Home
/
Podcast
/
Episode
111
The NEMT Experts Podcast
Private Pay
Episode
111
Published
May 27, 2026
·
24 min 15 sec
watch or listen

7 Vans, Facility Contracts: Private-Pay Playbook in Tennessee

Is private pay really better than broker work in NEMT? Gold Star runs 90% private pay and cut dispatch calls from 40 a day to five.

In this episode

Joe Hiltz
Gold Star Transportation
Knoxville, Tennessee
Hosted by
Nirav Chheda
CEO and co-founder of Bambi
Listen or watch
Watch on YouTube
Running an NEMT fleet?
Book a Bambi demo

About this episode

Joe Hiltz, operations manager at Gold Star Transportation in Knoxville, Tennessee, runs a seven-van fleet where about 90% of the volume is private pay and only a select few brokers are in the mix. After the company replaced an app called Workforce with Bambi, daily dispatch phone calls fell from 20 to 40 down to roughly five, and the dispatcher now books three to six days out in minutes. Hiltz starts at 3 a.m. reviewing the prior day's revenue and on-time performance, assigns vans by Knoxville sector, and wants unloaded miles at 10 to 15% instead of 20 to 30%.

Key takeaways

  • Gold Star started in 2017 when Scott and Sharon bought one van, hit five vans by 2021, and now runs seven: one wheelchair-only, six wheelchair and stretcher capable.
  • Trip volume splits roughly 25% individuals paying out of pocket and 75% facility private pay, the side Hiltz calls the company's meat and potatoes.
  • Private-pay facilities enter their own trips in the Bambi ordering portal, so mistakes surface at the facility before dispatch; brokers stay off the portal and confirm by phone and email.
  • Facilities owe a fee for cancelling inside four hours of the appointment, and when a no-show frees a van, crews near overtime go home so trips get reassigned toward 40 hours.
  • Growth came by word of mouth, from one facility in Blount County to more than 50, with three quarters of the large facilities using Gold Star exclusively.

Chapters

  • 0:00 Intro: The shift to private-pay facility contracts
  • 0:37 How Joe Hilts entered the NEMT industry
  • 1:21 Gold Star Transportation’s history & controlled 7-van fleet growth
  • 2:40 Eliminating downtime and paper tracking with Bambi
  • 5:14 Private-Pay vs. Broker Trips: The ultimate ROI breakdown
  • 7:27 A day in the life of an NEMT Operations Manager
  • 11:13 Strategies for reducing empty miles & sector-based routing
  • 14:47 Managing driver overtime and facility no-shows
  • 16:45 NEMT Marketing: How word-of-mouth drives massive growth
  • 19:40 Securing and retaining 50+ healthcare facility partnerships
  • 22:38 Using "Run Bambi Run" to automate scheduling and dispatch

Fuel for Your Fleet (and Your Brain).

See All Resources
Ambiance Cut 64 Unpaid Miles a Day
Case Study

Ambiance Cut 64 Unpaid Miles a Day

Real numbers from a real provider: +34% daily efficiency, deadhead miles nearly halved, one vehicle freed up.

Learn more
NEMT Business Startup Checklist: Essential Steps
Checklist

NEMT Business Startup Checklist: Essential Steps

Everything you need to get on the road, from licensing and vehicles to your first contracts.

Learn more
Guide to Starting an NEMT Business in Your State
Guide

Guide to Starting an NEMT Business in Your State

Licensing, vehicles, insurance, and Medicaid enrollment, step by step for your state.

Learn more
"Run Bambi Run":
Video

"Run Bambi Run":

See why we built Bambi and what the name really means. Under five minutes.

Learn more
What is Bambi NEMT?
Video

What is Bambi NEMT?

The all-in-one platform built only for NEMT: scheduling, dispatch, billing, and the driver app in one place.

Learn more

Ready to Run with Bambi?

Scheduling, dispatch, routing, billing, and reporting — all in one AI-powered platform built for NEMT operators who are done managing chaos and ready to manage growth
Trusted by 700+ Owners & Operators
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
bambi software