Powell Valley Healthcare

What Powell Valley Healthcare does

Powell Valley Healthcare (PVHC) is a not-for-profit, tax-supported integrated rural health system headquartered in Powell, Wyoming, serving Park County and the broader Big Horn Basin. The entity Powell Valley Health Care, Inc. was formed in 1992 by the Powell Hospital District — itself established in 1949 as a special-purpose tax district with seven elected trustees — to operate the district's facilities; the hospital campus traces its origins to an 18-bed facility built in 1917 by Dr. J.R.A. Whitlock. The system delivers care through four integrated operating components on and adjacent to its 777 Avenue H campus: a 25-bed acute-care hospital with 24/7 emergency department, the Powell Valley Clinic (outpatient primary and specialty care), the 100-bed Powell Valley Care Center for long-term and memory care, and the 24-unit The Heartland Assisted Living facility.

The clinical service catalog spans roughly twenty departments — emergency/trauma, family medicine, obstetrics (with the only Baby-Friendly Hospital designation in Wyoming and over 150 annual births), surgical services, orthopedics & sports medicine (including robotic-assisted knee replacement), motion-preservation spine surgery (including first-in-Wyoming TOPS procedures), infusion and cancer care, imaging/radiology (64-slice CT, large-bore MRI, first-in-region contrast-enhanced mammography), laboratory, cardiopulmonary rehabilitation, mental health, pain management, pharmacy with community drive-up window, swing-bed post-acute rehab, home sleep study, and virtual care via the Otto Health telehealth platform. Underlying technology is predominantly third-party SaaS — PatientConnect (Billings Clinic-affiliated portal), RecordQuest, CarePayment financing, Para-HCFS price estimator, Docket immunization app, and Teletracking/registration platforms — with no disclosed proprietary AI, ML, or data-asset components.

Revenue is generated across hospital inpatient and outpatient care, clinic visits, long-term and assisted-living per diems, retail pharmacy transactions, infusion/oncology services, and ancillary services, with patients financed via CarePayment's 0.00% APR program and bill payment through PersonaPay. Capital expenditures are partially underwritten by the tax-supported Powell Hospital District and the Powell Medical Foundation, which has contributed $2.5 million in community support since 1983. Since January 2020, PVHC has operated as an affiliate of Billings Clinic (Montana), which places one staff member on the 11-person board and enables specialty care coordination; a separate Brim/HealthTech management services agreement governed operations from 1992 until it ceased in 2017. Leadership was refreshed in late 2025 / early 2026 with the appointment of CEO Todd Sandberg (November 2025) and the promotion of Lisa Wooten to CFO (February 2026).

Name

Powell Valley Healthcare

Legal name

Powell Valley Health Care, Inc.

Website

https://pvhc.org

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

1–10 employees

Short description

Powell Valley Healthcare is a not-for-profit, tax-supported rural health system in Powell, Wyoming, operating a 25-bed hospital, 100-bed long-term care facility, 24-unit assisted living community, and integrated outpatient clinic serving the Big Horn Basin since 1917.

Ownership category

akta.pro rank

Product category

Rural Community Healthcare

NAICS

Nursing Care Facilities (Skilled Nursing Facilities) (62311), Nursing and Residential Care Facilities (623), Ambulatory Health Care Services (621)

SIC

Services-Hospitals (8060), 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 industries

Long-Term Care Rehabilitation Centers (HLAFAFAD), Inpatient Rehabilitation Facilities (IRF) (HLAFAFAA), Outpatient Mental Health & Counseling Clinics (HLAFABAC)

Keywords

• Rural healthcare services
• Community hospital care
• Long-term nursing care
• Assisted living services
• Diagnostic imaging services

Headquarters

HQ city

Powell

HQ country

United States

HQ region

North America

Offices3 records

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. Hospital Patient Care Services: Inpatient and outpatient medical services including emergency department, surgical services, diagnostic imaging, laboratory, pharmacy, and cardiopulmonary services
2. Long-term Care Services: Round-the-clock nursing care at 100-bed Powell Valley Care Center since 1954
3. Assisted Living Services: 24-unit The Heartland Assisted Living providing apartment-style living with care services, meals, and activities
4. Retail Pharmacy: Outpatient retail pharmacy with drive-up window open to community, prescription refills, and pharmacist consultations
5. Patient Financing: Partnership with CarePayment offering 0.00% APR patient financing for medical expenses
6. Foundation Donations: Powell Medical Foundation raises funds through annual events, corporate sponsorships, and individual donations to support hospital equipment and facility improvements

Pricing tiers

Go-to-market motion1 record

Distribution channels7 records

Marketing channels6 records

Core offering

Powell Valley Healthcare is an integrated rural community healthcare system that delivers acute hospital care (25-bed), long-term nursing care (100-bed Powell Valley Care Center), assisted living (24-unit The Heartland), and approximately 20 clinical service lines covering emergency, surgical, diagnostic imaging, obstetrics, orthopedics, oncology/infusion, rehabilitation, pharmacy, and mental health. Patient-facing tools include an online portal (PatientConnect), telehealth, and online bill pay, all operated from a single Powell, Wyoming campus.

Product overview

Powell Valley Healthcare is a rural healthcare system operating as a single integrated facility with multiple distinct clinical service lines and patient-facing digital tools. The organization provides acute hospital care (25-bed hospital), long-term care (100-bed Powell Valley Care Center), assisted living (The Heartland with 24 units), and approximately 20 clinical service departments including emergency, surgical, diagnostic imaging, laboratory, obstetrics, orthopedics, spine surgery, oncology/infusion, mental health, and rehabilitation services. Patient-facing digital products include PatientConnect (patient portal via Billings Clinic), Online Bill Pay, and Virtual Care (telehealth via Otto Health). The facility has achieved Baby-Friendly Hospital designation and CMS 5-Star ratings for patient experience.

Differentiator

Problem solved

Functional benefit

Products and services

• The Heartland Assisted Living 24-unit assisted living facility providing one-bedroom apartments with all-inclusive utilities, meals, housekeeping, personal care services, activities, and 24/7 CNA staffing for seniors needing assistance with daily living.
• Cardiopulmonary Services Outpatient and inpatient cardiopulmonary care including pulmonary function testing, EKGs, Holter monitoring, cardiac rehabilitation, pulmonary rehabilitation, and respiratory therapies for patients with heart and lung disorders.
• Emergency Department 24/7 emergency medical care with specialized trauma training, Community Trauma Hospital designation, medical air transport coordination, and ambulance services for serious or life-threatening conditions.
• Family Medicine Primary care at Powell Valley Clinic including well-child checkups, adult wellness, immunizations, acute illness care, chronic disease management, DOT/sports physicals, minor procedures, and virtual care visits.
• Fast Track Urgent care-style service located in the ER for non-emergency illnesses and injuries, open daily 7am-8pm, treating conditions such as sore throat, earache, fever, UTIs, and minor-to-moderate injuries.
• Imaging / Radiology Diagnostic imaging including X-ray, 64-slice CT scanner, MRI (most advanced in Big Horn Basin), ultrasound, mammography, DXA bone density scanning, and interventional procedures such as biopsies and pain management.
• Infusion & Cancer Care Center Chemotherapy, immunotherapy, biotherapy, IV hydration, blood transfusions, and medication injections provided Monday through Friday, eliminating the need for patients to travel out of the area for cancer and infusion treatments.
• Laboratory Services Comprehensive lab testing including hematology, chemistry, urinalysis, blood bank, microbiology, tissue/pathology, and wellness screening with state-of-the-art equipment and reference lab connections.
• Long-term Care at Powell Valley Care Center 100-bed nursing facility providing 24/7 nursing care including memory care (Heart Mountain View with 16 beds), beauty salon, therapy services, and recreational activities for elders requiring round-the-clock assistance.
• Mental Health Services Psychiatric mental health services provided by Tari McAdam, PMHNP, at Powell Valley Clinic for patients needing mental health care and support.
• Obstetrics Obstetric care including vaginal births, VBAC deliveries, water births, C-sections, with two board-certified OB-GYNs, a family practitioner with obstetrics subspecialty, and certified nurse midwives. Designated Baby-Friendly Hospital providing free prenatal lactation support.
• Orthopedics & Sports Medicine Orthopedic surgery and sports medicine including fracture care, joint replacements, arthroscopic procedures, robotic-assisted knee replacement, ACL reconstruction, and a free sports injury clinic with concussion management and ImPact baseline testing.
• Outpatient Nutrition Consultation Services Registered dietitian services for diabetes management, cardiovascular concerns, weight management, gastrointestinal issues, food allergies, celiac disease, and disease prevention through personalized medical nutrition therapy.
• Pain Management Holistic Pain Management services via visiting provider clinic offering massage therapy, lifestyle modifications, injections, fluoroscopic/ultrasound-guided procedures, and multidisciplinary treatment plans for chronic pain conditions.
• Pharmacy Inpatient and outpatient pharmacy with registered pharmacists and certified technicians, IV medicines, retail pharmacy with drive-up window, anticoagulation clinic, and emergency department medication services.
• Spine Clinic / Spine Surgery Motion-preservation spine surgery with Dr. J. Alex Sielatycki offering cervical disc replacement, lumbar total joint replacement, TOPS facet replacement, and other advanced spinal procedures unique to the region.
• Surgical Services General and specialized surgeries including cancer surgeries, gynecologic procedures, hernia repairs, gallbladder removal, C-sections, endoscopic procedures, orthopedic/spine surgeries, with two operating rooms and one endoscopy suite using minimally invasive techniques.
• Swing Bed Program Post-acute rehabilitation program helping patients transition from hospital to home, providing physical/occupational/speech therapy, IV therapy, diabetic management, and skilled nursing care for those needing additional recovery time.
• Virtual Care Telehealth platform via Otto Health offering virtual visits for mental health services, family practice, and specialty care including medication refills, hospital follow-ups, and sleep study consultations.
• Women's Health Comprehensive women's healthcare including OB-GYN services, well woman exams, Pap smears, mammography, hormone therapy, IUDs, and gynecological surgeries including hysterectomy, hysteroscopy, and endometrial ablation.
• Home Sleep Study Convenient home-based sleep apnea testing using equipment patients self-administer in their own bed at a fraction of the cost of in-lab studies, with Board Certified Sleep Medicine physician oversight.
• Contrast-Enhanced Mammography (CEM) Advanced breast imaging service using contrast-enhanced mammography to improve breast cancer detection, particularly for patients with dense breast tissue; first such service in the Big Horn Basin region.
• PatientConnect Online patient portal provided through Billings Clinic affiliation, allowing 24/7 access to medical notes, radiology/pathology results, appointments, and secure messaging with healthcare providers.
• Online Bill Pay Digital bill payment service via PersonaPay with mobile-friendly QR code for convenient payment of medical bills and access to CarePayment 0.00% APR financing options.
• Retail Pharmacy Outpatient retail pharmacy with drive-up window open to the community, prescription refills, and pharmacist consultations.

Quantifiable outcome

• 5-Star CMS Rating for Hospital Experience (second time in two years)
• +4 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

Integration6 records

Feature7 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• Billings CliniccoreStrategic or Co-development Partner · 1 January 2020In January 2020, PVHC became an affiliate of Billings Clinic. A Billings Clinic staff member joined the PVHC Board, bringing the number of board members to 11. Partnership enables specialized care coordination and access to PatientConnect portal.
• RecordQuestcoreTechnology or IntegrationMedical records release partnership providing safest and fastest electronic release of medical records. Bilingual portal available for patients and requestors.
• CarePaymentminorGTM or Marketing PartnerPatient financing partnership offering 0.00% APR financing to help patients manage medical expenses.
• Holistic Pain ManagementcoreChannel Partner/ Reseller/ DistributorVisiting provider clinic offering pain management services at PVHC facilities. Provides massage therapy, lifestyle modifications, injections, and specialist consultations.
• Powell Medical FoundationcoreStrategic or Co-development PartnerNon-profit foundation supporting PVHC through fundraising, education, and advocacy. Has provided $2.5 million in support since 1983 for equipment, facilities, and scholarships.
• Brim Healthcare (HealthTech)minorImplementation/ SI/ Consulting PartnerPVHC entered management contract with Brim Healthcare (later HealthTech) in 1992, providing management and group purchasing services. Contract ceased in 2017.
• Lutheran Hospitals and Homes SocietyminorImplementation/ SI/ Consulting PartnerLease agreement initiated in 1946 with LHHS of Fargo, North Dakota to operate War Memorial Hospital. Agreement continued until 1992.
• Steamboat Orthopaedic & Spine Institute (SOSI)coreStrategic or Co-development PartnerPartnership with board-certified spine surgeon Dr. J. Alex Sielatycki bringing motion-preservation spinal surgery to Big Horn Basin. Physician assistant Bryan Tipton provides local consultations.
• Powell Hospital DistrictcoreStrategic or Co-development PartnerTax-supported hospital district established in 1949 governing PVHC facilities. District board of seven elected trustees plus three additional board members serve as PVHC board of directors.

Scale indicators10 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• SageWest Health Care: Wyoming rural hospital system operating campuses in Riverton and Lander with acute care and outpatient services. Comparable rural Wyoming market dynamics and integrated rural delivery model.
• Ivinson Memorial Hospital: Laramie, WY-based community hospital operated by a hospital district with comparable integrated service lines and rural-adjacent market dynamics. Similar governance model and nonprofit district structure.
• Sheridan Memorial Hospital: Wyoming community hospital providing acute care, long-term care, and clinic services. Similar non-urban market positioning and integrated service-line model, though somewhat larger in scale than PVHC.
• Cody Regional Health: Critical access health system in Cody, WY serving the same Big Horn Basin region as PVHC. Operates a comparable acute hospital plus long-term care and clinic services, making it the most direct geographic and scale peer.
• Campbell County Health: Gillette, WY-based rural health system offering a comparable multi-service model including acute hospital, long-term care, and clinic services. Comparable scale, governance structure (tax-supported district), and rural Wyoming operating environment.
• North Big Horn Hospital District: Critical access hospital in Lovell, WY within the same Big Horn Basin catchment. Operates a similar rural integrated model with acute care, long-term care, and clinic services, competing for patients in PVHC's immediate service area.

Broad incumbents

• Wyoming Medical Center: Largest hospital in Wyoming, based in Casper. Serves as a tertiary referral destination for rural Wyoming facilities including PVHC, capturing complex cases that PVHC cannot manage in-house.
• Billings Clinic: PVHC's affiliate since 2020 and the regional tertiary/quaternary referral partner for the Big Horn Basin. Operates a much broader multi-specialty footprint and provides the specialty infrastructure PVHC relies on.

Regional players

• Benefis Health System: Large regional health system in Great Falls, MT serving rural Montana communities. Comparable integrated rural referral model but operating in a different state regulatory environment and at substantially larger scale.
• St. Vincent Healthcare (Billings, MT): Regional tertiary hospital in Billings, MT within the Billings Clinic network. Acts as a competing regional referral destination for rural Wyoming patients requiring specialty care unavailable at PVHC.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/TheHeartlandPowell
• Instagraminstagram.com/powell_valley_healthcare

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries4 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 Powell Valley Healthcare