Source. NYS DOH LHCSA Annual Statistical Report (2023 reporting period, 1,070 licensed agencies statewide), enriched with NYS Department of State filings, NYS Health Profiles, GuideStar, and agency websites for ownership data not published by DOH. Moratorium policy: DOH LHCSA moratorium page.

Geography filter. 20 counties across 4 markets. Capital Region: Albany, Rensselaer, Schenectady, Saratoga. Central NY: Onondaga, Madison, Cayuga, Oswego. Western NY: Erie, Niagara. Finger Lakes: Monroe, Ontario, Wayne, Seneca, Yates, Schuyler, Steuben, Livingston, Chemung, Tompkins.

CHOW filter. Under 200 cases (or DOH-redacted, which signals very low volume). Single license location. No national chains, no county health departments, no hospital-system affiliates, no large nonprofits.

Funnel. 1,070 statewide → 162 in the 20-county target → 80 prospects on the board after CHOW filter and prior field research. Albany 22 · Syracuse 24 · Buffalo 23 · Finger Lakes 11.

What we're up against. NY's moratorium on new LHCSA licenses (since 2018) makes CHOW the only entry path. Roughly 80% of agencies in the target geography fail the small-operator filter. They're chains, hospital systems, or county DOHs. Owner names aren't in the DOH file, so every prospect requires a separate DOS or Health Profiles lookup. Many of the smallest operators have no website, no LinkedIn, and redacted case counts. Cold call is the unlock.