

State:
Not Disclosed
Category:
Software & Technology
Asking Price:
-
Revenue:
$42,600,000

OPPORTUNITY OVERVIEW
Exclusive representation by PRIME exits® & American Healthcare Capital. The Company is a founder-led healthcare cost-containment platform serving self-funded employers, benefit-channel partners and healthcare savings stakeholders. The platform helps clients reduce spend across high-cost categories through a recurring, service-enabled model that combines technology-enabled access, contracted savings solutions, bundled pricing and dedicated nurse-led member support.
The business addresses two persistent sources of employer healthcare cost pressure: specialty pharmaceutical spend and high-cost elective surgery / imaging expenses. Its programs operate as a voluntary overlay to existing health plans, enabling clients to pursue measurable savings without disrupting plan architecture, broker relationships, TPA (Third Party-Administrator) arrangements or member benefit structures.
Management reports approximately $27 million of recent annual revenue, approximately $42.6 million of projected next-twelve-month revenue and approximately 99% recurring revenue. The Company generated approximately $10.0 millions of salary-normalized EBITDA for the recent period and management estimates 2026E EBITDA of approximately $20.0 million, subject to diligence.
PLATFORM HIGHLIGHTS
• Self-funded employer and benefit-channel focus
• Recurring platform with service-enabled savings model
• Specialty Rx plus bundled surgery / imaging navigation
• U.S.-licensed nurse-led member support
• Voluntary overlay with limited plan disruption
• 2026E EBITDA of approximately $20.0M
DIFFERENTIATION
Nurse-led member engagement is central to the model. Dedicated registered nurses support communications, clinical documentation, provider selection, logistics and ongoing member guidance, helping convert identified savings opportunities into actual realized savings.
The bundled surgery and imaging solution provides access to a broad national footprint of more than 3,600 facilities nationwide, bundled pricing, no balance billing and nurse coordination, with pricing options including a low PEPM (Per Employee Per Member) access fee and/or a shared savings model based on utilization.
BUYER UNIVERSE
• Healthcare services platforms
• TPA / benefit administrator ecosystems
• Stop-loss or captive-channel participants
• PBM-adjacent savings platforms
• Employer-benefits technology companies
• Healthcare-focused private equity sponsors
TRANSACTION OBJECTIVE
• Majority recapitalization
• Meaningful seller rollover
• Strategic or institutional partner
• Target close: within 90 days
• Exclusively represented by PRIME exits® and AHC
ASKING PRICE
Enterprise value and asking price will be determined through discussions with qualified buyers and investors. The final negotiated price is expected to be structured on a debt-free basis and to exclude cash, accounts receivable, normalized working capital and any real estate assets, unless otherwise agreed. Final rollover equity, debt treatment, working-capital mechanics and purchase-price adjustments will be subject to diligence and definitive documentation.
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