Critical access hospital · Cambridge, Nebraska · 20 beds · CMS certification number 281348
Tri Valley Health System
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended April 30, 2025, settled, stamped by CMS September 14, 2026. 24 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $8.2M in its first year on file (2002) to $27.3M in 2025.
- Its result from patient care: −$2.5M (2023), −$2.4M (2024), −$312K (2025).
- 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
Every statement is drawn from figures on this page; nothing is estimated.
24 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in Nebraska with under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Tri Valley Health System | 20 | $27,327,538 | $27,639,124 | −1.1% |
| Cozad Community Hospital, Cozad | 20 | $24,876,397 | $27,887,759 | −12.1% |
| Fillmore County Hospital, Geneva | 20 | $32,785,006 | $32,994,128 | −0.6% |
| Morrill County Community Hospital, Bridgeport | 20 | $31,463,956 | $32,101,395 | −2.0% |
| Pender Community Health, Pender | 21 | $40,681,397 | $39,243,633 | 3.5% |
| Providence Medical Center, Wayne | 21 | $35,684,539 | $34,112,461 | 4.4% |
Patients and payers
- Discharges
- 161S-3 line 14, col 15
- Inpatient days
- 1,205S-3 line 14, col 8
- Beds in use, on an average day
- 3.3days ÷ days in year
- Occupancy
- 16.5%days ÷ bed days
- Medicare share of days
- 79.6%S-3 cols 6 ÷ 8
Who owns it
Type of control on its cost report: voluntary nonprofit, other.
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.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 281348. Patients and payers: worksheet S-3 Part I of the same filing.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read September 14, 2026.