brain).

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