12/15/2025
Every day, Laura Gamble sees the importance of Pender Community Hospital in the lives of her neighbors. The woman who drove an hour to deliver her first baby. The man in a mental health crisis. They rely on her northeast Nebraska hospital. “It’s like an oasis on the hill,” said Gamble, who grew up in the area and practiced as a nurse before becoming the hospital’s CEO.
Across the state and country, it has become increasingly difficult for hospitals like the one in Pender to keep their doors open. Reimbursement rates for Medicaid have lagged behind skyrocketing costs, hospital leadership and analysts say, and it’s tough to recruit and retain employees.
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The mounting challenges facing hospitals led Nebraska lawmakers to try to help — pushing a bill to unlock up to $1 billion in federal Medicaid funding. But that money was tied up in a federal approval process for over a year, putting some hospitals on edge.