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The NEMT Experts Podcast
Private Pay
Episode
74
Published
June 25, 2025
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24 min 27 sec
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Private Pay NEMT Secrets Revealed – Part 1/2!

How do you land your first private pay NEMT trips? Bruce Troll's new website hit Google's top three and the phone rang in two days.

In this episode

Bruce Troll
Gentle Heart Transportation
Hosted by
Nirav Chheda
CEO and co-founder of Bambi
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About this episode

Bruce Troll, owner of Gentle Heart Transportation in Gainesville, Florida, started running trips on June 1, 2024 with one van and now targets $800 to $1,000 a day per truck. He invested in a website and SEO, landed in Google's top three within two weeks, and took private pay wheelchair calls almost immediately, then won hospital and hospice work by accepting a 9 PM Friday stretcher transfer nobody else would. Trips average about $95 on a $55 base plus mileage, facility stretcher runs go for $105, and a 65 mile transport becomes a $400 ride because he builds dead miles into the price.

Key takeaways

  • A website with real SEO put Gentle Heart in Google's top three within a week or two, and Troll says the phone rang with private pay wheelchair rides a day or two later.
  • His first stretcher job was a 9 PM Friday hospital transfer over an hour away that nobody else wanted, and it turned into a standing relationship with that hospital.
  • Responsiveness closed a two month assisted living contract: Troll answered the emailed request from his couch at 10 PM while other providers never replied or took two weeks.
  • Troll covers every stretcher and pillow with single use covers and bans shorts on the job, requiring khakis or jeans and a company polo, because hospital nurses notice.
  • Ten broker ambulatory trips at $15 each is $150 for a full day, which is why Troll grades himself on daily revenue per truck rather than trip count.

Chapters

  • 0:00 Introduction: The TRUTH About NEMT Metrics: Revenue is BETTER than Number of Rides
  • 0:55 How Bruce Started His NEMT Business by Accident
  • 4:10 SECRET #1: Getting Your First Private Pay Trips with a Good Website & SEO
  • 7:05 How to Get Your First Stretcher Transport Contracts with Hospitals
  • 7:55 SECRET #2: The Right Way to Market to Facilities, Hospices & Hospitals
  • 9:30 SECRET #3: The "Just Say Yes" Philosophy to Win More Business
  • 13:10 SECRET #4: Using Professionalism to Stand Out from the Competition
  • 15:45 The Power of Responsiveness: Answering the Phone Wins Contracts
  • 19:50 The Most Important Metric for NEMT Success (It's NOT Total Trips!)
  • 22:12 NEMT Pricing Strategy: How Much to Charge for Wheelchair vs. Stretcher

Fuel for Your Fleet (and Your Brain).

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