Ambulette, Transport, and Courier Company for Sale in Onondaga County, NY

This listing presents a well-established, family-run non-emergency medical transport (NEMT) company with 16 years of operational history in Central New York. The business holds licenses in 12 counties and possesses a unique MLT DOT Top Vendor status, enabling transport across other NY counties. It benefits from a diversified revenue base, securing contracts with entities such as the VA (serving eight facilities), Medicaid (covering specialized patient groups like Alzheimer's, TBI, and drug rehabilitation), county schools (for special needs students), private pay clients (for events like weddings and funerals), hospitals, and the Department of Corrections. Furthermore, the company holds US Interstate Authority for out-of-state transports and Federal Motor Authority for Canada, alongside a rarely utilized NYS Courier License that offers a potential $2M in revenue for medication, legal, and banking services.

Operationally, the company utilizes proprietary Routing Box software integrated with MAS and employs licensed staff. It currently operates a fleet of 23 late-model vans, wheelchair vehicles, and stretcher vans, a reduction from pre-COVID levels, and frequently turns away dozens of daily trips due to fleet limitations. This indicates substantial unmet demand, particularly across six western counties and Northern Pennsylvania. The revenue mix is predominantly Medicaid (69%), followed by facility contracts (14%), school contracts (9%), and private pay (8%). Significant revenue and margin improvements are anticipated for 2025 due to double-digit Medicaid rate increases (up to 36% per county) implemented in 2024.

The business operates from a large DOT-approved repair facility staffed by a full-time mechanic. The associated 2-acre property, featuring rentable retail space, modern upgrades, and adjacent self-storage structures, is available for purchase or lease at $750,000. The owners, who are retiring and have other businesses, are committed to providing up to one year of assistance post-sale. The seller is seeking a local owner-operator with demonstrated funds and experience in senior care, transport, or logistics, and notes that SBA/bank financing is unavailable, though seller financing is offered for the property. The company's diverse contracts, high demand, and strategic location position it for rapid growth through fleet expansion.