After 18 months of operations, Five Health has proven that our integrated, social determinants-based approach works. Now we’re ready to scale.
This post outlines our expansion strategy for 2026-2028 and the investment required to achieve it.
Where We Are Now
Current capacity (as of June 2026):
- Serving approximately 3,500 unique individuals annually
- Operating primarily in Miami-Dade County
- Four core programs: Home Access, STRIDE Academy, Community Care Days, Bridge Builders
- Staff of 12 (8 FTE, 4 part-time)
- Annual operating budget: $1.2M
Where We’re Going
By December 2028, Five Health aims to:
- Serve 15,000 unique individuals annually (4.3x growth)
- Expand to Broward County
- Launch three additional programs (detailed below)
- Grow staff to 28 (20 FTE, 8 part-time)
- Achieve $3.8M annual operating budget
Expansion Priorities
- Geographic Expansion (2027)
Launch operations in Broward County, focusing on Fort Lauderdale, Pompano Beach, and Deerfield Beach. Model will mirror Miami-Dade approach with local partnership development and community engagement.
- Program Expansion (2026-2027)
New Program 1 – Mobile Health Unit:
Deploy a mobile health clinic to provide on-site services in neighborhoods with limited healthcare access. Services will include primary care, STI testing, vaccinations, and chronic disease management.
New Program 2 – Youth Health Ambassadors:
Train high school and college students as peer health educators. Ambassadors will lead workshops in schools and community settings on topics like sexual health, mental wellness, and substance use prevention.
New Program 3 – Chronic Disease Management Program:
Provide intensive case management for individuals living with diabetes, hypertension, or multiple chronic conditions. Focus on medication adherence, lifestyle modification, and addressing social barriers to health.
- Technology Infrastructure (2026)
Expand Community Connect platform to include:
- Telehealth integration
- Automated appointment reminders
- Real-time resource availability
- Multi-language support (Haitian Creole, Spanish)
- Integration with partner EHR systems
- Data and Evaluation Capacity (2027)
Hire dedicated data analyst and evaluator; implement comprehensive CRM system; develop real-time dashboard for funders.
Financial Sustainability Plan
Current funding sources:
- Foundation grants: 68%
- Government contracts: 22%
- Individual donors: 7%
- Fee-for-service: 3%
Target funding mix by 2028:
- Foundation grants: 50%
- Government contracts: 30%
- Fee-for-service (healthcare system partnerships): 12%
- Individual donors: 8%
The Investment Case
Five Health’s cost per individual served is currently $343. Our expansion plan maintains per-capita costs below $275 through economies of scale and strategic partnerships.
Comparative data shows that healthcare systems spend an average of $1,200 per high-utilizing patient on avoidable emergency department visits and hospitalizations. Five Health’s upstream interventions reduce those costs while improving outcomes.
Partnership Opportunities
We’re seeking expansion partners in three categories:
- Lead funders: Multi-year commitments of $250K+ to anchor specific expansion initiatives
- Program sponsors: $50K-$150K to fund specific programs (mobile unit, youth ambassadors, etc.)
- Operating supporters: Unrestricted gifts that provide flexibility and sustainability
Contact Dr. Amanda Ichite at amanda@5-health.com to schedule a detailed presentation of our expansion plan.
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