Dear Friends,

There’s something deeply special about growing up in a small town—something that binds us, builds resilience, and reminds us of the strength we find in community. My mind loves to wonder the world but heart has always been here, among the hills and valleys of Western Pennsylvania, where neighbors care for one another, and families seek not only the best for their children but also the chance to truly thrive.

In 2014, I returned home with a vision: to bring high-quality, evidence-based care directly to the children in our rural communities. In every child’s face, I saw the same unbreakable spirit—a quiet strength, hope, and readiness to shine. Families here don’t simply want their children to avoid illness; they want them to grow strong and be well. It’s a wish rooted in the basics: wellness, stability, and joy. With more than 20 years of experience in pediatric and family practice, I am proud to celebrate the 10th year of seeing this vision and mission become a reality in Northern Cambria, PA.

At Small Town Hope, we believe wellness is the foundation for every child’s growth and potential. Children—whether they’re full of health or facing illness—deserve the chance to experience a life of possibility. That’s why we work tirelessly, not only to provide care but also to nurture wellness as a proactive, everyday approach. Through programs that engage children physically, socially, and emotionally, we create safe, fun, and inspiring ways for them to thrive.

With more than two decades in pediatric and family health, I’ve had the honor of caring for children in every setting—from ICUs & emergency rooms to daycares, from helicopters to homes. This journey has taught me one profound truth: every child, no matter their location or medical needs, deserves wellness. Understanding and supporting the incredible growth and development that occurs before the age of five is essential, as these early years lay the foundation for a lifetime of health and potential. Every child deserves access to the resources that will help them flourish. Small Town Hope is built on this belief—that no child should be disconnected from what they need to thrive.

Today, our mission is simple yet powerful: to offer every child in our rural communities the opportunity to be well. With a passionate board of directors and a spirit of collaboration, we’re committed to nurturing health and wellness across our small towns. Together, we’re building bridges that connect children with the care, resources, and community support they need to reach their fullest potential.

With your support, we can continue to grow this mission and reach even more families. I invite you to explore our website, learn about our programs, and meet the people who make this work possible. When you look into the eyes of a child, you see endless potential. By supporting Small Town Hope, you’re helping that potential bloom, building a stronger future for our communities and the children who call them home.

On behalf of all of us here at Small Town Hope,

Thank you,
Mandi Paronish 

Founder & CEO