Northern Dutchess Hospital

What it reported doing in 2024

Northern dutchess hospital (ndh) is an 84-bed nonprofit acute care hospital located in rhinebeck, New York. The hospital is committed to delivering high-quality, patient-centered, and mission-driven care to the communities it serves. Patients have access to comprehensive, close-to-home services ranging from preventive care for cancer and heart disease to bariatric surgery, orthopedic services, and healthy aging programs. Ndh has established a strong reputation in the hudson valley, particularly for excellence in maternity and orthopedic care. Northern dutchess hospital is part of nuvance health, which in may 2025 joined northwell health, creating an expanded integrated health system that enhances access to coordinated, high-quality care across New York's hudson valley and western Connecticut. As part of northwell health, New York's largest health system, ndh patients benefit from expanded clinical coordination, enhanced specialty expertise, and access to system-wide best practices, while maintaining a strong focus on community-based care. Through this integrated system, ndh offers a broad range of services, including bariatric surgery and medical weight loss, critical care, diabetes education, emergency services, heart and vascular care, imaging and radiology, infusion therapy, neurology and neurosurgery, orthopedic care, physical rehabilitation, primary care, rheumatology, sleep medicine, urgent care, women's health, behavioral health, cancer care, dentistry, digestive health, endocrinology, genetic counseling, home health services, infectious disease care, nephrology, occupational medicine, patient blood management, pediatrics, podiatry, pulmonary care, geriatric care, surgical services, urology, and wound care and hyperbaric medicine. Ndh maintains a strong commitment to clinical quality and patient safety and has been recognized by several national organizations. The hospital was named a top teaching hospital by the leapfrog group for outstanding quality and safety and received a five-star quality rating from the centers for medicare & medicaid services (cms), placing it among a select group of hospitals nationwide. It has also been designated as a robotic center of excellence by the surgical review corporation. In 2025, u.s. News & world report recognized ndh as "high performing" in heart failure, and the hospital received the american heart association's get with the guidelines stroke gold plus award. Additional recognition includes multiple healthgrades five-star ratings for clinical outcomes in areas such as hip fracture treatment, heart failure, sepsis, gastrointestinal bleeding, and diabetic emergencies. These recognitions reflect the hospital's commitment to quality improvement, patient safety, and the delivery of effective, evidence-based care. Northern dutchess hospital conducts a community health needs assessment (chna) every three years to identify the health needs, barriers, and priorities of the communities it serves. The findings inform the development of the community health improvement plan (chip), which outlines targeted strategies and measurable actions to address identified needs. Based on the most recent chna, ndh focused its community benefit activities on two priority areas: preventing chronic disease and promoting well-being while addressing mental health and substance use. In support of chronic disease prevention, ndh offers the centers for disease control and prevention (cdc) national diabetes prevention program (dpp), an evidence-based lifestyle intervention designed to reduce the risk of type 2 diabetes. The program has achieved "full plus recognition" from the cdc, demonstrating strong participant outcomes and program effectiveness. To support behavioral health and substance use prevention, ndh provides access to mental health first aid, a nationally recognized, evidence-based training program that equips individuals with the skills to recognize and respond to signs of mental illness and substan

Financial Efficiency

• Mission deployment rate: 88.8%; rating input score 89
• Program expense ratio: 92.5%; rating input score 93
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 85.7%; rating input score 86; 1st percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 69.1%; rating input score 69; 14th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 78.3%; rating input score 78; 26th 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: Fail
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.2%; rating input score 53; 53rd percentile among comparable filings
• Total-asset coverage ratio: 1.33; rating input score 49; 49th percentile among comparable filings
• Liabilities to assets ratio: 0.25; rating input score 62; 62nd percentile among comparable filings
• Officer compensation ratio: 1.9%; rating input score 58; 58th percentile among comparable filings

Growth

• Program expense growth: 11.6% per year; rating input score 100; 80th percentile among comparable filings
• Revenue growth: 8.9% per year; rating input score 100; 72nd percentile among comparable filings
• Asset growth: 9.9% per year; rating input score 100; 70th percentile among comparable filings