Healthcare System Overview

An In-Depth Look into the Healthcare System

Thayer County Health Services is a county-owned health system based in Hebron, Nebraska. TCHS operates a 17-bed Critical Access Hospital with a Level IV Trauma Center, the Hebron Rural Health Clinic, and a range of outpatient, specialty, and wellness services on one campus. The system serves patients within a 50-mile radius, from more than 288 communities across Nebraska and Kansas.

The community has supported the hospital since local residents raised the funds to open it in 1948. That support has continued through several expansions, most recently a $14.8 million renovation and wellness project completed in 2018. Patients rate TCHS highly, with a 5-star HCAHPS patient survey rating.

TCHS states its mission as improving the lives of those it serves by providing exceptional, patient-centered health care.

Health System Snapshot

Type: County-owned Critical Access Hospital

Licensed Beds: 17

Trauma Designation: Level IV

Emergency Department: Open 24/7/365

Employees: 115

EHR: Oracle Cerner

Patient Survey Rating: 5-star HCAHPS

Management Partner: CHI Health St. Elizabeth, Lincoln

Hospital Metrics

Metric Value
Licensed beds 17
Annual discharges 149
Average length of stay 1.71 days
ER visits About 120 per month
Case mix index 1.10
Facility size 58,922 square feet

Hospital and Emergency Services

  • Acute inpatient, observation, and swing bed care
  • 24/7/365 emergency department with a Level IV Trauma Center
  • Advanced Life Support ambulance service
  • Surgical services
  • Patient transfers to Lincoln, Hastings, and Omaha

Diagnostic Services

  • CT and large-bore MRI
  • X-ray and fluoroscopy
  • Ultrasound and mammography
  • Nuclear medicine and PET/CT
  • Onsite laboratory

Visiting Specialty Clinics

  • Cardiology
  • Ear, nose, and throat
  • General surgery
  • Neurosurgery
  • Oncology and hematology
  • Ophthalmology
  • Orthopaedics
  • Podiatry
  • Urology
  • Vascular surgery
  • Wound care
  • Chronic pain management

Additional Services

  • Behavioral health and Senior Life Solutions
  • Rehabilitation services
  • Cardiopulmonary services
  • Sleep studies
  • Diabetes education
  • TCHS Sports Medicine
  • Retail pharmacy
  • Home health and skilled nursing
  • Korff Fitness and Wellness Center

Leadership

Leader Role Background
Brian Rokusek President and Chief Executive Officer Leading TCHS since December 2021; more than 30 years in healthcare management
Amanda Vandervoort Chief Operations Officer At TCHS since August 2021; registered nurse with a Master of Healthcare Administration
Jamie Miller Chief Nursing Officer CNO since 2015; joined TCHS in 2007 as an RN
Bryan Hubl, MD Chief Medical Officer Practicing physician on the TCHS medical staff

Payor Mix

Payor Share of Net Patient Revenue
Medicare 27.6%
Medicaid 14.6%
Private, self-pay, and other 57.8%

History and Growth

Year Milestone
1948 Hospital opens in Hebron after residents raise the funds to convert a former college building
1968 New hospital building opens
1978 Hebron Clinic added
1988 Management services agreement begins with St. Elizabeth Community Health Center in Lincoln, now part of CHI Health
1999 Expansion adds a clinic attached to the hospital; TCHS designated a Critical Access Hospital
2007 25,000-square-foot expansion adds new radiology and laboratory departments and six patient rooms
2008 Surgery Center opens
2018 $14.8 million renovation completed, including the 17,000-square-foot Korff Fitness and Wellness Center and a new specialty clinic

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