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The NEMT Experts Podcast
Scaling & Growth
Episode
76
Published
July 9, 2025
·
35 min 55 sec
watch or listen

This Ohio NEMT Business Is Growing Like Crazy

How fast can a new NEMT company actually grow? Nicholas Simich went from two vans to 13 in about a year on one broker contract.

In this episode

Nicholas Simich
ReliaWheels
Ohio
Hosted by
Nirav Chheda
CEO and co-founder of Bambi
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About this episode

Nicholas Simich left a 10 year corporate finance career, impulse bought a used wheelchair van from his phone while on vacation in Florida, and turned it into ReliaWheels, a 13 van Cleveland, Ohio operation running almost entirely wheelchair trips. First rides came in mid February 2024 from a one man NEMT company around the corner, and a broker contract with Provider Ride signed the same month still supplies most of the volume. He added roughly a van a month, four in his biggest month, and recruits drivers by handing cards to the delivery and rideshare drivers who come to his door.

Key takeaways

  • Easier to be bigger than smaller: on two vans he deadheaded half an hour between trips, and at 13 he is within roughly 20 minutes of any call in Cuyahoga County.
  • Each van runs eight to 15 trips a day depending on trip length. The fleet went from two vans before 2024 to nine by December and 13 by the following spring.
  • Simich treats delivery apps as a hiring pipeline. A pizza driver who knocked on his door got a business card and a job, and he interviews every rideshare driver he books.
  • He pays top of market and handed out $1,500 year end bonuses, which pulls in drivers with 10 years of experience who were being paid $5 less at their old company.
  • Spare keys have cost about $15,000. One driver ran a fob through the wash, and the manufacturer caps how many keys can be programmed per vehicle, so he stockpiles them.

Chapters

  • 0:00 <Untitled Chapter 1>
  • 0:59 The Inspiration Behind ReliaWheels: Discover the personal story that fueled Nick's passion for serving the community through reliable medical transportation.
  • 3:54 Taking the Leap: Learn how Nick went from a career in finance to impulsively buying his first wheelchair van and launching his business.
  • 7:26 Rapid Growth Strategies: Uncover the key decisions and partnerships that allowed ReliaWheels to scale to 13 vans in just 10 months.
  • 16:19 The Art of Hiring: Nick reveals his unconventional and highly effective methods for recruiting and retaining top-tier drivers.
  • 21:40 Overcoming Challenges: Hear firsthand about the hurdles Nick faced and the lessons he learned in staffing, maintenance, and standardizing procedures.
  • 33:42 The Power of Technology: Find out how the right software has been instrumental in managing a large and efficient fleet.

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.

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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.

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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.

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"Run Bambi Run":
Video

"Run Bambi Run":

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

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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
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