NIOBRARA VALLEY HOSPITAL (EIN 470537192) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1975

Legal Domicile

Principal Officer

KELLY KALKOWSKI

Phone

4025692451

Tax Period

2023-09-01 to 2024-08-31

NIOBRARA VALLEY HOSPITAL, founded in 1975, is a community nonprofit in the Health Care sector that reported $3.9M in total revenue in fiscal year 2023.

Mission

TO PROVIDE ACUTE HOSPITAL SERVICES.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $29,762

Program Service Revenue $3,729,120

Investment Income $58,279

Other Revenue $41,787

TOTAL REVENUE $3,858,948

Expense Breakdown

Grants Paid $1,100

Salaries & Benefits $1,579,466

Fundraising Expenses $0

Program Expenses $3,288,183

Other Expenses $2,485,751

TOTAL EXPENSES $4,066,317

Year-over-Year Comparison

	2023	2022	Change
Revenue	$3,858,948	$3,736,713	+0.0%
Expenses	$4,066,317	$3,509,363	+0.2%
Net Income	$-207,369	$227,350	-1.9%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$42,442

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
TRACY BIRMEIER	PRESIDENT	0.30	Officer Director	$0	$0	$0
LINDA SEXTRO	VICE PRESIDENT	0.30	Officer Director	$0	$0	$0
LARRY HIATT	SECRETARY	0.30	Officer Director	$0	$0	$0
CRAIG BREWSTER	TREASURER	0.30	Officer Director	$0	$0	$0
WANDA DEKAY	MEMBER	0.30	Director	$0	$0	$0
CINDY NOLAN	MEMBER	0.30	Director	$0	$0	$0
DARIN RIHANEK	MEMBER	0.30	Director	$0	$0	$0
MARTHA NELSON	CFO	5.00	Officer	$22,894	$0	$22,894
KELLY KALKOWSKI	ADMINISTRATOR	40.00	Officer	$19,548	$0	$19,548
BREE ALMGREN	NURSE PRACTIONER	32.00	Highest	$201,956	$2,256	$204,212
TODD HOPE	DOCTOR	40.00	Highest	$108,069	$0	$108,069

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$3,858,948	$4,066,317	$4,825,497	$-207,369
2023	$3,736,713	$3,509,363	$5,150,479	$227,350
2022	$3,540,126	$3,156,773	$5,150,725	$383,353
2021	$4,629,640	$2,967,461	$6,478,410	$1,662,179
2020	$2,800,595	$2,850,004	$5,178,994	$-49,409
2019	$2,628,798	$2,651,489	$2,803,967	$-22,691
2018	$2,672,922	$2,705,788	$2,674,803	$-32,866

NIOBRARA VALLEY HOSPITAL