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Cambridge Memorial Hospital

Also known as Tri Valley Health System

Cambridge, NE · EIN 47-6028103 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending April 30, 2025 (tax year 2024) · View the filing · Correct or respond

Cambridge Memorial Hospital reported $28.8 million in revenue and $27.6 million in expenses for the fiscal year ending April 30, 2025. Of every $100 it spent, $85.38 went to program services, $14.62 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 96.2% of the total. The highest compensation it reported for one person was $601,986 (Family Practice/Obstetrics). 13 people received more than $100,000 in reportable compensation. Revenue rose 29% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending April 30, 2025 · Form 990, Part IX, line 25 · total expenses $28M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending April 30, 2025 · Form 990, Part VIII · total revenue $29M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
85.4%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
14.6%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
2.7%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
1.6%0.1%
Program service revenue share
Part VIII 2g ÷ 12
96.2%93.7%
Highest reported compensation
Part VII-A, columns D–F
$601,986$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
2.18%1.34%
People paid over $100,000
Part VII, line 2
1327
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
6.06.6
Independent voting board members
Part VI 1a–1b
9 of 988.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense
$19M expenses · 80.6% of program spending · revenue $22M

Cambridge Memorial Hospital, Inc., dba Tri Valley Health System operates a 20-bed critical access hospital located in Cambridge, Nebraska. The hospital provides short-term inpatient and outpatient care. Tri Valley Health System operates a full-time emergency room and provides emergency care regardless of the ability to pay. The emergency room had 1,153 emergency center visits this year. Through its integrated network of providers, Tri Valley Health System provides emergency and non-emergency services to the communities it serves. Tri Valley Health System initiated a "walk-in" clinic through…

$3.8M expenses · 16.2% of program spending · revenue $4.7M

Tri Valley Health System has rural health clinics in Arapahoe, Indianola, and Cambridge, Nebraska. During the year, the clinics had 11,182 visits. The employed physicians are active in the community and provide support services such as attendance at community sport programs and medical directors for EMT groups. They also offer educational programs for the local school systems and people in the community with programs such as "Healthier Me", a diabetes prevention program. Yearly the clinics provides "flu clinics" in which flu vaccinations are provided at reduced rates. Also, the clinics…

$744K expenses · 3.2% of program spending · revenue $750K

Tri Valley Health System's other programs include an Assisted Living Facility and an Independent Living Facility. Additional services are provided including a home monitoring system, Meals on Wheels, and Public Transportation. During the fiscal year, Tri Valley's Assisted Living Facility averaged 19 residents a day. Tri Valley Health System is encouraging community members to stay as independent as possible and assuring the patients/residents are in the appropriate location based on their level of care needs

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
Family Practice/Obstetrics
Highest compensated employee, 40.00 hrs/week
$560,019$0$41,967$601,986
Family Practice/Obstetrics
Highest compensated employee, 40.00 hrs/week
$442,583$0$26,898$469,481
Family Practice/Obstetrics
Highest compensated employee, 40.00 hrs/week
$424,487$0$44,528$469,015
Former CEO
Former, 40.00 hrs/week
$391,181$0$10,380$401,561
CEO
Officer, 40.00 hrs/week
$192,987$0$38,855$231,842
Pharmacist
Highest compensated employee, 40.00 hrs/week
$146,988$0$40,031$187,019
CFO
Officer, 40.00 hrs/week
$134,179$0$16,894$151,073
Family Practice
Highest compensated employee, 40.00 hrs/week
$143,367$0$7,183$150,550

13 people received more than $100,000 in reportable compensation from Cambridge Memorial Hospital (Part VII, line 2). Compensation of current officers, directors and key employees totaled $409K (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$10M$20M$30M$40MFY2020FY2021FY2022FY2023FY2024FY2025$29M$28M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$29M$28M85.4%$14M$601,986
FY2024 (amended) ⓘ$26M$27M83.9%$12M$504,054
FY2023 ⓘ$25M$26M85.0%$13M$434,210
FY2022 ⓘ$26M$25M86.2%$14M$404,926
FY2021 ⓘ$29M$23M82.9%$14M$336,794
FY2020 ⓘ$22M$23M82.4%$7.4M$314,579

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b9 · 9 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aYes
  • Board given the 990 before filing Part VI 11aYes
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4No
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 5224
  • Volunteers Part I, line 650

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
Inspire Rehabilitation
Rehabilitation services
$1,308,953
Psychiatric Medical Care LLC
Behavioral healthcare services
$561,797
C & A Industries
Contract staffing
$559,481
Holly Lashment Dba Shadow Anesthesia Ser
Anesthesia services
$374,176
Med-Care INC
Contract staffing
$333,425

Individuals listed as contractors are left out. 10 contractors were paid more than $100,000 in all.

Private foundation grants it received

2 private foundations reported grants to Cambridge Memorial Hospital totaling $15,132 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from Cambridge Memorial Hospital's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Cambridge Memorial Hospital, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in Nebraska

Questions people ask

How much of Cambridge Memorial Hospital's spending goes to programs?

In the fiscal year ending April 30, 2025, Cambridge Memorial Hospital reported that 85.4% of its $27.6 million in expenses went to program services, 14.6% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Cambridge Memorial Hospital pay its top executive?

The largest total compensation Cambridge Memorial Hospital reported for one person in the fiscal year ending April 30, 2025 was $601,986, for the role of Family Practice/Obstetrics (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Cambridge Memorial Hospital get its money?

Of $28.8 million in revenue in the fiscal year ending April 30, 2025, 2.7% came from contributions and grants (including 1.6% from government grants) and 96.2% from program service revenue (Form 990, Part VIII).

Is Cambridge Memorial Hospital a registered charity?

The IRS lists EIN 47-6028103 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2025: Form 990 for the fiscal year ending April 30, 2025, object 202620649349300807 · read the filing · XML
  • FY2024: Form 990 for the fiscal year ending April 30, 2024 (amended), object 202540659349300414 · read the filing
  • FY2023: Form 990 for the fiscal year ending April 30, 2023, object 202440519349300504 · read the filing
  • FY2022: Form 990 for the fiscal year ending April 30, 2022, object 202330489349300433 · read the filing
  • FY2021: Form 990 for the fiscal year ending April 30, 2021, object 202230329349301413 · read the filing
  • FY2020: Form 990 for the fiscal year ending April 30, 2020, object 202140709349301664 · read the filing

All filings for EIN 47-6028103: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.