Expansion footprint Target expansion opportunities in upstate New York beyond Rochester, focusing on Syracuse and Binghamton where EPI already operates and serves over 7,000 individuals, indicating potential for service line ups and new client referrals.

Integrated care platforms EPI delivers self-direction, day and community habilitation, residential services, respite, and home health. Position cross-sell of additional support services, care management, and epilepsy-focused programs to existing and partner agencies seeking comprehensive disability care bundles.

Epilepsy specialization Owns the only week-long epilepsy camp in New York State, highlighting a strong niche. Leverage epilepsy education, caregiver training, and camp-related programs to create partnerships with hospitals, schools, and community organizations for referral streams and joint programs.

Tech-enabled operations Uses Dayforce HCM and other tech tools for HR and operations. Opportunity to offer payroll, scheduling, and compliance optimization solutions tailored to nonprofit social service providers with complex staffing needs and state/federal reporting requirements.

Financial scale Revenue in the $50M–$100M range with 201–500 employees suggests readiness for enterprise partnerships, vendor services, and scalable solutions such as ERP integrations, data analytics, and contract management to support growth and regulatory compliance.