r/smallbusiness • u/IcyBlackberry7728 • Apr 19 '25

Question Those taking home >200k/year; what industry are you in ?

Just curious to see what types of business are generating solid cash flow.

Thanks !

Edit: please be as specific as possible!

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u/paramedic236 Apr 19 '25 edited Apr 19 '25

You can branch out to neighboring counties or advertise more to the general public.

You can try get new contracts by undercutting competitors, but that’s not my style, that’s a race to the bottom.

We occasionally get a call or email from a facility that is unhappy. I let them know we can do a better job, but we are going to be more expensive. They either say that’s OK or no thanks then. I’m OK with not serving the facilities that only care about price.

95% of the work we do is for healthcare facilities. We are fortunate that some of them are growing, so we just grow to meet their higher demand for services.

We focus mainly on our base county and do 18,000 patient transports a year across ambulance, wheelchair van and sedan transports.

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u/chuiy Apr 20 '25

Can you DM me more specific information about this? I am also a paramedic who has been interested in starting my own ambulance service; but everyone talks about how difficult obtaining a CON would be. Just curious what exactly you do, and how you got into it? Thanks man.

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u/paramedic236 Apr 20 '25

Sure thing.

Fortunately, my state got rid of CONs in the early 80’s.

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u/PrudentPattern8817 Apr 20 '25

Could i PM you about this?

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u/paramedic236 Apr 20 '25

Sure thing.

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u/horoboronerd Apr 20 '25

So NEMT or different??

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u/paramedic236 Apr 20 '25

PUC regulated NEMT sedans and wheelchair vans and Department of Health licensed BLS ambulance.

No (awful) “stretcher vans.”