Full-Service Managed Care Organization
Managed Care Organization Serving the Northeastern U.S.
On NextCompany since September 30, 2026 (15 days)
Location undisclosed
Business overview
Three entities provide MCO/PPO medical cost containment for workers’ compensation, personal injury protection, and auto claims. They serve insurers, self-insurers, administrators, and insurance funds across the Northeastern U.S. The organization earns percentage-of-savings fees and recurring monthly premiums. Repeat clients generated 94% of 2025 revenue.
The organization reported $12,060,637 in revenue and $1,075,335 in EBITDA. Its proprietary PPO network delivers 66% average client savings, according to management. Proprietary technology supports real-time claims monitoring and creates white-label partnership opportunities. The organization leases a 10,000 sq. ft. facility and a virtual office; both leases are assumable after sale.
Who is a good fit for this business
- Strategic acquirers in workers’ compensation claims services seeking MCO/PPO cost containment capabilities.
- Buyers seeking recurring premium agreements with insurers, self-insurers, administrators, and insurance funds.
- Healthcare technology buyers interested in real-time claims monitoring and white-label partnerships.
Details
- Reason for selling
- One majority shareholder and two minority shareholders seek a full exit to pursue unrelated business opportunities.
- Real estate
- Leased
Frequently Asked Questions
Three entities provide MCO/PPO medical cost containment for workers’ compensation, personal injury protection, and auto claims. They serve insurers, self-insurers, administrators, and insurance funds across the Northeastern U.S.
The organization charges percentage-of-savings fees and receives recurring monthly premiums. Repeat clients generated 94% of its 2025 revenue.
The listing reports $12,060,637 in gross revenue and $1,075,335 in EBITDA. These figures describe the organization’s financial performance.
Proprietary technology supports real-time claims monitoring. The listing identifies expansion and white-label partnerships as growth opportunities, and management reports 66% average client savings through its proprietary PPO network.
The organization leases a 10,000 sq. ft. facility and a virtual office. A buyer can assume both leases after the sale.