2 locations registered under this record — data as of November 6, 2026
Critical access hospital · Cambridge, NE
Cambridge Memorial Hospital Inc. DBA Tri Valley Health System
Taking partYesLast certifiedAugust 14, 2026
- 2Registered locations
- 1Associated locations
- 4Contract pharmacies
- 2With no end date
- January 1, 2014In 340B since
Where this record sits: among the 60 Critical access hospitals in Nebraska, the median open contract-pharmacy count is 2; this record’s open count ranks 28.
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended April 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $46,503,338 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $19,175,800 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,327,538 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,639,124 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$311,586 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $88,811 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $74,151 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $838,038 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $427,799 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $501,950 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 20 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.5224 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 281348 for May 1, 2024 to April 30, 2025, settled. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Cambridge Memorial Hospital Inc (employer identification number 476028103) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $2,560,492 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $8,000 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $573,449 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $581,449 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,979,043 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0973 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202440519349300504. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by Cambridge Memorial Hospital Inc (employer identification number 476028103) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| Dale Fohnholz | Trustee | Trustee/director | $0 | $0 | $0 |
| Derek Downer | Trustee as of Nov 2022 | Trustee/director | $0 | $0 | $0 |
| Diana Swindler | CFO | Officer | $120,206 | $0 | $16,185 |
| Drew Cramer | Secretary until Oct 2022 | Trustee/director | $0 | $0 | $0 |
| Ginger tenBensel | Trustee until Oct 2022 | Trustee/director | $0 | $0 | $0 |
| Holly Lashment CRNA | Anesthetist | Highest-compensated employee | $317,700 | $0 | $22,317 |
| James Jones | Vice President | Trustee/director, Officer | $0 | $0 | $0 |
| James McGowen | Secretary as of Nov 2022 | Trustee/director, Officer | $0 | $0 | $0 |
| Jessica Fisher | CEO | Officer | $235,288 | $0 | $23,602 |
| John Paulsen | Treasurer | Trustee/director, Officer | $0 | $0 | $0 |
| LaVern Banzhaf | President | Trustee/director, Officer | $0 | $0 | $0 |
| Lennie Deaver MD | Family Practice/Obstetrics | Highest-compensated employee | $386,587 | $0 | $12,168 |
| Logan Baker | Trustee | Trustee/director | $0 | $0 | $0 |
| Marcus Vontz | Trustee as of Nov 2022 | Trustee/director | $0 | $0 | $0 |
| Michael Powell MD | Family Practice | Highest-compensated employee | $179,048 | $0 | $20,465 |
| Nanette Witte | Trustee | Trustee/director | $0 | $0 | $0 |
| Rachelle Kaspar-Cope MD | Family Practice/Obstetrics | Highest-compensated employee | $394,463 | $0 | $39,747 |
| Shiuvaun Jaeger MD | Family Practice/Obstetrics | Highest-compensated employee | $377,648 | $0 | $40,158 |
E-file object id 202440519349300504. The IRS archive it was read from.
Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 61stpercentile of 51 hospitals in NE, same facility class, under 25 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 58thpercentile of 52 hospitals in NE, same facility class, under 25 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 44thpercentile of 48 hospitals in NE, same facility class, under 25 bedsCharity care, at cost, in dollars, as filed
- 59thpercentile of 51 hospitals in NE, same facility class, under 25 bedsUncompensated care, at cost, in dollars, as filed
- 87thpercentile of 52 hospitals in NE, same facility class, under 25 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 4thpercentile of 51 hospitals in NE, same facility class, under 25 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Nebraska beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- January 1, 2014
- Certification date
- August 14, 2026
- Record last edited
- August 14, 2026
Identifiers
- 340B ID
- CAH281348-00
- Entity type as filed
- CAH
- CMS certification number
- 281348
- Rural
- Yes
1305 West Hwy 6 & 34, Cambridge NE 69022
Locations registered under this record
Browse all of them as a list →
| CAH281348-01 | Indianola Medical Clinic | CAH | Indianola, NE | Yes |
| CAH281348-02 | Arapahoe Medical Clinic | CAH | Arapahoe, NE | Yes |
Associated locations
| Cambridge Memorial Hospital Inc. DBA Tri Valley Health System | 1305 West Hwy 6 & 34 | Cambridge NE 69022 |
Pharmacy contracts
No end date filed2
| U-SAVE PHARMACY AND MEDICAL SUPPLY | MC COOK, NE | July 1, 2017 | no end date filed |
| WAL-MART PHARMACY 10-0790 | MCCOOK, NE | July 1, 2014 | no end date filed |
An end date is filed2
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| ARAPAHOE PHARMACY | ARAPAHOE, NE | January 1, 2014 | November 7, 2021 |
| MARK'S PHARMACY - CAMBRIDGE | CAMBRIDGE, NE | July 1, 2014 | July 2, 2022 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 6, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, stamped by its publisher November 6, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, read November 6, 2026.
The full report for Cambridge Memorial Hospital Inc. DBA Tri Valley Health System
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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