James Smith
President
EMS & NEMT Industry Expert with 30+ Years of Experience
James Smith is a well-known businessman with over 30 years of experience in the Emergency Medical Services (EMS) and Non-Emergency Medical Transportation (NEMT) industries. Starting as an EMT in 1992 to co-founding one of Pennsylvania’s largest NEMT providers, he remains active in EMS, serving as the Director of Operations for the same Non-Profit Ambulance Company. In 1995, he co-founded a NEMT/EMS company that has grown into one of the largest providers in Pennsylvania, employing over 200 people with a fleet exceeding 130 vehicles.
Cara Smith
Vice President
Experienced NEMT Executive & Entrepreneur
Cara Smith has over 15 years of experience in the Non-Emergency Medical Transportation (NEMT) industry, including 10 years as an Emergency Medical Technician (EMT) and more than 20 years in administrative and management roles. Her leadership, passion, and dedication have been instrumental in driving company growth and success. As the CEO of R4H Medical Transportation in Indiana County, PA, she has rapidly expanded the business, growing it to a fleet of 40 vehicles and over 80 employees in just three years.
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