Industrial occupational-medicine clinic at I-75 Exit 38 / Hal Rogers Parkway with a DOT-NRCME-certified examiner lane serving I-75 freight through-traffic.

Senture LLC is a Teleperformance subsidiary acquired for $400 million with roughly 80 percent government-services revenue, per Baird and PrivSource acquisition coverage. The company added 400 jobs on the Humana contract across London, Annville, and Williamsburg. Senture's published employment band is 1,000 to 5,000 across six sites. The Laurel-resident share is plausibly 1,000-plus; the exact London-only count is not publicly confirmed.

Walmart Distribution Center #6097 at 3701 Russell Dyche Memorial Highway operates a regional grocery DC with a plausible 800 to 1,200 employees and a forklift fleet of 100 to 300 units. The DC generates continuous pre-employment, post-accident, random, and annual-recurring exams across both warehouse and driver workforces.

Aisin (a Toyota tier-1 supplier), ABC Group (automotive plastics), Highlands Diversified Services (metal stamping, welding, and powder-coat contract manufacturing), Hearthside Food Solutions (contract food manufacturing), and Bimbo Bakeries each operate inside the same labor shed. Combined industrial and freight workforce served runs conservatively 4,000 to 6,000.

Sazerac's Rowland Acres barrel-warehouse and cooperage build-out adds a smaller but growing workforce. The $600 million Sazerac investment was announced November 2022 with 50 KEDFA-counted jobs; first warehouses opened in spring 2025.

DOT National Registry of Certified Medical Examiners (NRCME) physical demand is a separate stream. FMCSA Part 391.41 requires biennial physicals for interstate CDL holders. I-75 Exit 38 is the natural physical-stop node between Lexington and Knoxville. Walmart Private Fleet, JB Hunt, Schneider, regional Kentucky carriers, and owner-operators on the Cincinnati-Knoxville corridor are all within a 20-minute pull.

Saint Joseph London Occupational Health at 1001 Saint Joseph Lane is the principal hospital occupational-medicine surface. The 150-bed hospital sits in a 340,000-square-foot 2010 facility under CHI Saint Joseph Health and CommonSpirit. Its exclusive-employer contract roster against the named industrial base is the single most important verification call for this candidate.

$150K-$500K total launch capital. SBA 7(a) viable. Build-out + equipment + working capital through the payor-credentialing-lag float drive the range.

Build-out (1,500-3,000 sf medical-office space, exam rooms, audiometric booth, spirometry, vision, EKG, lab-draw, urine-collection): $60K-$200K. Equipment + EMR + practice-management software + drug-screen workflow: $30K-$80K. KY OIG facility-licensure application + medical-staff credentialing + payor enrollment + NRCME training and registry fees: $10K-$30K. Insurance Year 1 (medical malpractice, general liability, workers' comp, cyber): $15K-$40K. First 4-6 months of payroll + payor-credentialing-lag float: $35K-$150K.

Year 3 industrial-primary line — pre-employment + injury + drug-screen + return-to-work + annual-recurring physicals + OSHA-surveillance exams across Senture + Walmart DC + Aisin + ABC + HDS + Hearthside + Bimbo + Sazerac. Plausible Year-3 revenue $500K-$1.0M on employer-direct contracts.

Year 3 DOT NRCME secondary line — biennial CDL physicals from I-75 freight through-traffic + Walmart DC drivers + local KY carriers + owner-operators. Plausible Year-3 revenue $200K-$400K at 8-15 DOT physicals per day blended against pre-employment and return-to-duty oversight.

Year-3 gross revenue range $700K-$1.4M. Direct clinical labor (clinician comp at 35-45% of clinical-line revenue), front-office and medical-assistant payroll, lab-fee pass-through, rent, insurance, EMR + practice-management, and SBA debt service against $300-450K of original 7(a) at 10.5% over 10 years are the principal cost lines. Year-3 owner take-home: $150K-$300K depending on payor mix, DOT-physical volume realization, and operator-founder + clinician compensation split.

• Senture LLC HR and Operations (460 Industrial Boulevard, London KY 40741)

  Federal contact-center employer

  Active in market

  Pre-employment, drug-screen, ergonomic, and Employee Assistance Program (EAP) referral pipeline. The Humana-contract 400-job onboarding surge sets the entry timing.
• Walmart Distribution Center #6097 Safety and HR

  DC and DOT-driver employer

  Out-of-county

  DC injury volume plus DOT-driver fleet count. The existing occupational-medicine vendor (Concentra, US HealthWorks, or Saint Joseph London) is not publicly named.
• Saint Joseph London Occupational Health

  Hospital occupational medicine

  Active in market

  The most important verification call for this candidate. Its exclusive-employer-contract roster sets the entry math.
• Aisin, ABC Group, Highlands Diversified Services, Hearthside, and Bimbo (I-75 manufacturing belt)

  Industrial employer pool

  Active in market

  Combined 2,000 to 4,000 employees plausible. Pre-employment, injury, and drug-screen demand.
• Concentra, US HealthWorks, and Premise Health

  National occupational-medicine chains

  Out-of-county

  Corporate-MSA national chains; the competitive-threat profile to plan against.
• FMCSA National Registry of Certified Medical Examiners

  Federal credentialing

  Out-of-county

  NRCME training plus five-year recertification. Drug and Alcohol Clearinghouse registration.
• Kentucky Office of Inspector General Health Facilities and Services

  State facility licensure

  Out-of-county

  Medical-office facility licensure under 902 KAR 20:008.
• LabCorp Employer Solutions and Quest Diagnostics Employer Solutions

  National reference lab and MRO

  Out-of-county

  Confirmatory drug testing, HHS-certified Medical Review Officer (MRO) services, and occupational-toxicology panels.

Primary lane — clinician + non-clinician operator partnership. An NRCME-designated MD/DO/PA/NP runs the clinical line two to four days per week (or hires a second mid-level for the rest of the week), and an operator-founder runs employer contracting, scheduling, billing, payor enrollment, drug-screen workflow, and DOT-physical throughput. The operator-founder is the bottleneck-clearer.

Secondary lane — an existing primary-care or urgent-care operator adding an industrial-occ-med + DOT NRCME service line. Local primary-care practices reaching the end of payor-rate compression often have the real estate, the front-office, and the clinician roster already; bolting on occ-med plus NRCME is a margin-expansion line rather than a greenfield build.

Positioning vs Saint Joseph London Occupational Health — the candidate frame is the gap-fill clinic that takes what the hospital cannot or will not (off-hours, walk-in DOT, drug-screen-only, post-accident-shift coverage, second-source employer contracts), not head-on competition.

Positioning vs Concentra / US HealthWorks / Premise national-chain corporate-MSA risk — durable Kentucky-resident founder-physician with multi-year NRCME registry standing is the position; national chains rotate corporate-employed clinicians every 18-36 months, eroding designation continuity.

• — Saint Joseph London Occupational Health's scope and exclusive-employer-contract roster. This is the most important verification call. As of May 2026 we have not confirmed.
• — The existing NRCME-clinic competitive set within a 20-mile pull at I-75 Exit 38. As of May 2026 we have not run the FMCSA registry public search.
• — Senture HR pre-employment volume and the Humana-contract 400-job onboarding surge timing. As of May 2026 we have not confirmed.
• — Walmart DC #6097's incumbent occupational-medicine vendor (Concentra, US HealthWorks, or Saint Joseph London). As of May 2026 we have not confirmed.
• — The exact Laurel-resident DOT-driver count from local Kentucky carriers and owner-operators on the I-75 Cincinnati-Knoxville corridor. As of May 2026 we have not confirmed.

Tonight, this week, this month — in that order. Each step produces a yes/no or a number, not a deeper understanding.