Sublette County Hospital District

What Sublette County Hospital District does

Sublette County Hospital District is a public hospital district organized under Wyoming state law and headquartered in Pinedale, Wyoming, operating as a Critical Access Hospital to provide primary, urgent, emergency, and long-term care services to the rural residents of Sublette County. The organization runs a vertically integrated care continuum spanning two primary care clinics (Pinedale and Marbleton/Big Piney), a 24/7 emergency department and inpatient hospital (the new Sublette County Hospital opened July 2025), county-wide EMS, an urgent care service, a full imaging suite (CT, MRI, 3D mammography, DEXA, and X-ray), and laboratory services. Long-term and senior care operations include the 40-bed Heritage Home skilled nursing facility with a 10-bed Memory Care Unit (relocated October 2025), Heritage Apartments, and Aspen Grove Residencies. Visiting specialists in OB/GYN, dermatology, orthopedics, gastroenterology, pediatrics, cardiology, and behavioral health extend specialty coverage into the rural catchment.

The organization's technology stack centers on the MyChart/OCHIN electronic medical records platform, with legacy records housed at the University of Utah under a formal Organized Health Care Arrangement; imaging is delivered through $3M+ of equipment funded by the Sublette County Health Foundation and major donors (Archuleta Family MRI, Helmsley Trust radiology suite). Revenue is generated through fee-for-service patient care billed to commercial payers (Blue Cross Blue Shield of Wyoming, CIGNA, United Healthcare, Multiplan, others), Medicare, Medicaid, Tricare, and self-pay patients, supplemented by subscription-based senior housing fees ($650–$1,440/month) and philanthropic capital campaigns run through the Foundation. Pricing for outpatient services (new patient visits $81–$365; DOT physicals $150) reflects standard rural healthcare unit economics.

The go-to-market approach is direct-to-consumer and place-based: as the sole Critical Access Hospital within the county, the district captures essentially all geographically-bound demand for emergency, EMS, primary, and skilled nursing services, with community-based marketing via local press, foundation events, and patient testimonials. Ownership is public/governmental under Wyoming state law with an elected Board of Trustees, and the organization was formed through the 2022–2023 merger of the hospital district with the legacy Sublette Center (founded 1978). Leadership transitioned to a new FACHE-credentialed CEO (Rex D. Walk) in April 2026.

Name

Sublette County Hospital District

Legal name

Sublette County Hospital District

Website

https://sublettehospitaldistrict.org

Company type

Public

Founded year

2020

Operating status

Operating

Headcount range

1–10 employees

Short description

Sublette County Hospital District is a public Critical Access Hospital in Pinedale, Wyoming, providing primary, urgent, emergency, EMS, imaging, skilled nursing, memory care, and senior housing services to the rural residents of Sublette County through multiple clinic and facility locations.

Ownership category

akta.pro rank

Product category

Rural Critical Access Hospital Services

NAICS

Nursing Care Facilities (Skilled Nursing Facilities) (6231), Ambulatory Health Care Services (621), Nursing and Residential Care Facilities (623), Other Outpatient Care Centers (62149)

SIC

Services-Hospitals (8060), Services-Skilled Nursing Care Facilities (8051), Services-General Medical & Surgical Hospitals, Nec (8062), Services-Nursing & Personal Care Facilities (8050), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Community & Regional General Hospitals (HLAFAAAB)

akta.pro secondary industries

Long-Term Care Nursing Homes (Custodial LTC) (HLADADAB), Facility-Based Respite (Assisted Living/SNF/Memory Care Short Stays) (HLADAKAB), Subacute Care Facilities (HLAFAFAE)

Keywords

• Rural hospital services
• Critical access healthcare
• Emergency medical services
• Skilled nursing care
• Primary care clinics

Headquarters

HQ city

Pinedale

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Revenue: The hospital district generates revenue through direct patient care services including clinic visits, hospital services, emergency care, laboratory services, imaging, and urgent care. Services are billed to patients, insurance companies, Medicare, Medicaid, and other third-party payers.
2. Insurance and Government Programs: Revenue from contracted insurance carriers including Blue Cross Blue Shield of Wyoming, CIGNA, First Choice of the Midwest, InterWest Health, Medicaid, Medicare, Tricare, United Healthcare, and Multiplan. Also accepts out-of-network patients with different payment structures.
3. Foundation Fundraising: The Sublette County Health Foundation conducts fundraising campaigns to support capital projects including equipment purchases and facility improvements. Recent campaigns raised funds for radiology equipment, MRI machine, outdoor spaces, and surgery suite design.

Pricing tiers

Go-to-market motion1 record

Distribution channels7 records

Marketing channels5 records

Core offering

Sublette County Hospital District is a public Critical Access Hospital District providing comprehensive rural healthcare in Sublette County, Wyoming. It delivers primary care, urgent care, 24/7 emergency services, EMS, laboratory, and medical imaging through two clinic locations and a hospital. It also operates a 40-bed skilled nursing facility with a 10-bed memory care unit (Heritage Home), independent senior living apartments (Heritage Apartments and Aspen Grove), a women's health program, and visiting specialist clinics in multiple disciplines.

Product overview

Sublette County Hospital District operates as a rural critical access hospital district providing comprehensive healthcare services through multiple facilities. The core offerings include the Pinedale Medical Clinic Hospital (emergency and inpatient care), two primary care clinics (Pinedale and Marbleton/Big Piney), Emergency Medical Services, Urgent Care with expanded hours, Laboratory, and Imaging (including CT, X-ray, 3D mammography, DEXA, and MRI). The district also operates a senior care continuum consisting of Heritage Home (40-bed skilled nursing facility with 10-bed memory care unit), Heritage Apartments, and Aspen Grove Residencies for independent senior living. A Women's Health Program provides comprehensive gynecological and maternal health services. Visiting Specialists in cardiology, dermatology, orthopedics, gastroenterology, pediatrics, OB/GYN, and behavioral health extend specialized care to the rural community. The district recently relocated its skilled nursing facility to the new Heritage Home campus and opened a new hospital facility in 2025.

Differentiator

Problem solved

Functional benefit

Products and services

• Pinedale Medical Clinic Hospital Rural critical access hospital providing 24/7 emergency room services, inpatient care, laboratory, and imaging services for Sublette County residents.
• Pinedale Medical Clinic Family medicine practice offering primary care services including DOT physicals, routine checkups, preventive care, and women's health services.
• Marbleton/Big Piney Medical Clinic Rural medical clinic providing primary care, urgent care, and laboratory services for residents of Marbleton and Big Piney areas.
• Sublette County EMS Emergency medical services providing 24/7 ambulance transport and pre-hospital emergency response coverage across Sublette County.
• Urgent Care Services Walk-in urgent care services available at both Pinedale (9 AM - 5 PM Monday-Friday, first-come, first-served) and Marbleton (8 AM - 5 PM Monday-Friday) clinic locations.
• Laboratory Services Comprehensive laboratory testing services including blood draws with expanded Saturday hours at the hospital location for patient convenience.
• Imaging Services Medical imaging services including CT scanner, X-ray, 3D mammography, DEXA bone density scan, and MRI for diagnostic purposes.
• Heritage Home Skilled Nursing Facility Modern 40-bed skilled nursing facility with a 10-bed memory care unit offering 24-hour nursing care, rehabilitation, personal hygiene, and dietary services.
• Heritage Apartments Independent senior living apartments with studio ($650/month), one-bedroom ($905/month), and two-bedroom ($1,260/month) options including utilities, Wi-Fi, housekeeping, and exterior maintenance.
• Aspen Grove Residencies Active adult independent living community for adults 60+ featuring studio ($680/month), one-bedroom ($950/month), and two-bedroom ($1,440/month) apartments with all-inclusive amenities.
• Women's Health Program Women's health services including annual exams, cervical cancer screening, contraception counseling, prenatal and postpartum care, perimenopause/menopause management, and IUD/Nexplanon procedures.
• Visiting Specialists Program Specialty clinics in cardiology, dermatology, orthopedics, gastroenterology, pediatrics, OB/GYN, and behavioral health provided by visiting specialists at Sublette County clinic facilities.

Quantifiable outcome

• New hospital opened July 1, 2025 - providing local access to services previously requiring travel
• +2 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature3 records

Partnerships

Four partnerships are on record, tiered minor and core.

• Wyoming Art CouncilminorGTM or Marketing Partner · 22 November 2023Grant funding for artwork installations at new hospital - two mixed-media pieces by local artists Mae Orm and David Klaren.
• Casper CollegeminorStrategic or Co-development Partner · 10 June 2023SCHD and Casper College partnership on Med Tech program for healthcare workforce development.
• Sublette County Health FoundationcoreStrategic or Co-development Partner · 16 December 2022Supportive nonprofit foundation created by SCHD to raise funds for healthcare projects, equipment, and facility improvements. Hired first executive director in December 2022. Conducts year-end giving campaigns and fundraising for capital projects.
• University of UtahcoreStrategic or Co-development PartnerSublette County Hospital District participates in an Organized Health Care Arrangement (OHCA) with the University of Utah. The OHCA participants share access to the University's electronic medical record system and may access patient medical and billing information for treatment or health care operations purposes. Old MyChart records (prior to Aug 4, 2025) are housed at the University of Utah.

Scale indicators6 records

Recent moves8 records

Expansion highlights6 records

Broad incumbents

• Quorum Health: Operator of rural and community hospitals in non-urban markets. Comparable in serving critical access-style facilities in geographically isolated areas, though operates a portfolio of multiple hospitals rather than a single district.
• Avera Health: Regional health system serving rural communities across the Upper Midwest with critical access hospitals, long-term care, and visiting specialist programs. Comparable in rural care delivery model and integrated continuum including senior services.
• LifePoint Health: Large operator of rural and community hospitals across the United States. Comparable in target market (rural/non-urban acute care) and operating model, but at national scale across hundreds of facilities rather than a single district.

Direct peers

• Star Valley Health: Wyoming-based rural hospital district serving Star Valley; directly comparable as a Critical Access Hospital with clinics, EMS, and a skilled nursing/long-term care continuum in a similarly sized rural Wyoming community. Already a partner through Dr. David Gonzalez cardiology visiting specialist relationship.
• Weston County Health Services: Wyoming rural hospital district providing acute care, clinic, EMS, and long-term care services in Newcastle. Closely comparable in size, Critical Access Hospital designation, and integrated rural service model.
• South Lincoln Medical Center: Critical Access Hospital in Kemmerer, Wyoming. Directly comparable as a small Wyoming rural hospital providing 24/7 ER, primary care, skilled nursing, and visiting specialist services to a similarly sized remote community.

Regional players

• St. John's Health (Jackson, WY): Closest regional referral hospital where Sublette patients currently travel for specialty care. Comparable in being a Wyoming community hospital but materially larger in scale; competes with Sublette for specialty referrals Sublette aims to recapture locally.
• SageWest Health Care: Wyoming rural hospital operator with facilities in Riverton and Lander. Comparable as a rural acute care provider with emergency, imaging, and outpatient services competing for the same patient catchment that Sublette currently loses to larger regional centers.
• Memorial Hospital of Sweetwater County: Wyoming community hospital serving a similar rural/frontier population in southwestern Wyoming. Comparable in offering a broad service mix (emergency, inpatient, imaging, long-term care) across multiple county locations, though at a larger scale than Sublette.
• Campbell County Health: Wyoming community hospital district in Gillette offering hospital, long-term care, and clinic services. Comparable in governance structure (special hospital district) and integrated service mix across acute, post-acute, and primary care in a rural Wyoming setting.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/sublettehealth
• Facebookfacebook.com/sublettehealthcare
• LinkedInlinkedin.com/company/sublette-county-rural-health-care-district

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 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 Sublette County Hospital District