Adjunct workforce-services bundle for the UK College of Medicine Morehead Rural Program Family Medicine Residency — resident housing, CME coordination, rotation logistics, ABFM board-review tutoring, and OMT-clinic adjunct services.

The residency sponsor is UK College of Medicine, not UK St. Claire. Procurement and contracting authority for residency-program operations flows through UK COM Lexington and the broader UK HealthCare enterprise that absorbed St. Claire on July 1, 2024. A Morehead-resident vendor credentialed onto the UK HealthCare enterprise carries portability beyond the residency surface into the broader UK St. Claire facility book and the UK HealthCare academic-medical-network supply pipeline that radiates 60 miles east from Lexington into Rowan. This is the only UK HealthCare operational footprint outside Fayette.

ACGME Rural Recognition is procurement-relevant. The designation drives federal Medicare GME rural-track funding eligibility, HRSA Rural Residency Planning and Development grant eligibility, Title VII faculty-development grant eligibility, and philanthropic-funder rural-track preference. A vendor whose service offering integrates with the rural-recognition curriculum — longitudinal rural-rotation housing across the eight-county Cumberland Ranger District catchment, CME-event coordination at rural-affiliate sites, rotation-coordination logistics between Morehead and adjacent-county clinical placements — compounds on the program's federal-funding posture.

Resident-housing master-lease is the largest single demand surface. A 6 to 12-resident cohort with intern through PGY-3 progression cycles 2 to 6 housing turnovers per academic year inside a tight Morehead rental market. The residency runs on 4 to 8-week rotation blocks; rural-affiliate rotations to outlying counties create 6 to 24-month furnished-rental demand for resident families. A founder operating a 2 to 6-unit furnished portfolio under master-lease arrangements compresses housing-search friction for the program coordinator and creates a recurring revenue floor.

CME and rotation-coordination is under-served at small-program scale. Large academic-medical residencies absorb CME-event planning into in-house GME staff; a 6 to 12-resident community-rural program runs on a thinner administrative bench. A part-time contracted services provider handling CME logistics (room reservation, catering, AV, speaker coordination, ACCME-compliant documentation), longitudinal rotation coordination, faculty-development workshop logistics, and ABFM In-Training Examination plus board-review tutoring coordination compresses out-of-house consulting fees. Day-rate or retainer engagement at $1,500 to $5,000 per month per service line.

The OMT-clinic adjunct is the osteopathic-recognition operational artifact. The program carries an Osteopathic Manipulative Treatment clinic with an assistant director of osteopathic medicine. The clinic generates patient-volume, scheduling, room-prep, and supply demand that a Morehead-resident services provider with osteopathic-clinic familiarity can address at small scale.

Per-engagement scope. Resident-housing master-lease at $1,200 to $2,200 per unit per month across 2 to 4 units generates $30,000 to $100,000 in Year-1 gross rent. CME and rotation-coordination retainers at $1,500 to $5,000 per service-line per month generate $20,000 to $80,000 in Year-1 retainer revenue. ABFM board-review tutoring at $80 to $150 per hour generates $8,000 to $30,000 at part-time scope. OMT-clinic services adjunct sized at $5,000 to $25,000 per year.

Year 1: founder solo or founder plus part-time assistant. Single-lane focus most likely — either 2 to 4-unit master-lease furnished housing portfolio or single CME-coordination retainer. Founder take-home $40,000 to $80,000.

Year 2: founder plus 1 to 2 part-time FTE. Stacked launch across resident-housing plus CME plus rotation-coordination plus part-time OMT-clinic services. Founder take-home $80,000 to $130,000.

Year 3 onward: founder plus 1 to 3 FTE. 4 to 8-unit housing portfolio at maturity. Multi-service-line CME plus rotation-coordination plus faculty-development plus ABFM board review plus OMT-clinic adjunct. Sustained founder take-home $120,000 to $180,000.

Founder-side capital $60,000 to $300,000. Furnishings inventory $15,000 to $80,000 across 2 to 4 launch units. Master-lease security deposits plus first-and-last-month $8,000 to $30,000. Business formation, insurance (general liability, services E&O, landlord, auto), licensing, accounting setup $10,000 to $25,000. CME-coordination event-deposit float $5,000 to $20,000. Reference library $2,000 to $8,000. 90-day operating reserve $15,000 to $70,000.

• UK College of Medicine — Morehead Rural Program in Family Medicine

  ACGME program 1202031663 — sponsored by UK College of Medicine

  Active in market

  Allopathic with osteopathic recognition. OMT clinic operating. November 2025 continued accreditation.
• UK St. Claire Morehead (host hospital and clinical site)

  UK HealthCare-affiliated satellite — clinical-rotation host

  Active in market

  222 Medical Circle. CEO Don Lloyd; CFO Chris McClurg.
• UK HealthCare enterprise (Lexington)

  UK College of Medicine parent — enterprise vendor-credentialing portal

  Out-of-county

  Lexington, roughly 60 miles west of Morehead. Vendor portability is the secondary revenue surface.
• Resident cohort (6 to 12 across program years)

  Intern through PGY-3 resident roster

  Institution

  Resident-family housing demand plus CME-attendance plus ABFM examination preparation demand.
• Rural Medical Training Collaborative (RMTC)

  ACGME Rural Recognition List 2025 administering body

  Out-of-county

  Roughly 92 percent rural-Kentucky retention reporting.
• American Board of Family Medicine (ABFM)

  Board-certification body for Family Medicine physicians

  Out-of-county

  Board-review tutoring market across the resident cohort plus alumni-resident pool.
• Accreditation Council for Continuing Medical Education (ACCME)

  CME accreditation framework

  Out-of-county

  ACCME-compliant documentation for CME-event coordination retainer scope.
• Morehead State University Elmer R. Smith College of Health Sciences

  Adjacent workforce-pipeline anchor

  Active in market

  Faculty-development and resident-spouse-employer cross-channel.
• HRSA Bureau of Health Workforce

  Rural Residency Planning and Development grant plus Title VII faculty-development grant

  Out-of-county

  Federal funding administration for rural-track residencies.

The founder profile is mid-career with one of three on-ramps: prior residency-program coordinator or GME-administration tenure at an ACGME-accredited program; prior Morehead-area landlord or property-management tenure adding the residency-program-services credential and relationship arc; or prior UK HealthCare or UK COM Lexington enterprise tenure transitioning into a Morehead-resident services book. A first-time founder without prior residency-administration or healthcare-services exposure can enter at the housing master-lease leg only, with the CME and rotation-coordination legs gated behind a 6 to 12-month ramp.

Relationship-portfolio target at launch: the UK COM Morehead Rural Program coordinator; the UK St. Claire facility-services manager and resident-housing liaison; the UK HealthCare enterprise vendor-credentialing portal entry point; the ACGME RMTC reporting-cycle contact; an ABFM regional Family Medicine physician network contact; the Morehead State Elmer R. Smith College of Health Sciences dean's office; and rural-affiliate clinical-site administrators across the eight-county Cumberland Ranger District catchment. Eight to fourteen named contacts by end of Year 1.

Entity and credentialing posture. Kentucky business registration plus KOSHA workers' comp plus general liability plus professional liability plus landlord insurance plus auto plus E&O on coordination services. ACCME CME-event-coordination familiarity (no direct accreditation required for vendor-side coordination); ACGME residency-administration familiarity; ABFM In-Training and certification-examination scheduling familiarity; OMT-clinic services familiarity at vendor-side scope; Kentucky landlord-tenant compliance under KRS 383 plus Kentucky Real Estate Commission registration if brokerage-tier scope is added at maturity.

Corporate housing networks, national CME-event management firms, and ACCME-accredited national CME providers bid at multi-program scale and run rural Kentucky service routes from Lexington or Cincinnati. A Morehead-resident operator carrying the residency-administration plus ACCME plus OMT-clinic plus KY landlord-tenant credential stack plus rural-affiliate catchment fluency sits below their pricing floor.

• — UK COM Morehead Rural Program 2026–27 resident cohort size and program-year distribution.
• — The rural-affiliate rotation site list across the eight-county Cumberland Ranger District catchment.
• — Any residual partnership scope between the residency program and the Sisters of Notre Dame Eastern Kentucky Foundation as a separate 501(c)(3) philanthropic foundation.
• — UK COM Morehead Rural Program resident-housing preferred-vendor list (existing incumbents, credentialing path).
• — OMT-clinic patient volume and operating cadence (sessions per week, supply demand, billing footprint).
• — ACGME Rural Recognition List 2025 renewal cycle and reporting cadence to RMTC.
• — UK HealthCare enterprise vendor-credentialing portal entry path for non-incumbent Morehead-resident suppliers.
• — Morehead State Elmer R. Smith College of Health Sciences faculty-development cross-channel scope and resident-spouse-employer referral patterns.

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