North Big Horn Hospital District

What North Big Horn Hospital District does

North Big Horn Hospital District is a Wyoming special-purpose governmental district operating a single integrated rural healthcare campus at 1115 Lane 12, Lovell, Wyoming. The campus combines North Big Horn Hospital (acute care, 24/7 emergency department, surgical services including robotic-assisted surgery, radiology, laboratory, cardiopulmonary, cardiac rehabilitation Phase 2 and 3, sleep lab, physical and occupational therapy, transitional care, and home health), the adjoining NBHH Clinic (Patient-Centered Medical Home primary care plus DOT physicals and same-day care), the New Horizons Care Center (long-term and skilled nursing), an outpatient Infusion Center staffed by ONS-certified chemotherapy/biotherapy RNs with multidisciplinary support, and a Diabetes Self-Management Education and Support (DSMES) program delivered both on-site and via HIPAA-compliant telemedicine. Outreach specialty physicians hold weekly on-site clinics in cardiology, orthopedics, cancer care, gynecology, interventional pain, and sleep medicine, reducing travel burden for Big Horn Basin residents.

The technology stack is built around three third-party vendors: FastHealth powers the public website, PatientConnect patient portal, online bill pay, intake and referral forms, and an "AI"-branded patient education module; Accureg provides the public cost estimator and CMS-compliant price-transparency chargemaster; and FastCommand hosts the Digital Disaster Response Center. The District is led by CEO Eric Connell, governed by a publicly appointed Board of Directors, and supported by the North Big Horn Hospital District Foundation and a community volunteer pipeline.

Revenue is generated from inpatient and outpatient patient services billed to Medicare, Medicaid, and commercial payers; Medicare Part B–reimbursable DSMES and Medical Nutrition Therapy; long-term and skilled-nursing occupancy at New Horizons Care Center; physician and visiting-specialist professional fees; and supplemental Foundation philanthropy and gift-shop proceeds. As a governmental special district, it is also supported by community tax revenues and is not privately funded; no equity rounds, acquisitions, or M&A activity are disclosed.

Name

North Big Horn Hospital District

Legal name

North Big Horn Hospital District

Website

https://nbhh.com

Company type

Private

Founded year

1902

Operating status

Operating

Headcount range

251–500 employees

Short description

North Big Horn Hospital District is a Wyoming governmental hospital district operating a single integrated rural campus in Lovell that delivers acute, emergency, primary, surgical, infusion, cardiac, and long-term care to Big Horn Basin residents, supported by visiting specialty clinics and a CMS-recognized DSMES program.

Ownership category

akta.pro rank

Product category

Rural Hospital Services

NAICS

General Medical and Surgical Hospitals (6221), Other Ambulatory Health Care Services (6219), Ambulatory Health Care Services (621), Nursing Care Facilities (Skilled Nursing Facilities) (62311)

SIC

Services-Hospitals (8060), Services-Home Health Care Services (8082), Services-Skilled Nursing Care Facilities (8051), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Community & Regional General Hospitals (HLAFAAAB)

akta.pro secondary industry

Ambulatory Specialty Clinics (Multi-Specialty & Single-Specialty) (HLAFABAA)

Keywords

• Rural hospital services
• Long-term care
• Emergency medical care
• Outpatient infusion therapy
• Diabetes self-management education

Headquarters

HQ city

Lovell

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Service Revenue (Acute and Outpatient Care): Primary revenue from inpatient care, emergency department, surgical services, radiology, laboratory, cardiopulmonary, infusion, cardiac rehab, and other clinical services billed to patients and third-party payers. Standard hospital charges are published in a chargemaster and made available via a Good Faith Estimate and an Accureg-powered patient cost estimator.
2. Long-Term / Skilled Nursing Revenue (New Horizons Care Center): Recurring revenue from the on-campus New Horizons Care Center, a long-term care facility adjoining the hospital that serves as a steady-state care and occupancy stream.
3. Insurance and Government Reimbursement (DSMES / MNT): Diabetes Self-Management Education and Support (DSMES) and Medical Nutrition Therapy (MNT) services billed to Medicare Part B and most commercial plans, per CMS-recognized DSMES program rules. Continuous Glucose Monitoring (CGM) support is provided in the same workflow.
4. Physician and Specialty Clinic Professional Fees: Revenue from the NBHH Clinic primary care practice and weekly outreach specialty clinics staffed by visiting specialists (e.g., cardiology, orthopedics, cancer care, interventional pain, gynecology).
5. Philanthropy and Foundation Support: Donations and gift-shop proceeds channeled through the North Big Horn Hospital District Foundation supplement operating revenue.

Pricing tiers

Go-to-market motion4 records

Distribution channels5 records

Marketing channels7 records

Core offering

North Big Horn Hospital District operates a single integrated rural campus in Lovell, Wyoming, delivering acute-care hospital services, 24/7 emergency care, primary care through the adjoining NBHH Clinic, outpatient infusion therapy (chemotherapy, biotherapy, IV medications, blood transfusions), long-term and skilled nursing at New Horizons Care Center, surgical services including robotic-assisted procedures, and chronic-disease management such as Diabetes Self-Management Education and Support (DSMES). The District also coordinates weekly visiting-specialty outreach clinics (cardiology, orthopedics, cancer care, gynecology, interventional pain, sleep medicine) and telemedicine-enabled diabetes education for rural Big Horn Basin residents.

Product overview

North Big Horn Hospital District operates a single integrated rural hospital campus in Lovell, Wyoming, with an attached long-term care facility (New Horizons Care Center) rather than a discrete standalone software product. Its offering is a platform-plus-modules care delivery portfolio organized around the NBHH Clinic (primary care + Patient-Centered Medical Home) and adjoining hospital departments, complemented by visiting specialty clinics and outpatient programs. The core clinical modules include Inpatient Care, Emergency Department, Laboratory, Radiology, Surgical Services (including Robotic Assisted Surgery), Orthopedics, Cardiology, Cancer Care, Gynecology, Cardiopulmonary Services, Cardiac Rehabilitation (Phase 2 & 3), NBHH Sleep Lab, Physical Therapy, Occupational Therapy, Transitional Care, and Home Health. Outpatient and chronic-disease modules include the Infusion Center (chemotherapy/biotherapy/IV therapy) and Diabetes Self-Management Education and Support (DSMES). Patient-facing digital modules include the PatientConnect patient portal, Fast E-Cards (web-based greeting cards to inpatients), and the FastHealth-powered Patient Education / Health Resources hub. Patient self-service integrations include Accureg for price-transparency and good-faith estimates, FastHealth Payments for online bill pay, FastHealth PtServer forms for referrals and volunteer applications, and FastCommand for a Digital Disaster Response Center.

Differentiator

Problem solved

Functional benefit

Brands

• New Horizons Care Center: Long-term care/swing-bed facility operated by North Big Horn Hospital District, co-located with the hospital in Lovell, Wyoming and referenced jointly in the organization's mission statement.
• NBHH Clinic
• PatientConnect

Products and services

• Cardiac Rehabilitation Supervised Phase 2 and Phase 3 cardiac rehab program providing monitored exercise sessions, heart-healthy lifestyle education, and risk-factor management for post-discharge and ongoing heart-health patients.
• Cardiology Outpatient cardiology specialty service staffed by a visiting cardiology provider and supported by the NBHH Clinic and adjoining diagnostic departments.
• Cancer Care Oncology specialty clinic delivered through visiting specialists in partnership with the NBHH Infusion Center, covering chemotherapy, biotherapy, and related outpatient cancer services.
• Cardiopulmonary Services Diagnostic and therapeutic cardiopulmonary care that complements the cardiac rehab and sleep lab programs.
• Emergency Department 24/7 hospital-based emergency department providing acute and emergent care for the Big Horn Basin region.
• Gynecology Outpatient gynecology specialty service provided by a visiting clinician affiliated with North Big Horn Hospital Clinic.
• Infusion Center Weekday outpatient infusion center offering IV medications, IV hydration, blood transfusions, dressing changes, and injections, staffed by ONS-certified chemotherapy/biotherapy RNs with pharmacist, social work, navigation, financial counseling, and chaplain support.
• Inpatient Care Hospital-based inpatient acute-care services for admitted patients at North Big Horn Hospital.
• Interventional Pain Clinic Visiting-specialist interventional pain management clinic held at the hospital for chronic and acute pain patients.
• Laboratory Hospital-based clinical laboratory offering diagnostic testing that supports the adjoining NBHH Clinic and inpatient services.
• NBHH Clinic (Primary Care) Primary-care clinic (North Big Horn Hospital Clinic) adjoined to the hospital, providing family medicine, DOT physicals, and same-day care, and serving as the hub for outreach specialty clinics.
• NBHH Sleep Lab Hospital-based sleep lab providing sleep studies and related diagnostic services.
• New Horizons Care Center Attached long-term/skilled-nursing and residential care center operated by North Big Horn Hospital District.
• Occupational Therapy Outpatient and inpatient occupational therapy services supporting recovery and daily-living function.
• Orthopedics Orthopedic specialty service (including Dr. Goover) provided at the hospital with surgical and clinic-based care.
• Physical Therapy Outpatient and inpatient physical therapy services supporting rehabilitation and mobility.
• Radiology Hospital-based diagnostic imaging (radiology) department serving the clinic, emergency department, and inpatient units.
• Robotic Assisted Surgery Robotic-assisted surgical capability offered through the hospital's Surgical Services line (Dr. Hill), listed as a featured service on the homepage.
• Surgical Services General and specialty surgical services performed at North Big Horn Hospital, including robotic-assisted procedures.
• Transitional Care Transitional care program supporting patients moving between hospital, skilled nursing, and home settings.
• Diabetes Self-Management Education and Support (DSMES) Evidence-based DSMES program delivered by certified diabetes care and education specialists, covering healthy eating, activity, blood-sugar monitoring, medications, Continuous Glucose Monitoring support, and a free monthly diabetes support group. Telemedicine sessions are available via a HIPAA-compliant platform.
• Home Health Home Health services operated under the Patient-Centered Medical Home model, providing in-home skilled care coordinated with the patient's primary care team.

Quantifiable outcome

• Chemotherapy, biotherapy, antibiotic infusions, blood product transfusions, and IV hydration delivered locally to rural Big Horn Basin patients via ONS-certified nurses
• +3 more outcomes

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature7 records

Partnerships

Five partnerships are on record, tiered core and minor.

• FastHealth CorporationcoreTechnology or IntegrationFastHealth Corporation provides the website platform, AI-powered Patient Resources & Research Insights tool, E-Cards service, PatientConnect portal, online bill-pay, intake and release-of-information forms, and CMS-mandated public-file hosting for North Big Horn Hospital District. The FastHealth footer credit '©2026 FastHealth Corporation' is present on the site, and the hospital's CMS TXT file and other public resources sit under FastHealth's content delivery.
• FastCommandcoreTechnology or IntegrationFastCommand powers the North Big Horn Hospital District Digital Disaster Response Center (nbhh.fastcommand.com), featured in the site footer. Provides operational continuity, emergency preparedness, and disaster-response coordination tools for the hospital.
• AccuregcoreTechnology or IntegrationAccureg operates the patient cost-estimation tool ('Estimate My Cost') at northbighorn.accureg.net and the dedicated Price Transparency portal at pricetransparency.accureg.net/northbighorn. Supports CMS-compliant price-transparency disclosures and Good Faith Estimates for NBHHD patients.
• American Diabetes AssociationminorGTM or Marketing PartnerCo-branded patient-education resource links (Diabetes Risk Test, Recipes: Diabetes Food Hub, Mental Health and Diabetes, Diabetes Consumer Guide, Insulin Affordability and Health Insurance Aid) are surfaced on the Diabetes Education page, plus a link to the ADA's Diabetes: American Heart Association cross-content and broader public-education content. Functions as an external resource partner supporting NBHHD's diabetes self-management programming.
• Centers for Disease Control and Prevention (CDC)minorGTM or Marketing PartnerCDC resources on diabetes and prediabetes are linked from the Diabetes Education page (cdc.gov/diabetes and cdc.gov/diabetes/prevention), positioning CDC content alongside NBHHD's own DSMES service.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Powell Valley Healthcare: A community hospital district serving Powell, Wyoming, just across the Big Horn Basin from Lovell. Comparable as a similarly sized Wyoming rural community hospital offering acute care, primary care, and ancillary services to an adjacent rural catchment.
• Cody Regional Health: A rural Wyoming hospital district based in Cody, offering acute, emergency, surgical, and primary care to the Big Horn Basin region. Comparable in mission and rural Wyoming hospital-district structure, though somewhat larger and more specialized.
• Sheridan Memorial Hospital: A Wyoming community hospital providing acute, outpatient, and specialty care to a rural northern Wyoming catchment. Comparable as a Wyoming community hospital with an integrated care-delivery model.
• SageWest Health Care: Operates community hospitals in Riverton and Lander, Wyoming, serving rural Fremont County. Comparable as a multi-site Wyoming rural hospital offering acute, emergency, and outpatient services.
• Ivinson Memorial Hospital: A community hospital in Laramie, Wyoming, providing acute, outpatient, and specialty care. Comparable as a Wyoming community hospital with a similar mission-driven rural care model.
• Campbell County Health: A Gillette, Wyoming-based health system serving Campbell County with acute, long-term, and outpatient care. Comparable as a Wyoming community hospital system with attached skilled-nursing capability.
• Memorial Hospital of Carbon County: A rural community hospital in Rawlins, Wyoming providing acute, emergency, and outpatient care. Comparable as a similarly scaled Wyoming rural community hospital with limited specialty depth.

Broad incumbents

• Wyoming Medical Center: The largest hospital in Wyoming, based in Casper, functioning as the regional tertiary referral center. Comparable in mission but operates as a larger incumbent that absorbs referrals from rural community hospitals such as NBHHD.
• Billings Clinic: A large regional health system based in Billings, Montana, that serves as a tertiary referral destination for northern Wyoming and southern Montana rural communities. Comparable as a higher-acuity alternative for patients leaving the Big Horn Basin.
• St. Vincent Healthcare: A regional hospital in Billings, Montana (now part of Intermountain Health), serving as a tertiary referral center for northern Wyoming. Comparable as an incumbent destination for Big Horn Basin patients needing higher-acuity care.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/NBHHDistrict
• LinkedInlinkedin.com/company/north-big-horn-hospital-dist

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 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 North Big Horn Hospital District