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An Ainsley Capital Company

NEMT was built by people who saw patients as fares. We don't.

Non-Emergency Medical Transportation (NEMT) is a marketplace dominated by people who do not understand healthcare. We are here to change that.

Explore the platform
Investor Brief
$40B
Unbuilt logistics market
5.8M
Missed care annually
$150B
 Cost of missed care
$1.4B
 Fraud recovered (2024)
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Healthcare will not fully transform until transportation itself becomes clinical-grade infrastructure.

— Ainsley MacLean, MD, FACR · Ainsley Capital
The Broken Market

NEMT runs on broken infrastructure

NEMT is one of the most fraud-exposed sectors in U.S. healthcare, with $1.4B recovered in 2024 alone. But fraud is a symptom — the real issue is outdated infrastructure.

carcompany.ai is rebuilding it — starting with NEMT, expanding across healthcare logistics.

In numbers
$84M+

Ghost rides (New York)

Improper Medicaid claims for noncompliant NEMT trips.

200

Convictions (U.S., 5 yrs)

Fraud across 25 states tied to NEMT billing.

29%

Billing drop (Minnesota)

Oversight reduced spend across high-risk programs.

The Fleet

Five levels. One system.

Every patient is different. Vehicles match the clinical need.

Silver ambulance van with rear and side doors open showing medical equipment inside, parked in a spacious warehouse with stacked boxes.White ambulance van with side and rear doors open showing medical equipment and a stretcher inside.
BLS

BLS Ambulance

Basic life support

Medical monitoring during transport with oxygen or AED support.
For patients not requiring advanced life support.

Silver ambulance van with side and rear doors open showing medical equipment and stretcher inside in a large industrial garage.Silver ambulance with side and rear doors open showing medical equipment and stretcher inside, parked in a large indoor space.
ALS

ALS Ambulance

Advanced life support

Paramedic-level care with IV therapy and cardiac monitoring.
Bridging NEMT transport and emergency response.

Silver compact electric van with front door and sliding side door open, showing interior seats and storage area, parked inside a large industrial garage.Silver compact van with front door open, sliding rear door open, and rear hatch lifted, showing an extendable cargo box.
Ambulatory

Sedan Transport

Standard Vehicle

For patients who walk independently and need no clinical support. Trips to specialists, dialysis, behavioral health, or pharmacies.

Silver accessible van with side door open and rear ramp deployed with a wheelchair on the ramp inside a large garage.White accessible van with side door open and wheelchair lift deployed at rear inside a garage.
Wheelchair

Wheelchair Van

Wheelchair Accessible Vehicle (WAV)

For patients who need wheelchair transport. Vehicles equipped with hydraulic lifts and WC19 securement. AMDS-certified drivers ensure safe mobility.

Silver wheelchair-accessible van with side door and rear hatch open, showing a yellow stretcher and ramp.Side view of a silver wheelchair-accessible van with its sliding door and rear hatch open, showing a folded wheelchair and a wheelchair ramp extended.
STRETCHER

Stretcher Van

Non-emergency stretcher transport

For non-ambulatory patients who cannot sit upright.
Used for post-surgical and facility-to-facility transfers.

Embedded in the Member Journey

We start with the ride. We don't stop there.

A GPS-tracked network moves more than patients — it delivers care.

Now
01
"Where it starts"

The Ride

 Move the patient. Verify the trip.

• All transport types (ambulatory → ALS)
• Credentialed drivers
• Real-time tracking + verification
• Integrated with care teams
Next
02
"Care doesn't stop at the clinic door"

The Delivery

Deliver what the patient needs to their home. Track it end-to-end.

• Rx + DME delivery
• Equipment setup
• Chain of custody
•  Linked to care records
Horizon
03
"Bring the care to them"

The Clinician

Dispatch healthcare professionals to the home.

• Nurses + aides
• Physician visits
• Mobile labs + diagnostics
• Clinical handoff documented
Horizon
Next
Now
The Intelligence Layer

Every vehicle

is a sensor.

Most fleets move patients.
Ours captures what happens along the way.

• Location, timing, routing — in real time
• Pickup, drop-off, and handoff verification
• Chain of custody across care events

That data doesn’t sit in logs. It feeds the system.
Every mile makes the network smarter.

Learn about the platform
GPS + Verify

Live Trip Verification

Real-time GPS closes the loop between authorization, dispatch, and delivery.

Handoff

Clinical Handoff Confirmation

Pickup and drop-off are logged, timestamped, and verified.

Dispatch

Demand Forecasting & Routing

Demand predicted by geography and care type. Routes adapt in real time.

Outcomes

Outcome Correlation

Logistics tied to care results.

The Driver Standard

We don't hire drivers. We credential them.

Built for safety, compliance, and clinical accountability.

Gig

Standard 1099 / Rideshare Driver

Uber Health · Lyft Healthcare · Local Taxi Contractors

Driver's License Only

No HIPAA Training

No Passenger Assistance Training

No Wheelchair Securement Certification

No CPR / First Aid

Trip Completion = Success

Clinical

carcompany.ai Credentialed Driver

Credentialed · Trained · Accountable

Full Screening Stack

Health Insurance Portability and Accountability Act (HIPAA) Certified

Passenger Assistance Training (PAT)

Advanced Mobility Device Securement (AMDS)

CPR / First Aid Certified

Care Team Accountability

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Investment Thesis

A hidden infrastructure asset

Healthcare logistics combines AI, value-based care, and mobility. Ainsley Capital is building the industry's vital logistics backbone.

Infrastructure, Not Software

Not SaaS, the operational layer healthcare runs on.
Every provider, trip, and care event strengthens the network.

Enforcement Creates the Market

Regulation is tightening. Unverified operators won’t survive.
This system is built for what’s coming.

No Clinical Logistics Category - Yet

Rideshare serves consumers. Brokers handle admin. Neither is clinical-grade.
This is healthcare-native logistics infrastructure.

Every Mile Tied to a Clinical Result

Logistics connects to results. Fewer missed visits.
Better access. Lower cost of care.