The $20,000 NEMT Trip

Most operators treat a long-distance trip like a longer local run. Jeanine doesn't.

Author

James O'Donnell
June 11, 2026 • Estimated Reading Time: 1 minute

This Tuesday: The $20,000 NEMT Trip: How to Do Long Distance - Live Session

If you’d like to learn more about Duet’s software or services (or just chat about how you can grow faster), feel free to grab some time on my calendar.

I've watched a lot of operators get burned on long-distance trips, and it almost always starts the same way: treating a cross-state move like a local run with more miles on it. It isn't. It's a different business with its own vehicles, crews, regulations, and risks, and the trips can run north of $20,000.

So I'm bringing on someone who's built her whole company around getting it right. Jeanine is an RN and the founder of SailorGirl Transport, and she's been specializing in multi-day, cross-state senior moves since 2017. We're going to cover how she prices these trips, when she puts a nurse on board, how she handles multi-state regulations and insurance, and where this work actually comes from.

It's live on Tuesday, June 16, from 1 to 2 PM EDT, with an open Q&A at the end. If you run trips like these, or want to, this is the one to catch. Save your spot: https://luma.com/xoxobc9o

High-Volume vs. High-Margin NEMT: choosing the right business model

Most NEMT providers are quietly running two business models at once, and it's costing them.

I just broke down the fork that decides everything in this business: high-volume or high-margin. The pricing, the operations, the tech stack, even the customers you go after all change depending on which one you commit to. Pick wrong, or try to do both, and you stay stuck.

I also share the story of a provider running 20+ vehicles who lost almost everything overnight from a single broker dispute, and what it taught me about why diversifying your trip sources matters.

If you've ever felt pulled between being the cheap option and the premium one, this is the read.

If you’d like to learn more about Duet’s software or services (or just chat about how you can grow faster), feel free to grab some time on my calendar.

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