Osmond General Hospital

Nonprofit profile at a glance

EIN
237161473
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
Osmond, NE, USA
Phone
4027483393
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$10,262,385
Expenses
$9,897,419
Assets
$13,138,850
Liabilities
$1,688,168

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

14 people listed

Executive titles in this filing

  • LON M KNIEVEL (MEMBER/CEO)
  • TIM KINT (PRESIDENT)
  • DOUG KETELSEN (VICE PRESIDENT)

Highest reported compensation

  • LON M KNIEVEL (MEMBER/CEO): $218,065 total reported compensation
  • ALICIA VANDERWALLE (NURSE PRACTITIONER): $185,085 total reported compensation
  • SAMANTHA KIZZIRE (CLINIC/HOSPITAL APRN): $160,262 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Osmond general hospital is committed to providing patient centered, high-quality healthcare in a cost effective and safe manner.

What it reported doing in 2024

Osmond general hospital, inc serves all patients regardless of their ability to pay and does not limit its services or discriminate based on race, sex, national orgin, or religion. During 2024-2025, osmond provided 1,485 inpatient days, 294 related to medical/surgical and 1,191 related to swing-bed. There were a total of 96 operations performed and the emergency room treated 585 patients. In addition to providing direct inpatient and outpatient services, osmond general hospital, inc. Provided the following specialty clinics: urology, mammography, surgery, cardiology, pulmonology, pain, and telehealth.

Operating model

Revenue model
Other-operating. 95% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 74
  • Transparency & Controls: 82
  • Accountability: 89
  • Sustainability: 47
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 82.2%; rating input score 82
  • Program expense ratio: 84.5%; rating input score 85
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 88.9%; rating input score 89; 21st percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • 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: 3.6%; rating input score 49; 49th percentile among comparable filings
  • Total-asset coverage ratio: 1.33; rating input score 46; 46th percentile among comparable filings
  • Liabilities to assets ratio: 0.13; rating input score 69; 69th percentile among comparable filings
  • Officer compensation ratio: 9.9%; rating input score 21; 21st percentile among comparable filings

Growth

  • Program expense growth: 2% per year; rating input score 100; 19th percentile among comparable filings
  • Revenue growth: 3.7% per year; rating input score 100; 32nd percentile among comparable filings
  • Asset growth: 4.1% per year; rating input score 100; 30th percentile among comparable filings

Details

  • Where the money goes: 82.2% of revenue deployed · 84.5% of spending went to programs
  • Governance: 8 of 9 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $8.4M in reported program spending
  • Leadership: top reported pay $218K · 14 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.8M reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 6 filed schedules · includes executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Sustainability: Operating margin scored 49/100.
  • Review — Accountability: Governance controls: Whistleblower policy not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 46/100.
  • High — Sustainability: Officer compensation ratio scored 21/100.