Boulder City Hospital

What Boulder City Hospital does

Boulder City Hospital is a private, nonprofit 501(c)(3) critical-access hospital founded in 1931 to serve Hoover Dam construction workers and operated continuously since, now from an 82-bed campus at 901 Adams Boulevard in Boulder City, Nevada. As of May 1, 2026, it operates under the Medicare Rural Emergency Hospital (REH) designation — one of only a limited number of facilities nationally and the only rural hospital in Nevada not supported by a taxing district, mining dollars, or a corporate health system. The hospital provides a full continuum of services on a single integrated campus: a 24/7 emergency room staffed by board-certified emergency physicians and ACLS-certified nurses, primary care, walk-in laboratory and diagnostic imaging (X-ray, 64-slice CT, MRI, ultrasound, nuclear medicine, ACR Gold-certified mammography), outpatient surgery, partial hospitalization and intensive outpatient behavioral health programs, physical/occupational/speech rehabilitation, a 47-bed residential long-term care unit, and a Medicare-certified skilled nursing facility, all coordinated through a Healow-based patient portal.

The business model is a hybrid of fee-for-service patient billing (Medicare Part A/B, Medicaid, and commercial insurance) and a federally subsidized recurring revenue stream — a $3.5 million annual REH subsidy plus a 5% Medicare outpatient bonus. Philanthropy through the Boulder City Hospital Foundation (cumulative $8.7M raised over 25 years, with events such as the 80,000-visitor Art in the Park festival and the Heart of the Community Gala) and the foundation's Annual Appeal provide additional capital for equipment and service enhancements. Patients access care through direct ER walk-ins, scheduled appointments, specialty referrals, and a Community Resource Liaison program that connects Boulder City and Henderson residents to social, behavioral, and emergency aid services via partnerships with the City of Boulder City, Nevadans for the Common Good, HELP of Southern Nevada, and other community organizations.

The customer base spans Boulder City residents (~16,000), eastern Henderson metro communities (Inspirada, Cadence, Seven Hills, Black Mountain, Anthem) reachable in 12–15 minutes via Hwy 93, tourists visiting Hoover Dam and Lake Mead National Recreation Area, seniors requiring long-term or skilled nursing care, and adults with behavioral health needs. Recent strategic restructuring — eliminating 71 positions and converting to REH status in response to federal Medicaid funding changes — has rebalanced the hospital toward emergency, observation, outpatient, and post-acute service lines while introducing meaningful single-payer (federal Medicare/Medicaid) dependency. Leadership comprises CEO Thomas Maher (since 2007), CFO Douglas B. Lewis (since 2015), COO Rae Cummings, CNO Andre Pastian (since 2011), and Chief of Staff William Harrington, MD.

Name

Boulder City Hospital

Legal name

Boulder City Hospital

Website

https://bchcares.org

Company type

Private

Founded year

1931

Operating status

Operating

Headcount range

251–500 employees

Short description

Boulder City Hospital is a nonprofit Rural Emergency Hospital in Boulder City, Nevada, providing 24/7 emergency care, primary care, outpatient surgery, long-term care, skilled nursing, behavioral health, and rehabilitation services to local residents, eastern Henderson communities, and regional visitors since 1931.

Ownership category

akta.pro rank

Product category

Community Hospital Services

NAICS

Specialty (except Psychiatric and Substance Abuse) Hospitals (62231), Outpatient Care Centers (6214), Outpatient Mental Health and Substance Abuse Centers (621420), Other Residential Care Facilities (62399)

SIC

Services-Hospitals (8060), Services-Skilled Nursing Care Facilities (8051), Services-Specialty Outpatient Facilities, Nec (8093), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Safety-Net & Public Hospitals (HLAFAAAD)

akta.pro secondary industries

Multidisciplinary Outpatient Rehab Centers (PT/OT/SLP) (HLADAJAG), Outpatient Rehabilitation & Physical/Occupational/Speech Therapy Centers (HLAFABAB), Long-Term Care Rehabilitation Centers (HLAFAFAD)

Keywords

• Emergency medical services
• Primary care clinic
• Skilled nursing facility
• Diagnostic imaging services
• Behavioral health treatment

Headquarters

HQ city

Boulder City

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. Rural Emergency Hospital Subsidy: Medicare reimbursement structure for Rural Emergency Hospitals including $3.5 million annual subsidy and 5% Medicare outpatient bonus. REHs receive specific monthly payments and enhanced reimbursement rates.
2. Patient Services Revenue: Fee-for-service revenue from emergency services, outpatient procedures, laboratory, radiology, primary care, rehabilitation, and skilled nursing. Billing through Medicare Part A/B, Medicaid, and commercial insurance.
3. Donations and Fundraising: Private donations through Boulder City Hospital Foundation. Foundation has raised over $8.7 million in 25 years for equipment and service enhancements. Annual Appeal goal of $50,000.
4. Skilled Nursing Facility Services: Medicare Part A covered skilled nursing care up to 100 days. First 20 days fully covered, days 21-100 require $217 daily coinsurance.
5. Financial Assistance Programs: Discount to uninsured patients, financial assistance policy, and payment plans for self-pay patients.

Pricing tiers

Go-to-market motion1 record

Distribution channels7 records

Marketing channels7 records

Core offering

Boulder City Hospital is a nonprofit Rural Emergency Hospital providing 24/7 emergency care, primary care, laboratory and radiology services, outpatient surgery, long-term residential care, skilled nursing, behavioral health programs (PHP/IOP), and rehabilitation therapy on a single Boulder City campus. As of May 1, 2026, it operates without inpatient beds beyond 24 hours under the Rural Emergency Hospital designation, funded by patient services, a $3.5 million Medicare subsidy, and donations through the Boulder City Hospital Foundation.

Product overview

Boulder City Hospital operates as a nonprofit Rural Emergency Hospital offering a comprehensive range of healthcare services through an integrated campus model. The hospital provides emergency care (24/7 Emergency Room), primary care (Primary Care Clinic), diagnostic services (Laboratory and Radiology & Imaging), long-term care (47-bed Long Term Care unit and Skilled Nursing Facility), surgical services (Outpatient Surgery), behavioral health (Partial Hospitalization Program and Intensive Outpatient Program), and rehabilitation therapy. The facility also maintains a Patient Portal for secure patient access to medical records and offers Price Transparency tools for CMS compliance. All services are coordinated on a single campus at 901 Adams Boulevard, Boulder City, NV.

Differentiator

Problem solved

Functional benefit

Products and services

• 24/7 Emergency Room Full-service emergency department staffed 24/7 by board-certified emergency physicians and ACLS-certified nurses, treating conditions from minor injuries to life-threatening emergencies for Boulder City, Henderson, and tourist populations near Hoover Dam and Lake Mead.
• Primary Care Clinic

Quantifiable outcome

• Over 90 years of continuous healthcare service to the community
• +2 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

15 partnerships are on record, tiered core and minor.

• City of Boulder CitycoreStrategic or Co-development PartnerPartnership with City of Boulder City and Nevadans for the Common Good for community resources program funded by American Rescue Plan Act grant. Community Resource Liaison connects residents with essential services.
• Nevadans for the Common GoodcoreStrategic or Co-development PartnerCommunity partnership for healthcare awareness, education, medical and behavioral health services, community resources, and social service connections for Boulder City.
• Radiology Associates of Nevada (RAN)coreTechnology or IntegrationAffiliation providing comprehensive radiology and diagnostic imaging services including X-Ray, CT, MRI, Ultrasound, Nuclear Medicine, and Mammography with board-certified radiologists.
• Comprehensive Cancer Centers of NevadaminorStrategic or Co-development PartnerDr. Khoi Dao, MD provides oncology services at Boulder City Hospital on 1st Wednesday, offering cancer treatment and care coordination for local patients.
• Emergency Aid of Boulder CitycoreStrategic or Co-development PartnerCommunity Resource Liaison partners with Emergency Aid for housing support, rental/mortgage/utility assistance, food assistance, and emergency services navigation.
• HELP of Southern NevadacoreStrategic or Co-development PartnerCommunity Resource Liaison connects patients with HELP of Southern Nevada for social services, housing, and support resources.
• Lend A Hand (Boulder City)minorStrategic or Co-development PartnerCommunity partnership providing assistance services for seniors living in Boulder City.
• Boulder City Senior CenterminorStrategic or Co-development PartnerPartnership for senior services including food pantry, in-home caregiver support connections, and community programs.
• Boulder City Police and Fire DepartmentsminorStrategic or Co-development PartnerCommunity Resource Liaison collaborates with Boulder City Police and Fire Departments for emergency response coordination and community safety net services.
• Touro UniversityminorStrategic or Co-development PartnerMatthew McGauran, PA-C graduated from Touro University's Master of Physician Assistant Studies, ranked among top 30 PA programs nationally. Potential clinical education partnerships.
• Chamberlain UniversityminorStrategic or Co-development PartnerYuemeng Kate Robison, APRN, FNP-C earned MSN from Chamberlain University. Potential nursing education and clinical placement partnerships.
• Southern Utah UniversityminorStrategic or Co-development PartnerYuemeng Kate Robison earned BSN from Southern Utah University. Potential nursing education and clinical placement partnerships.
• St. Louis UniversityminorStrategic or Co-development PartnerAngelique Jean Cross, FNP graduated from St. Louis University with MSN-Nurse Practitioner. Potential nursing education partnerships.
• University of Hawai'i at MānoaminorStrategic or Co-development PartnerByers Na'ope, LCSW earned MSW from University of Hawai'i at Mānoa. Potential social work education partnerships.
• 28 Sunflowers PhotographyminorGTM or Marketing PartnerPhotography services for hospital events including Heart of the Community Gala. Gala photos available for purchase.

Scale indicators7 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• MountainView Hospital: Large acute-care hospital in Las Vegas operated by HCA Healthcare. Comparable as a Nevada hospital providing emergency and outpatient services, but operates at metropolitan scale with broader specialty coverage.
• University Medical Center of Southern Nevada: Public safety-net hospital in Las Vegas serving Clark County. Comparable as a nonprofit safety-net provider in the same metro region, but operates at much larger scale with trauma designation and broader inpatient services.
• Saint Mary's Regional Medical Center: Regional medical center in Reno, Nevada operated by Prime Healthcare. Comparable as a Nevada community hospital providing emergency and inpatient services, but with broader specialty coverage and urban location.
• CommonSpirit Health (Dignity Health): Large national nonprofit health system operating multiple hospitals in Nevada. Comparable as a nonprofit operator of community hospitals, but at national scale with diversified revenue and capital access.

Others

• HCA Healthcare: Largest for-profit hospital operator in the U.S., with multiple facilities in Nevada including Las Vegas. Comparable as a hospital operator in Boulder City Hospital's broader market, but operates at national scale as an investor-owned chain.

Regional players

• Northeastern Nevada Regional Hospital: Rural hospital in Elko, Nevada operated by a larger health system. Comparable as a rural Nevada community hospital serving a geographically remote population, though larger scale and system-backed.

Direct peers

• Mesa View Regional Hospital: Critical access hospital in Mesquite, Nevada serving a rural community near the Arizona border. Comparable as a small rural Nevada hospital providing ER, inpatient, and outpatient services to a geographically isolated community.
• Battle Mountain General Hospital: Critical access hospital in Battle Mountain, Nevada. Comparable as a small rural Nevada community hospital providing emergency, primary care, and long-term care services.
• William Bee Ririe Hospital: Rural hospital in Ely, Nevada providing critical access services to a remote community. Comparable as a small Nevada rural hospital offering emergency, primary care, and long-term care services.
• Grover C. Dils Medical Center: Critical access hospital in Caliente, Nevada serving Lincoln County. Comparable as a small rural Nevada hospital with limited inpatient beds and a focus on emergency and outpatient care.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/Hospital_BC
• YouTubeyoutube.com/channel/UC26EQTIbQfHqk50xa5bvvGA
• Facebookfacebook.com/BoulderCityHospital
• LinkedInlinkedin.com/company/boulder-city-hospital

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Boulder City Hospital