Case Study

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Industry Consolidation of Air Medical Transportation Services

  • Location: Southwestern United States
  • Sectors: Healthcare Services, Air Ambulance Services
  • Ownership: Private Equity Held
  • Situation Type: Strategic Acquisition

Company Overview:

Leading air medical transport membership provider serving members worldwide.


Brookline acted as a buy-side advisor to the largest air ambulance company in the industry to support the acquisition of a smaller company that served the international repatriation niche. The target company was facing financial challenges and a strategic acquisition allowed the company to avoid reorganization. The target business was attractive to the buyer as it would facilitate its expansion into international repatriation which could be offered to the buyer's existing members.

Brookline's Tailored Approach:

Brookline assisted the acquirer throughout the acquisition process. Brookline identified solutions that achieved the goals and objectives of all parties involved to secure a successful transaction. Brookline prepared the letter of intent, assisted with diligence, and supported the negotiation and ultimate execution of definitive agreements.


The private equity-backed buyer with enterprise value over $1B platform acquired 100% of the target company, including aircraft assets and contracts, through an accretive merger. The transaction salvaged the target company's business, meanwhile creating a new growth opportunity for the combined business going forward. The combination of the two companies in the repatriation niche channel enabled the combined company to further build out an offering to the buyer's significant existing membership.

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