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One Child Health

One Child Health · Kentucky

It started with one kid.

one kid at a time

01 · The system

Nineteen Kentucky counties have no rural health clinic. Not one.

McCreary County
41.5% of children grow up below the poverty line. 94% are on Medicaid.
Harlan County
38.2% of children below the poverty line. 85% on Medicaid.
Owsley County
One of the highest child-need scores in the state.
Contour lines of the child-need score across Kentucky, drawn like elevation lines. The need concentrates in the eastern mountains.
Child-need score · contoured from 120 counties · verified federal data

The problem is distance. Not the people.

02 · The turn

So we’re lighting it back. One certified clinic. One county. Then the next.

One Child Health builds certified rural pediatric clinics across Kentucky. Built to be profitable. Built to fund something bigger.

03 · The model

A+ Pediatrics proved it: a rural pediatric clinic that works — and pays for itself.

The flagship, in Irvine, Kentucky. Estill County. Opened May 2023, certified as a Rural Health Clinic eight months later.

28%
Net margin — flagship actual, Feb–May 2026
$1.36M
Annualized revenue — flagship run rate
14,000
Encounters per year — mature-clinic target
~$2M
Revenue per mature clinic, at today's RHC rate

Rural Health Clinic certification pays a cost-based rate per encounter — the federal mechanism that makes a small clinic in a small county a sound business.

Two clinics next. Then three. Then fifteen — county by county.

04 · The engine

We know where the next light goes. Down to the county.

Every one of Kentucky’s 120 counties, scored on need, rural fit, volume, and competition — on verified federal data.

The next county is already chosen.

A dark map of Kentucky with sixteen warm lights joined by thin gold threads — the flagship clinic and the fifteen highest-ranked counties, connected into one network.

One light becomes a network.

This is rural Kentucky when no child is out of reach.

05 · The destination

The clinics are the engine. The mission is the destination.

A foundation for foster and abused children in rural Kentucky — funded by the network. That’s why we started.

One Child Foundation

06 · The invitation

Light the next one.