Future Plans

The Sublette County Hospital District strongly believes in being responsible fiscal stewards, working together to use existing space, reduce costs and improve care. We submitted a $32.2 million loan application to the U.S. Department of Agriculture which was approved June 24, 2022.

The plans, prepared by Davis Partnership Architects, include building the hospital with an attached long-term care facility, using the Pinedale Medical Clinic and seven acres of the nearby Dudley Key Ball Fields. The Gross Maximum Price is $73.8 million, which includes the $32.2 million USDA loan, $25.4 million from Sublette County, a $10 million ARPA grant from the State of Wyoming and an astounding $1 million donation from Mr. Joe Ricketts. Along with $5.2 million of hospital contribution, this makes up the funding for the project.

  • 40,000 square feet for a new critical access hospital to include a 24/7 emergency room with a separate entrance, approximately 10 hospital rooms, potential surgical space, clinic space and an imaging, CT-scan and X-ray area

  • 44,000 square feet for a new long-term care facility with 50 total beds which includes a secured Memory Care Unit (a specialized unit for dementia care) with 10 beds

  • 15,000 square feet of existing space in the Pinedale Medical Clinic for district administration (This helps reduce costs.)

  • A secure room for emergency detention/ mental health crisis support (Title 25)

  • Shared dietary and maintenance facilities for the long-term care facility and hospital (This helps reduce costs.)

  • The Marbleton/Big Piney Medical Clinic will stay open with the goal of expanding after hour care in the future.


Future Financial Feasibility

The Eide Bailly Report is an analysis of the financial feasibility of the Sublette County Hospital District’s financial viability during and after its transition to a critical access hospital (CAH). The most recent report shows building and running a CAH in Sublette County is not only possible but also can be profitable.

The most recent report shows the debt ratio is 1.65, well within the guidelines of the USDA. We are treating the report as a baseline, the most conservative estimate for how this project can succeed.

Further, with a new facility, the report predicts the Sublette Center will have an increase in patients using their services. Sublette Center Administrator Dawn Walker explained, “While we are licensed for 50 beds, we currently average about 33 filled. With a new facility, more private rooms, access to a hospital and a new memory care wing, we anticipate filling more beds.”


The Capital Campaign for Sublette County Health Foundation

SC Health Foundation leaders have launched a $10.5 million fundraising campaign to purchase advanced radiology equipment (including a mammogram), provide outdoor living space for the Sublette Center, and complete the surgery suites (which are currently shelled). Check out our fundraising tacker on the Sublette County Health Foundation website!



Project Updates