Nell J. Redfield Memorial Hospital

What Nell J. Redfield Memorial Hospital does

Nell J. Redfield Memorial Hospital (NJRMH) is a Critical Access Hospital (CAH) and government-owned public healthcare facility located at 150 North 200 West in Malad City, Idaho, serving Oneida County and surrounding southeastern Idaho communities approximately 100 miles north of Salt Lake City along the I-15 corridor. Established for over 100 years, the hospital operates as a county-supported entity under CEO John Williams with CNO Karren Edwards, delivering a full care continuum that includes a 24/7 emergency department, acute inpatient and outpatient surgical services (orthopedic, laparoscopic, OB/GYN, podiatry, ENT), a swing bed rehabilitation program, long-term skilled nursing, home health, and the Oneida County Clinic (a Rural Health Clinic). Specialized service lines include oncology/hematology (chemotherapy, immunotherapy), interventional pain management (epidural steroid injections, RF ablation, spinal cord stimulators, vertebroplasty, kyphoplasty), advanced imaging (CT, MRI, ultrasound, mammography, digital X-ray) interpreted under partnership with Medical Imaging Associates, a 24-hour laboratory performing over 90% of tests in-house, sleep lab diagnostics, physical and occupational therapy, and social services.

Technology infrastructure centers on a FastHealth-powered public website, an integrated EHR patient portal (MyCareCorner), PersonaPay online bill pay, and a HIPAA-compliant telemedicine platform operational since 2008 (initial adult psychiatry, subsequently tele-oncology with Portneuf Cancer Center and expanding into dermatology, ENT, burn, and stroke specialty consultations). The Long Term Care facility holds Music & Memory Certification and is a State of Idaho Mini Technology Grant recipient, deploying consumer technology (iPods, tablets, electric piano, BEAMZ karaoke, dedicated Wi-Fi, smart TVs) for resident cognitive engagement and quality of life.

Revenue mechanics are dominated by fee-for-service patient care billed through Medicare (with CAH cost-based reimbursement), Medicaid, private insurance, and self-pay, supplemented by long-term care per-diem revenue, home health episodes, and donations through the Nell J. Redfield Memorial Hospital Foundation. The hospital runs a Financial Assistance Program with Charity Care and a Sliding Fee Schedule. Direct-to-consumer go-to-market relies on physical facility presence, physician referrals, community word-of-mouth, the Foundation, and an active provider recruitment channel; no paid digital advertising was identified. The hospital serves a small rural catchment of Oneida County residents across all ages with documented operational strengths including a 0% post-operative infection rate and on-site helipad for emergency transfers.

Name

Nell J. Redfield Memorial Hospital

Legal name

Nell J. Redfield Memorial Hospital

Website

https://oneidacountyhospital.com

Company type

Private

Founded year

1925

Operating status

Operating

Headcount range

11–50 employees

Short description

Nell J. Redfield Memorial Hospital is a county-owned Critical Access Hospital in Malad City, Idaho, serving Oneida County residents with a full continuum of acute care, emergency, surgery, long-term care, home health, oncology, imaging, and telemedicine services.

Ownership category

akta.pro rank

Product category

Critical Access Hospital Services

NAICS

General Medical and Surgical Hospitals (6221), Ambulatory Health Care Services (621)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Nursing & Personal Care Facilities (8050), Services-Home Health Care Services (8082)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

akta.pro secondary industry

Medical Nutrition Therapy (Registered Dietitian) (HSADAFAE)

Keywords

• Rural hospital services
• Critical access healthcare
• Long-term skilled nursing
• Emergency medical services
• Rural health clinic

Headquarters

HQ city

Malad City

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Care Services: Acute care inpatient and outpatient services, emergency department (24/7), surgery, laboratory, and imaging services billed to patients via insurance, Medicare, Medicaid, and self-pay. The hospital participates in most insurance plans and files claims directly with insurers.
2. Long Term Care / Skilled Nursing: 24-hour licensed skilled nursing and long-term residential care services. 24-hour Licensed Nursing, award-winning Restorative Services, physical therapy, home-style meals, dedicated Wi-Fi, individual Smart TVs, and technology-enhanced activities program.
3. Swing Bed Program: Medicare-certified Swing Bed program for short-term rehabilitation following acute care, joint replacement, or other qualifying medical conditions, allowing transition from hospital to home or long-term care.
4. Rural Health Clinic Services: Oneida County Clinic primary care and visiting specialist services billed through Medicare, Medicaid, private insurance, and self-pay.
5. Home Health Care: Home-based healthcare services as part of the healthcare continuum offered alongside the hospital and long-term care facility.
6. Financial Assistance / Charity Care: Active Financial Assistance Program including Charity Care and Sliding Fee Schedule for patients with no or limited insurance, ensuring access regardless of ability to pay.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

NJRMH is a Critical Access Hospital providing 24/7 emergency department services, inpatient acute care, surgery (orthopedic, general, OB/GYN, podiatry, ENT), advanced radiology, full laboratory, swing bed rehabilitation, oncology/hematology, and pain management. It operates an affiliated Rural Health Clinic (Oneida County Clinic) for family medicine primary care, an attached Long-Term Care skilled nursing facility, and a Home Health program, forming an integrated care continuum for residents of Malad City and Oneida County, Idaho.

Product overview

Nell J. Redfield Memorial Hospital is a Critical Access Hospital providing integrated healthcare services through a multi-faceted portfolio. The core offering combines acute hospital services (emergency, surgery, laboratory, radiology) with a Rural Health Clinic for primary care. Adjacent services include Long Term Care and Home Health Care forming a continuum of care. Specialized outpatient offerings include Oncology/Hematology with chemotherapy and immunotherapy, Pain Management with interventional procedures, Outpatient Services with IV therapy, and Telemedicine connecting patients to psychiatry and oncology specialists remotely. Additional clinical services encompass Swing Bed rehabilitation, Sleep Lab diagnostics, Physical and Occupational Therapy, Medical Nutrition Therapy, Social Services, DOT/Sports Physicals, and Laboratory services available 24/7. The hospital also operates the Nell J. Redfield Memorial Hospital Foundation for community support.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospital Services Core acute care hospital services including 24/7 emergency department, inpatient and outpatient surgeries, and critical access hospital care for residents of Malad City and surrounding communities.
• Rural Health Clinic (Oneida County Clinic) Primary care family medicine clinic providing diagnosis, treatment, immunizations, CDL physicals, school/sports physicals, lab testing, and family planning services for community members of all ages.
• Long Term Care Services Skilled nursing facility with 24-hour licensed nursing, award-winning restorative services, physical therapy, and dedicated Wi-Fi and smart TV amenities for long-term residents.
• Home Health Care Home-based healthcare services delivered as part of the Oneida County healthcare continuum for patients transitioning from acute care or requiring ongoing home-based treatment.
• Outpatient Services Outpatient IV therapy services including antibiotic therapy, antiemetic therapy, chemotherapy, immunotherapy, iron infusion, hydration, steroid delivery, therapeutic phlebotomy, vitamin therapy, injections, and wound care.
• Swing Bed Program Medicare-certified short-term rehabilitation program for patients transitioning from acute care to home or long-term care, offering daily therapy and skilled nursing services.
• Telemedicine Services Two-way video, email, smartphone, and wireless tools delivering HIPAA-compliant specialty services including adult psychiatry and tele-oncology to rural patients remotely.
• Oncology/Hematology Services Chemotherapy, immunotherapy, and hematology services provided in the community hospital with tele-oncology collaboration with Portneuf Cancer Center specialists.
• Surgery Services General and specialty surgical procedures including orthopedic, laparoscopic, gynecological, podiatry, and ENT surgeries in a modern operating suite.
• Radiology Services Full-service imaging including CT, ultrasound, mammography, digital X-ray, MRI, and pain management interventional procedures performed by registered technologists and read by Medical Imaging Associates radiologists.
• Laboratory Services Diagnostic laboratory with in-house testing for hematology, chemistry, blood banking, microbiology, coagulations, urinalysis, and serology, available 24 hours.
• Sleep Lab Home sleep studies and in-lab sleep studies for diagnosing sleep apnea and other sleep disorders.
• Pain Management Interventional pain procedures including epidural steroid blocks, nerve blocks, facet injections, radio frequency ablation, spinal cord stimulators, vertebroplasty, and kyphoplasty.
• Occupational Therapy Outpatient occupational therapy services addressing self-care, sensory processing, feeding therapy, fine/gross motor skills, handwriting, social skills, emotional regulation, and visual motor integration.
• Physical Therapy Post-surgical and post-injury rehabilitation services provided at the hospital, long-term care, outpatient clinic, and home health.
• Social Services Psychosocial assessment, admission planning, advance directives, discharge planning, community resources, and crisis intervention counseling for patients and families.
• Medical Nutrition Therapy & Weight Management Nutritional counseling, diabetes education and management, blood glucose meter instruction, body fat analysis, Ideal Protein Weight Loss Program, and medical nutrition therapy.
• DOT Exams Department of Transportation physical exams for commercial drivers to determine medical fitness for duty, paid directly at time of service and not billed to insurance.
• Sports Physicals Pre-participation physical examinations for high school athletes as required by the Idaho High School Activities Association, paid at time of service.
• Interpreter Services Language interpretation services for patients with limited English proficiency.

Quantifiable outcome

• 0% post-operative infection rate — significantly lower than most area hospitals
• +3 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature4 records

Partnerships

Three partnerships are on record, tiered core and minor.

• Medical Imaging Associates (Idaho Falls)coreTechnology or IntegrationRadiology exams (CT, MRI, ultrasound, mammography, digital X-ray, interventional pain procedures) performed at NJRMH are read and interpreted by Medical Imaging Associates, a group of radiologists out of Idaho Falls, Idaho. This partnership provides NJRMH with access to neuroradiology and interventional radiology subspecialty expertise that would otherwise be unavailable in a rural setting. The group includes specialists in Neuroradiology and Interventional Radiology.
• Portneuf Cancer CentercoreStrategic or Co-development PartnerTele-oncology partnership enabling NJRMH patients to receive chemotherapy administration with oversight from an oncologist at Portneuf Cancer Center. Patients receive the same care they would receive in another city while remaining local. The partnership utilizes HIPAA-compliant telemedicine technology for face-to-face collaboration with patients' primary doctors.
• Southeastern District Health DepartmentminorOthersRegional health department listed in community health contacts, serving as a referral and coordination resource for public health services in southeastern Idaho including Oneida County.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Regional players

• Madison Memorial Hospital: Community hospital in Rexburg, Idaho serving eastern Idaho. Slightly larger than NJRMH with broader specialty services but operates in the same regional referral ecosystem and competes for similar patient populations in eastern Idaho.

Direct peers

• Franklin County Medical Center: Critical Access Hospital in Preston, Idaho, serving Franklin County in southeastern Idaho. Nearest geographic peer to NJRMH in eastern Idaho, operating analogous hospital + clinic service lines for a rural community of similar size.
• Bear Lake Memorial Hospital: Critical Access Hospital in Montpelier, Idaho, serving Bear Lake County with similar rural, multi-service community care. Same regulatory designation and comparable scale, providing acute, ER, clinic, and long-term care to a rural Idaho population adjacent to NJRMH's market.
• Steele Memorial Medical Center: Critical Access Hospital in Salmon, Idaho, serving rural Lemhi County. Similar multi-service rural facility structure with CAH designation, providing a direct comparison point for staffing, service mix, and operating profile to NJRMH.
• Caribou Memorial Hospital: Critical Access Hospital in Soda Springs, Idaho serving Caribou County. Comparable rural Idaho acute and clinic footprint with similar staffing scale and regulatory moat, making it one of the closest peer benchmarks for NJRMH.
• Lost Rivers Medical Center: Critical Access Hospital in Arco, Idaho serving a similarly small rural community in central Idaho. Comparable scale and CAH designation with analogous combination of acute, clinic, ER, and ancillary services.

Broad incumbents

• Banner Health: One of the largest non-profit health systems in the U.S. with a heavy rural and critical access hospital footprint across the western U.S. Operates rural facilities of similar scale and scope to NJRMH while providing broader system-level capabilities.
• Intermountain Healthcare: Large integrated health system headquartered in Utah with significant rural hospital operations across the Intermountain West. Operates similar CAH-style facilities, shares regional referral patterns with NJRMH (~100 miles from Salt Lake City), and competes for rural patient volume.
• Portneuf Medical Center: Regional referral hospital in Pocatello, Idaho, and NJRMH's tele-oncology partner. Broader specialty portfolio but provides tertiary referral support to rural hospitals like NJRMH and competes for higher-acuity patients in the region.
• St. Luke's Health System: Large Idaho-based regional health system with multiple hospitals and clinics across the state. Operates a wider footprint and competes for rural primary care and swing-bed volume, while also serving as a specialty referral destination for CAHs like NJRMH.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/watch?v=8IMg1uIAe48
• Xx.com/njrhospital

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Nell J. Redfield Memorial Hospital