Niobrara Valley Hospital

What it reported doing in 2024

Niobrara valley hospital provides quality health care regardless of race, creed, color, national origin, age, sex, handicap or ability to pay. All persons admitted or treated in the outpatient area of the hospital shall have equal care and treatment and full use of all hospital facilities and services. Reimbursement for services rendered is critical to the operation and stability of niobrara valley hospital, but it is recognized that not all individuals possess the ability to purchase essential medical services. Further, we strive to serve the community with respect to providing health care services and health care education.therefore, in keeping with this hospital's commitment to serving all members of its community: 1.) niobrara valley hospital must be responsive to the changing needs of the health care industry, the community and its own needs. As niobrara valley hospital adapts to those changes, the hospital is determined to remain an institution where the care that is rendered is compassionate as well as competent. 2.) niobrara valley hospital is and shall continue to be, a family centered, community oriented hospital, offering comprehensive medical services. 3.) the stated philosophies of niobrara valley hospital shall permeate all activities of the hospital and most importantly, that of patient care. 4.) the quality of patient care shall continue to receive primary emphasis at niobrara valley hospital. 5.) niobrara valley hospital shall prudently utilize its resources through efficient and effective management; careful consideration shall be given to the cost/benefit relationship of delivering services without compromising the quality of care. 6.) niobrara valley hospital shall provide an atmosphere conducive to the development of effective working relationships among the various elements necessary both inside and outside the hospital family. This family includes the board of directors, medical staff, administration, employees, the community, auxiliary and friends of the hospital. 7.) niobrara valley hospital shall offer continuing education programs and services for its medical staff and hospital personnel. Niobrara valley hospital also shall strive to provide its patients and the community with education in health related matters. 8.) niobrara valley hospital shall plan for its future. To this end, the hospital shall cooperate with other health care providers within the health care delivery system in a manner consistent with its stated philosophy. 9.) niobrara valley hospital shall serve as a catalyst within the community to identify the community's health care needs, and shall determine the level of appropriate participation by the hospital in meeting such needs. 10.) niobrara valley hospital will consider where the need and/or the individual's ability to pay coexist and offer free care to those who qualify. 11.) niobrara valley hospital served 33 inpatient days, 45 swing and respite care days and 539 emergency room visits. 12.) niobrara valley hospital provides care to persons covered by governmental programs at cost. Charity care is also provided through many reduced price services and free programs offered throughout the year based upon activities and services which niobrara valley hospital believes will serve a bona fide community health need. These include: 1.) operated a full time emergency room that provides medical services to all members of the public regardless of ability to pay. 2.) a variety of health care material was distributed to foster health education in the community. 3.) provided assistance to medicare patients with respect to their benefits under the medicare program. 4.) excess revenue is reinvested in new equipment which upgrades technology which will allow niobrara valley hospital to guarantee the availability of affordable health care for our service area.

Financial Efficiency

• Mission deployment rate: 74.8%; rating input score 75
• Program expense ratio: 77.6%; rating input score 78
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 2.7%; rating input score 43; 43rd percentile among comparable filings
• Total-asset coverage ratio: 1.17; rating input score 43; 43rd percentile among comparable filings
• Liabilities to assets ratio: 0.08; rating input score 62; 62nd percentile among comparable filings
• Officer compensation ratio: 9.2%; rating input score 32; 32nd percentile among comparable filings

Growth

• Program expense growth: 5% per year; rating input score 100; 40th percentile among comparable filings
• Revenue growth: 5.6% per year; rating input score 100; 46th percentile among comparable filings
• Asset growth: 8.7% per year; rating input score 100; 53rd percentile among comparable filings