Garfield County Hospital District

What Garfield County Hospital District does

Garfield County Hospital District (GCHD) operates a public hospital district in Pomeroy, Washington, delivering essential healthcare services to approximately 2,404 residents of Garfield County. Founded in 1948 and designated as the first Critical Access Hospital in Washington State in 1999, GCHD runs a 25-bed main hospital at 66 N 6th Street providing 24/7 Level V Trauma emergency services, inpatient and observation care, transitional/swing-bed care, diagnostic imaging (X-ray and ultrasound, including a Siemens ACUSON Juniper system installed August 2021), laboratory diagnostics (in-house plus referral partnership with Incyte Laboratories), therapy services (physical, occupational, speech), wound care, outpatient IV treatments, kidney services and dialysis, and telehealth. A second facility, the Pomeroy Medical Clinic at 446 Pataha Street, operates as a Rural Health Clinic providing primary care, women's health, well-child visits, immunizations, and whole-person care.

GCHD's revenue model combines fee-for-service billing (Medicare, Medicaid, commercial insurance, and self-pay for clinical services) with a property tax levy authorized by its public hospital district status, supplemented by community donations channeled through the Garfield County Hospital District Foundation (established 2021 in partnership with Blue Mountain Community Foundation). The district is governed by a five-member elected Board of Commissioners and led by CEO Mat Slaybaugh; with no shareholders, all surplus is reinvested into community care. Financial assistance programs including a Charity Care program and a 2025 sliding fee scale serve low-income residents.

The organization is currently pursuing material expansion: Resolution No. 25-03 proposes up to $7,000,000 in general obligation bonds to fund a new imaging suite with CT scanner — addressing a documented 57% ER patient leakage rate — alongside a separate Assisted Living Funding Project. GCHD holds no proprietary AI or software assets; its technology footprint consists of third-party clinical systems (athenahealth patient portal, Siemens ultrasound) and standard Wix-based web infrastructure. Recognition includes the rater8 2025 Specialty Excellence Award.

Name

Garfield County Hospital District

Legal name

Garfield County Hospital District

Website

https://garfieldcountyhospital.com

Company type

Private

Founded year

1948

Operating status

Operating

Headcount range

101–250 employees

Short description

Garfield County Hospital District is a public hospital district in Pomeroy, Washington, providing emergency, primary, inpatient, and outpatient healthcare to approximately 2,404 residents of Garfield County through a 25-bed critical access hospital and a rural health clinic.

Ownership category

akta.pro rank

Product category

Rural Hospital & Healthcare Services

NAICS

Ambulatory Health Care Services (621), Outpatient Care Centers (6214)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Public/County Primary Care Clinics (HLAFAGAI)

Keywords

• Rural hospital services
• Critical access hospital
• Emergency trauma care
• Primary care clinic
• Diagnostic imaging services

Headquarters

HQ city

Pomeroy

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Revenue: Revenue generated from providing healthcare services including emergency, inpatient, outpatient, primary care, diagnostic imaging, lab diagnostics, therapy, wound care, and dialysis services. Services billed to insurance, Medicare, Medicaid, and patients directly.
2. Local Property Tax Funding: As a Public Hospital District, GCHD receives a portion of its funding from local property taxes to support operations, maintenance and services.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

Garfield County Hospital District operates a public hospital district providing a comprehensive range of acute and outpatient healthcare services, including 24/7 Level V Trauma emergency care, inpatient and transitional (swing-bed) care, primary care through the Pomeroy Medical Clinic, lab diagnostics, diagnostic imaging (X-ray and ultrasound), physical/occupational/speech therapy, wound care, outpatient IV treatments, and kidney/dialysis services to approximately 2,404 residents of Garfield County, Washington.

Product overview

Garfield County Hospital District operates a unified healthcare delivery system consisting of two facilities: the main Garfield County Hospital (66 N 6th Street) with 25 beds offering inpatient and outpatient hospital services, and the Pomeroy Medical Clinic (446 Pataha Street) providing primary care services. The portfolio centers on a comprehensive range of hospital-based services including 24/7 Emergency/Level V Trauma care, inpatient services with observation stays, transitional/swing-bed care, laboratory diagnostics (with external partnership to Incyte Laboratories), diagnostic imaging (X-ray and ultrasound), therapy services (physical, occupational, and speech therapy), wound care, outpatient IV treatments, and kidney/dialysis services. The Pomeroy Medical Clinic delivers primary care, women's health, and pediatric services. The integrated model allows seamless patient navigation between clinic-based primary care and hospital-based specialty and emergency services.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Services 24/7 emergency department staffed by experienced physicians and nurses, providing Level V Trauma services with initial evaluation, stabilization, and diagnostic capabilities for Garfield County residents and visitors.
• Primary Care Primary care services offered at Pomeroy Medical Clinic serving as a medical home for patients, providing well visits, immunizations, acute illness treatment, chronic condition management, and pediatric care.
• Transitional Care Swing-bed services for patients ready to leave acute care but needing additional skilled medical care, nursing, or rehabilitation before returning home.
• Lab Diagnostics Full-service in-house laboratory processing blood tests, stool testing, urine testing, cultures, and comprehensive metabolic panels, with specimens referred to Incyte Laboratories for tests not available in-house.
• Diagnostic Imaging Radiology department providing outpatient X-ray (available 24/7 for ER) and DX ultrasound using the Siemens ACUSON Juniper Ultrasound System installed in August 2021.
• Therapy Services Rehabilitation therapy including physical therapy, occupational therapy, and speech therapy for inpatients and outpatients.
• Inpatient Services Hospital inpatient care with physicians, nurses, social services, and observation stay services for short-term evaluation or treatment.
• Wound Care Wound healing and prevention services managing pressure ulcers, diabetic ulcers, venous ulcers, surgical wounds, ostomies, and minor burns.
• Outpatient IV Treatments IV antibiotics treatment for various diagnoses with personalized care plans developed in coordination with referring providers.
• Kidney Services & Dialysis Comprehensive inpatient and swing-bed nephrology and dialysis services for kidney failure, kidney disease, electrolyte disorders, and related conditions.
• Outpatient Baths Outpatient bathing assistance services for patients requiring hands-on help with bathing tasks, including skin checks performed by licensed nurses.

Quantifiable outcome

• 57% of ER patients currently sent elsewhere due to lack of CT unit, representing significant patient leakage
• +2 more outcomes

Named customers1 record

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature1 record

Partnerships

Four partnerships are on record, tiered core and minor.

• Incyte LaboratoriescoreTechnology or IntegrationIncyte Laboratories is a partner for lab processes not available in-house at GCHD. For lab processes requiring specialized testing beyond GCHD's in-house capabilities, specimens are referred to Incyte Laboratories for processing.
• Blue Mountain Community FoundationcoreOthersThe Garfield County Hospital District Foundation was founded in 2021 and partners with Blue Mountain Community Foundation to facilitate fundraising. Donations can be sent to or made online through Blue Mountain Community Foundation.
• HUGS (Help Us Give Support)coreOthersHUGS is a volunteer-based hospital auxiliary founded in 1998 to support GCHD. Funded by donations, HUGS helps GCHD purchase equipment and provides entertainment and events to patients. HUGS meets monthly and accepts volunteers.
• Washington State Hospital Association (WSHA)minorOthersWSHA is a community partner shown in GCHD's community partnerships section, representing the statewide hospital association membership.

Scale indicators7 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• East Adams Rural Healthcare: Critical access hospital in Ritzville, WA providing ER, inpatient, outpatient, and primary care to a small rural Washington county. Directly comparable in scale and service mix to GCHD.
• Cascade Medical Center: Critical access hospital in Leavenworth, WA providing ER, inpatient, outpatient, and clinic services to a small North-Central Washington community. Direct comparable on CAH economics and community-hospital scale.
• North Valley Hospital District: Public hospital district in Tonasket, WA operating a critical access hospital serving the rural Okanogan County community. Comparable scale, governance, and CAH reimbursement profile to GCHD.
• Lincoln Hospital & North Basin Medical Clinics: Small rural hospital in Davenport, WA serving Lincoln County. Comparable in scale, geography, and mixed hospital-clinic service delivery to GCHD.
• Three Rivers Hospital: 25-bed critical access hospital in Brewster, WA — nearly identical bed count and rural north-central Washington setting to GCHD, making it one of the most directly comparable peers.
• Columbia County Health System: Critical access hospital and rural health clinic network in Dayton, WA serving the small, rural Columbia County population — near-twin in operating model and scale to GCHD.
• Ferry County Memorial Hospital: Public hospital district and critical access hospital in Republic, WA serving rural Ferry County. Same regulatory model and small-county catchment as GCHD.
• WhidbeyHealth Medical Center: Public hospital district in Coupeville, WA operating a critical access-style facility serving rural Whidbey Island. Closely comparable to GCHD as another WA public hospital district anchored in a small, geographically defined catchment with ER, inpatient, and clinic services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/PomeroyMD

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries2 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 Garfield County Hospital District