Nemaha County Hospital was dedicated and opened for public health services on May 1, 1963, in the original 26-bed building. 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.
