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He won big facility contracts overnight — and doubled his fleet! | NEMT Experts Podcast E93
November 5, 2025

He won big facility contracts overnight — and doubled his fleet! | NEMT Experts Podcast E93

He won big facility contracts overnight — and doubled his fleet! | NEMT Experts Podcast E93

He won big facility contracts overnight — and doubled his fleet! | NEMT Experts Podcast E93

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He won big facility contracts overnight — and doubled his fleet!  |  NEMT Experts Podcast E93

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In this Episode 93 of the NEMT Experts Podcast, we talk with Derrick Kirunda, the owner of Care Route Medical Transportation, a fast-growing NEMT business in Seattle, WA, on how he's been able to win facility contracts so quickly.

Top 3 Takeaways

Be ready and you win the moment. A competitor was exposed for no insurance and the hospital moved all rides to Care Route overnight. Because licenses, insurance, and vehicles were ready, Derek captured the work and doubled the fleet fast by renting short term, then financing more vans.
Make it easy for facilities. Most partners don’t even use a formal contract. They book through Bambi’s portal, get confirmations, and Care Route accepts ~90% of requests. Reliability, branded vehicles, and Google reviews feed steady private and facility demand.
Grow where others hesitate. Non-emergency discharges via Broda chairs and stretcher work are profitable and practical. Care Route trained and certified for stretchers, priced Broda correctly, and aims to be the Seattle region’s go-to for hospital discharges.

Top 3 Quotes — Derek Kirunda


“They terminated the contract and the next company they called was Care Route. We were ready.”
“Most facilities don’t need a formal contract. They book in Bambi and 90% of the time we take it.”
“If a patient is discharging, they don’t need an ambulance.”

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