Starting & scaling
Every NEMT company starts the same way: a van, a phone, and a first rider. What separates the ones that get to five vans from the ones that quietly stall at one mostly isn't luck. It's trip sources, systems, and knowing which mistakes to skip.
These are stories and playbooks from operators who've made the jump. One went from zero to five vans in a year. Two came in from real estate and scaled on systems from day one. And alongside the growth stories, the unglamorous parts that decide it: hiring, picking trip sources, and planning your finances so the business actually builds your wealth.
New here? Start with Building a Scalable NEMT Business from Day 1. The rest builds on it.
Building a Scalable NEMT Business from Day 1
Ray and Mac came into NEMT from real estate with tight systems and a private-pay focus. Two vehicles and 45 five-star reviews later, here's how they did it.
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Why Most NEMT Companies Struggle to Scale (And How Duet Fixes It)
Why most NEMT companies struggle to scale, and how better dispatch, operations, and backend systems reduce chaos and support long-term growth.
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Secrets of Sustainable NEMT Growth
Capital Area Transport Service's Eugene Gindin on hiring, trip sourcing, and government contracts — and why 90% of NEMT owners fail (and how to avoid it).
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How to Retire Rich from NEMT
NW Mutual's Daniel Baker and Jason Vanhorn on financial planning for NEMT operators: wealth-building, asset protection, benefits, and diversification.
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From 0 to 5 vans in one year
Gentle Turns owner Paul Muench on launching an NEMT service from scratch and scaling to 5 vans in 12 months — pricing, marketing, and lessons learned.
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Succeed in NEMT services
The Transportation Alliance webinar with Duet cofounders on five key actions to launch or scale a successful NEMT operation across multiple states.
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Filed under other topics, worth reading alongside these.
