Nemaha County Hospital was dedicated and opened for public health services on May 1, 1963, in the original 26-bed building. Construction was funded jointly by bonds issued by Nemaha County and by Hill-Burton funds.

The institution grew rapidly, and the need for expansion was fulfilled with an additional bond issue with completion in 1970. The added construction increased patient capacity to 44, including four intensive care beds, and provided new administrative offices.

In 1974, Nemaha County Hospital added physical therapy, a new store room, maintenance garage, ambulance garage, dining room and remodeled the kitchen, all financed from the hospital's operating funds.

In 1992, the licensed bed capacity was changed to 39 and 5 bassinets. Former patient rooms were needed for pharmacy remodeling and nursing offices.

Bed capacity was decreased to 37 in 1994 after remodeling for cardiac rehab. The bed capacity was decreased to 32 in 1996 due to decreased inpatient census.

hospital-exterior.jpgIn April 2000, the voters passed a $4.75 million bond issue. Ground breaking began in June of 2000 and the remodeling, which was completed in three phases, was completed in April of 2003. The project added a new wing for outpatient services, new OR and Procedure rooms, contemporary ER facilities, private patient rooms, and updates to many other departments. The bed capacity for Nemaha County Hospital is now 20.

It should be noted that a county tax levy for the operational fund was necessary only the first three years; since 1966, the hospital has been self-supporting, and there have been no county taxes for that purpose since. The bond fund, used for original construction and the addition, retired in 1979.


In 2010, NCH began a $7.75 million remodel of the front of the hospital.  The remodel included a new classroom, server room, library, home health office, cardiac rehab room, administrative offices, boardroom, business office and expansion of the cafeteria. This remodel provided better routing/access to the outpatient area of the hospital.

In 2011, NCH started a journey to better quality with Det Norske Veritas (DNV).  DNV annually inspects our facility using the Federal Critical Care Hospital standards and the International Organization for Standardization (ISO).  ISO is an international standard for quality and safety.  Nemaha County Hospital is the first hospital in the State of Nebraska to be awarded by DNV-GL Healthcare full certification to the ISO 9001:2008 Quality Management System; the most widely accepted quality management system in use around the world.  ISO 9001 brings science to the art of care giving; it helps to standardize processes around things that are proven to work, by the people doing the work, thus empowering frontline workers while creating an environment of predictability for the entire organization.

Nemaha County Hospital is a county owned facility and governed by state law, which specifies the hospital is controlled by a Board of Directors comprised of five members, for six-year terms. Our Directors meet at 6:00 p.m. on the third Tuesday of each month at the Hospital. A Board member meets quarterly with the County Commissioners.