This long-established (16 years), family-run non-emergency medical transport (NEMT) company is licensed in 12 Central New York counties and holds a unique MLT DOT Top Vendor status, allowing transport in other NY counties as well. It has diverse contracts including the VA (serving eight facilities), Medicaid (covering Alzheimer’s, adult daycare, TBI patients, and drug rehabilitation livery services), county schools (special needs, blind, and deaf students at $500–$700/day), private pay services (weddings, funerals, graduations, reunions, and unique premium trips such as $3,000 transports), hospitals (including one in Pennsylvania), and the Department of Corrections. The company has US Interstate Authority for out-of-state transports (e.g., Utica to Wisconsin at $11,000), Federal Motor Authority for Canada, and a rarely used NYS Courier License that permits medication, legal, and banking courier services statewide, representing a $2M potential. It operates with proprietary Routing Box software fully integrated with MAS, employs licensed staff, and runs a fleet of 23 late-model, well-maintained vans, wheelchair vehicles, and stretcher vans—down from 47 pre-COVID. The business currently turns away dozens of daily trips due to fleet limits, with high unmet demand across six western counties and Northern Pennsylvania. Revenue mix is Medicaid 69%, facility contracts 14%, school contracts 9%, and private pay 8%, and MAS implemented double-digit Medicaid rate increases in 2024 (up to 36% per county), which will significantly boost 2025 revenue and margins. Operations are based in a large DOT-approved repair facility with a full-time mechanic, and the associated 2-acre property with rentable retail space is available for $750,000 (purchase or lease), featuring modern upgrades and adjacent self-storage structures that may also be acquired. Strategically located to serve Syracuse, Albany, Binghamton, Cortland, Oneonta, and beyond, the company’s unmatched diversity of contracts and demand position it for rapid growth; adding vehicles (approx. $80k each) and drivers could double gross revenue. Owners, at retirement age with other businesses, will assist for up to one year post-sale. The seller seeks a local Central NY or Northern PA owner-operator with proof of at least $1M in funds and experience in senior care, transport, or logistics; no private equity or SBA/bank financing is available, though seller financing is offered for the business and property. For more information, contact broker Joseph Stansky at 631-383-3109. In addition, please register with the listing number above by going to vestedbb.com, enter this number into the search bar, expand the listing, click on “view free financials”, fill out the short contact form and you are registered. This is our electronic non-disclosure agreement. Attention Business Owners: We are always in search of quality businesses to list, so if you are thinking of selling your business or would like to acquire another business, please email us at listingmanager@vestedbb.com or call us at 1-877-735-5224 to discover the difference that is Vested Business Brokers.