One to One Health

One to One Health is a physician-led primary care organization based in Chattanooga, Tennessee that delivers employer-sponsored care through two complementary models: onsite clinics and on-demand virtual care. Its clinics are operated for client organizations and combine primary care, urgent care, occupational health and pharmacy services. Its virtual offering, TextCare, gives members access to a dedicated provider and care team by text message, encrypted chat, phone call or video visit, covering consultations, diagnoses, treatment, prescriptions and referrals. Services are delivered by physicians, nurse practitioners, physician assistants and other clinical staff employed by or contracted with the company through affiliated professional entities including One Doc, PLLC and Two Doc, PLLC, and treatment is limited to U.S. states where the providers are licensed.

The company positions its approach as continuity-based or "relationship-based" care, in which members see the same provider over time rather than a rotating telehealth panel. A higher tier, TextCare Pro, layers analytics on top of the 24/7 care relationship: an Intelligent Care Manager (ICM) unifies claims, labs, Health Information Exchange data, risk scores and social determinants of health into a real-time patient view, and prompts providers to conduct proactive outreach to higher-risk members (for example those with an RUB of 3 or above) using a Health Intelligence Report. The stated aim is earlier intervention on chronic and undiagnosed conditions to avoid high-cost acute claims. Referrals within TextCare Pro are powered by Garner.

The company reports serving more than 650 organizations and over 500,000 members nationwide, working with employers, universities and health plans.

Founding story

One to One Health was founded by Dr. Keith Helton, a physician of more than 30 years, who describes the company as beginning in 2013 in response to a patient asking for help and as built around the premise that the doctor-patient relationship should be the organizing principle of primary care.

Business model

One to One Health contracts with organizations — employers, universities and health plans — to provide primary care for their populations, either by operating onsite clinics dedicated to a client's workforce or by supplying virtual concierge access through TextCare and TextCare Pro. Clinical services are delivered by the company's own employed or contracted clinicians rather than a third-party network, and the value proposition to buyers is framed around engagement rates and reductions in total cost of care.

Revenue derives from organizational sponsors that purchase clinic operation and/or TextCare membership for their employees and members; sources do not disclose pricing structure. The company markets an ROI calculator estimating net annual savings and recovered employee work time by service type and company size.

Traction

Reported scale is more than 650 organizations and more than 500,000 members nationwide. Company-reported outcome metrics include a Net Promoter Score of 94, 99% client retention, 7x higher utilization than other telehealth options, 81% of members avoiding an emergency room or urgent care visit, $2,300 net annual savings per engaged member and 1.8 hours less absenteeism per engaged member per month. A case study with a national trucking company that partnered with the company in 2022 reports $4,080 per member per year savings for participants, $70,965 PMPY savings for very-high-risk participants, 48% of very-high-risk members engaged and 55% of eligible members engaged between March 2023 and 2024.

Latest developments

In January 2026 the company announced a $12 million minority growth investment from Frist Cressey Ventures, to be used to meet nationwide demand for its advanced primary care model and to continue developing the Intelligent Care Manager clinical platform. Alongside the announcement, the company disclosed serving more than 650 organizations and over 500,000 members, and quoted CEO Dave Kinzler, founder Dr. Keith Helton, Chairman Senator Bob Corker, and Frist Cressey Ventures co-founder and managing partner Senator Bill Frist, M.D.