Wyoming is one of the most rural states in the lower 48 and its geography and population sizes make culturally competent health care sparse and is extremely challenging to access. Marginalized groups like people living below the poverty line, people experiencing homelessness, college students, migratory farm/ranch workers, and folks with limited English proficiency find themselves without reliable primary care in the Equality State. As one of only five Federally Qualified Health Center’s and look-alikes in the State of Wyoming, the University of Wyoming’s Educational Health Center of Wyoming (EHCW) provides primary care services including specialized dental, behavioral, case management, pharmacy, geriatric, and women's care on a sliding scale, regardless of the patient's ability to pay in four Wyoming cities. These cities (Casper, Cheyenne, Laramie, and Thermopolis) encompass almost half of the state's population. Additionally, the EHCW prepares pharmacy and medical residents for specialized careers as rural Wyoming providers. During the period of performance, the EHCW aims to serve more Wyomingites and to expand primary care services to the constituents in its service area. The organization will look at key performance indicators like the total number of patients served in a fiscal year, benchmarks of hiring expanded specialty care like dentistry and behavioral health, the number of medical residents graduated, and additional, evaluate its practices based on qualitative and quantitative data from patient satisfaction surveys. Service Area Competition funds will dramatically help EHCW to meet its objectives in the post-COVID-19 world.