7 Vans, Facility Contracts: Private-Pay Playbook in Tennessee | NEMT Experts Podcast Episode 111

Growing a $2M/Year Non Emergency Medical Transportation Business | NEMT Experts Podcast Episode 110

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Bambi CEO Nirav Chheda talks with Joe Hiltz, Operations Manager at Gold Star Transportation in Knoxville, Tennessee about how they've organically grown their NEMT business to 7 vans through facility-based private-pay work, and about the operational strategies they've employed to run efficiently.

Top 3 takeaways:

‍1. Private-pay relationships can build a powerhouse NEMT business
‍Gold Star Transportation grew to 7 vans and 50+ facilities with roughly 90% private-pay work, relying heavily on reputation, reliability, and facility relationships instead of brokers.

‍2. Operational efficiency is the difference between surviving and scaling
‍By reducing downtime, empty miles, and manual dispatch chaos, the team transformed utilization and profitability through smarter routing, regional van assignments, and real-time dispatching.

‍3. Reputation compounds faster than marketing
‍Most facilities came to Gold Star through word of mouth. Consistency, clean vehicles, personal care, and showing up on time became their strongest growth engine.

Top 3 Quotes

‍1. – Joe Hiltz
‍“The wheels are turning and the company is earning.”

‍2. – Joe Hiltz
‍“Your only sustainable resource are your people. And if you don’t take care of them, they will not take care of you.”

‍3. – Joe Hiltz
‍“That reputation, that word of mouth spreads. That’s what we’re known for.”

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7 Vans, Facility Contracts: Private-Pay Playbook in Tennessee | NEMT Experts Podcast Episode 111

Comments

Schedule and reschedule trips in real time. For real.