North Valley Hospital District

What North Valley Hospital District does

North Valley Hospital District (legal entity: Okanogan County Public Hospital District #4) is a 25-bed Critical Access Hospital and public hospital district headquartered at 203 S. Western Avenue in Tonasket, Washington. Founded in 1952 (originally as St. Martin's Hospital) and governed by an elected Board of Commissioners, NVH is the only acute care hospital serving rural North Okanogan County, with a catchment spanning Tonasket, Oroville, Loomis, Havillah, Chesaw, and Wauconda. The district operates three core facilities: the main acute care hospital (with 24/7 emergency, inpatient, swing bed, and surgical services), North Valley Extended Care (a CMS 5-Star rated nursing home), and the Tonasket Family Medical Clinic (primary care). Outpatient services include imaging (64-slice CT, GE Senographe Pristina 3D mammography, X-ray, ultrasound, bone density), full-service laboratory, wound care, sleep medicine, and rehabilitation (physical, occupational, speech, nutrition therapy, dry needling).

Name

North Valley Hospital District

Legal name

Okanogan County Public Hospital District #4

Website

https://nvhospital.org

Company type

Public

Founded year

1952

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Rural Hospital Services

NAICS

Nursing Care Facilities (Skilled Nursing Facilities) (62311), Ambulatory Health Care Services (621)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Skilled Nursing Care Facilities (8051), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

akta.pro secondary industry

Rural Health Clinics (RHCs) (HLAFAGAL)

Keywords

• Rural hospital services
• Critical access care
• Primary care clinic
• Long-term nursing care
• Diagnostic imaging services

Headquarters

HQ city

Tonasket

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Services Revenue: Primary revenue from providing hospital care, emergency services, outpatient services, clinic services, and extended care/nursing home services. Revenue comes from Medicare, Medicaid/Apple Health, commercial insurance, and self-pay patients.
2. Public Hospital District Tax Revenue: As a public hospital district (OCPHD#4), receives local tax revenue from residents within the district boundaries to support healthcare services.
3. Medicaid Supplemental Programs: Benefits from Safety Net Assessment Program and Nursing Home Pro Share programs which increase payments for services provided to Medicaid patients. Nearly 30% of Okanogan County residents are covered by Medicaid.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

North Valley Hospital District is a 25-bed Critical Access Hospital providing acute, emergency, and primary care services to rural North Okanogan County, Washington. The district operates three core care settings: a hospital with 24/7 emergency and inpatient services, the Tonasket Family Medical Clinic for primary care, and North Valley Extended Care, a 5-Star CMS-rated long-term nursing home. Ancillary offerings include imaging (64-slice CT, 3D mammography), laboratory, wound care, sleep medicine, surgical, and rehabilitation services, all delivered directly to local residents.

Product overview

North Valley Hospital District operates as a Critical Access Hospital providing comprehensive healthcare services to North Okanogan County, Washington. The organization offers hospital care (acute hospitalizations, emergency services, swing bed), North Valley Extended Care (long-term nursing home with 5-Star CMS rating), and Tonasket Family Medical Clinic (primary care). Outpatient services include imaging (64-slice CT, 3D mammography, X-ray, ultrasound, bone density), laboratory, wound care, sleep medicine, surgical services, and rehabilitation (physical, occupational, speech therapy). Technology infrastructure includes Cerner EHR system (implemented April 2025) and HealtheLife patient portal for health records access. The district also operates NVCHA Foundation for community health support and offers NAC training classes for healthcare workforce development.

Differentiator

Problem solved

Functional benefit

Products and services

• North Valley Extended Care Long-term nursing home services for elderly and vulnerable adults in the community, with a 5-Star CMS rating, providing a safe, warm, and vibrant home for residents with comprehensive care.
• Tonasket Family Medical Clinic Primary care clinic accepting new patients, providing family medicine services to the local community, staffed by Dr. Jex, Dr. Dawson, and Cindy Jensen ARNP.
• Emergency Services 24/7 emergency department providing emergency medical care for acute conditions and trauma at the main hospital campus.
• Imaging Services Diagnostic imaging services including X-rays, 64-slice CT scans, 3D mammography, bone density, and ultrasound.
• Wound Care Clinic Specialized clinic treating non-healing and complex wounds including diabetic ulcers, pressure ulcers, surgical wounds, burns, and venous ulcers, using advanced dressings, debridement, skin grafts, and wound vac therapy.
• Ancillary Services (Laboratory, Respiratory, Nutrition) Full-service laboratory open 7 days a week, respiratory care (oxygen therapy, CPAP/BiPap, mechanical ventilation), and nutritional services including diabetes education.
• Sleep Center Sleep disorder diagnosis and treatment services for conditions such as sleep apnea and other sleep-related issues.
• Surgical Services General surgery and endoscopy procedures, including laparoscopic procedures performed by Dr. Rosie Dhillon.
• Rehabilitation Services Health and rehabilitation services including physical therapy, occupational therapy, speech therapy, nutrition therapy, and dry needling provided by certified physical therapists.
• Hospital Care Services (Acute, Swing Bed) Acute hospitalizations and swing bed post-acute skilled nursing with rehabilitation services for the Tonasket community.
• Opioid Epidemic Response Program Comprehensive opioid response initiative including Narcan distribution, a drug disposal kiosk, and an Opioid Oversight Committee to ensure safe pain management practices in the community.
• Nursing Assistant Certified (NAC) Classes Training program for nursing assistants, with classes offered periodically (10 students per cohort); graduates often continue to nursing programs.
• HealtheLife Patient Portal Online patient-facing portal (Cerner HealtheLife) for accessing health records, test results, visit notes, and billing information.
• North Valley Community Health Association (NVCHA) Foundation 501(c)(3) non-profit foundation that promotes quality healthcare, provides scholarships for healthcare students, and funds equipment and facility improvements for the hospital district.

Quantifiable outcome

• Wound clinic heal rate consistently higher than state and national averages
• +3 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

AI capability2 records

Feature3 records

Partnerships

Six partnerships are on record, tiered core, major and minor.

• Seattle Children's HospitalcoreStrategic or Co-development Partner · 22 April 2024Collaboration on pediatric readiness simulation training. Seattle Children's Hospital experts work with NVH medical team to practice high-stakes pediatric emergency scenarios and refine clinical policies and practices.
• Thriving Together North Central WashingtoncoreStrategic or Co-development PartnerCMS and state-funded organization focusing on improving health in Okanogan, Chelan, Grant, and Douglas counties. Partnership includes drug disposal kiosk program, behavioral health program, and vocational training programs. Collaborated on Well-Being Survey for community health assessment.
• Rural Health Redesign CentermajorStrategic or Co-development PartnerEngaged to facilitate a county-wide project exploring options for three hospitals to work together to improve care and sustainability. Part of efforts to address Medicaid reimbursement challenges and ensure long-term viability of rural healthcare.
• American Red CrosscoreOthersNVH laboratory is affiliated with American Red Cross and uses only ARC Blood. Red Cross regularly rotates safe and secure stock of blood units through the Blood Bank for transfusions.
• North Central Accountable Communities of Health (NCACH)minorStrategic or Co-development PartnerPartnership on opioid response initiatives including drug disposal kiosk and educational assemblies with Tonasket School District.
• Family Health CentersminorStrategic or Co-development PartnerLocal federally-qualified health center. Co-impacted by road construction near hospital campus. Partnership on community health initiatives and opioid response prevention efforts.

Scale indicators10 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Three Rivers Hospital: Washington Critical Access Hospital in Brewster, Okanogan County, offering similar acute, emergency, and primary care services and even sharing leadership lineage (former NVH CEO Scott Graham moved to lead Three Rivers).
• Cascade Medical Center: Critical Access Hospital in Leavenworth, Washington, offering acute, emergency, primary, and ancillary services to a similar rural Washington community.
• Mid-Valley Hospital: Critical Access Hospital located in Omak within Okanogan County, Washington, providing comparable rural acute, emergency, and outpatient services to an adjacent sub-region of the same county NVH serves.
• Ferry County Public Hospital District: Critical Access public hospital district in Republic, Washington, structurally comparable as a small rural public district relying on Critical Access reimbursement and tax-supported funding.
• Columbia Basin Hospital: Critical Access Hospital in Ephrata, Washington, with comparable scale and service mix; shares a hybrid CFO (Anthonie Zimmermann) with NVH and faces similar rural reimbursement and workforce dynamics.
• Lake Chelan Health: Critical Access Hospital and health system serving the Lake Chelan valley in Washington with acute care, emergency, and primary care services analogous to NVH's North Okanogan footprint.

Others

• Seattle Children's Hospital: Pediatric tertiary hospital partnering with NVH on pediatric readiness simulation training; not a competitor but a specialty referral and clinical training partner relevant to NVH's service line.
• Family Health Centers: Federally qualified health center (FQHC) co-located in the Okanogan region that partners with NVH on community health and opioid response initiatives, providing complementary primary care capacity.

Broad incumbents

• Confluence Health: Regional health system based in Wenatchee serving North Central Washington including Okanogan County; a larger incumbent providing tertiary and specialty referral services that complement Critical Access Hospitals like NVH.
• Providence Health & Services (Washington): Large regional health system operating across Washington including rural partnerships; functions as a higher-level referral and specialty provider to Critical Access Hospitals such as NVH.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries3 records

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 Valley Hospital District