North Big Horn Hospital board identifies top community health care needs

The North Big Horn Hospital District Board covered finances, equipment approvals, community health priorities and future planning during its February 17 meeting, with the annual audit and improving operating performance leading the discussion.

The board heard that the district received a clean audit opinion showing the hospital is as financially secure as it has been in years. Board trustees emphasized the meaningful trend is improved operating performance. Board members noted the district has moved from operating losses in recent years to near break-even and positive margins, with leadership aiming for a sustainable operating margin of roughly 1% to 2%.

Trustees also discussed cash reserves and investment strategy, noting the district has maintained strong liquidity and should periodically review risk-free investment options to ensure an appropriate return on public funds.

In new business, the board approved several equipment items, including an IT system upgrade for the hospital’s data infrastructure and replacement infusion pumps for the long-term care unit. The board also approved purchase of a mobile dust containment unit, partially grant-funded, to support infection control and construction safety.

There was also discussion about the PATH (Promoting Aspiring Talent in Healthcare) program. On March 31, Rocky Mountain and Burlington high schools will bring 31 freshmen, and on April 1, Lovell High School will bring 74 freshmen to participate. Northwest College is expected to participate again in the career fair along with most hospital departments.

A detailed financial report highlighted one sign of growth tied to new services: Total Patient Services in January 2026 were $4,744,325, up from $4,104,355 a year ago, a nearly 15% growth.

Trustees also voted to move forward with a continuation of the district’s existing 3-mill levy. Members emphasized the proposal represents a renewal of an existing levy rather than a new tax and is intended to support long-term capital needs such as facility and equipment upgrades and future construction.

The board also approved the Community Health Needs Assessment implementation plan, identifying four key priorities: mental health access, home-based care, transportation and access to services, and women’s health. Planned efforts include expanding mental health outreach, increasing awareness of specialty services available locally and continuing to support home health programs aimed at helping residents receive care closer to home.

Human Resources reported the district employs about 271 staff members, with ongoing recruitment in several critical roles. Quality and risk management updates showed continued focus on patient experience and safety, including ongoing work to strengthen a culture of reporting and prevention.

The employee of the month was Teresa Harrison, an activities aide in the care center. Colleagues praised her professionalism, compassion and positive attitude, highlighting her strong relationships with residents and willingness to help others.

Overall, the meeting reflected a district focused on strengthening operations, planning for long-term capital needs and improving access to care while maintaining a solid financial footing.