A major restructuring is underway in Ontario in the delivery of a wide range of public services, including healthcare, public transit and ambulance services. The resulting trends in these three industries have converged in a number of models for the delivery of non-emergency patient transfers. Hospitals find themselves involved in the business of transportation: engaged in new partnerships, and making new choices, to manage the movement of stable patients between sites, to medical procedures and to return home. This article offers insights and lessons from some of the transportation professionals who have been advising and assisting healthcare professionals on this new responsibility.