This is an opportunity to acquire an established non-emergency medical transportation (NEMT) company serving Columbia and Greene counties in New York State. The business generates over $1 million in annual revenue with $297,000 in seller's discretionary earnings (SDE), supported by a 13-vehicle fleet and a proven operating model built to serve the region's ongoing demand for medical transport.

The owner is retiring after building a stable, cash-flowing operation with established routes, vendor relationships, and a fleet ready to continue serving patients from day one. This is a turnkey opportunity for a buyer to step into a profitable, essential-service business with no reinvention required to maintain current performance.

Beyond its current stability, the business offers a clear and immediate path to growth. Demand in the region currently outpaces the company's available supply and operating hours — a new owner who expands the fleet and extends service hours could realistically grow revenue by more than 30%, without needing to build new territory. For a buyer seeking a profitable, recession-resistant business with a straightforward growth lever already identified, this NEMT operation represents a compelling opportunity in an essential healthcare services sector.