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Your Trusted Rural Healthcare Provider in Nebraska
Thayer County Health Services is committed to improving lives through exceptional, patient-centered healthcare. Established to serve rural Nebraska, our facility offers comprehensive inpatient, outpatient, and emergency care services, supported by a dedicated team of physicians, specialists, and visiting medical professionals. With 17 beds and advanced diagnostic tools, including 3D mammography and MRI capabilities, we prioritize personalized treatment plans tailored to individual needs. Our 24/7 emergency room ensures critical care access at all times, while programs like Senior Life Solutions address mental health challenges specific to aging populations.

Through initiatives like hourly patient rounding, we emphasize comfort, continuity of care, and family involvement. Accredited by the National Health Services Corps, we uphold values of equity, accepting all patients regardless of background and offering discounted fees for qualifying individuals. Our participation in Medicare and Medicaid programs ensures broader accessibility, and partnerships with over 20 visiting specialists expand our service offerings. From acute care to behavioral health, our mission remains focused on delivering compassionate, community-driven healthcare that meets the evolving needs of our patients.
Services
Acute Care Ambulance Services Behavioral Health Diagnostic Imaging Emergency Care Labor & Delivery Senior Life Solutions Surgical Services Wound Clinic
Highlights and features
  • We offer 24/7 emergency care with advanced life support ambulance services.
  • Our team includes 4 physicians, specialists, and over 20 visiting medical professionals.
  • We provide comprehensive services from acute care to behavioral health programs.
  • Our facility features state-of-the-art diagnostic equipment including 3D mammography.
  • We maintain a patient-centered approach with hourly clinical rounding programs.
Associations and certifications
  • National Health Services Corps
What people say
Exceptional care Prompt service Personalized treatment Compassionate staff Community-focused
Services
Acute Care
Our acute care services provide immediate treatment for injuries, illnesses, and post-surgical recovery. With 17 beds and Saturday clinic hours, we reduce ER visits through personalized care plans. Hourly clinical rounding ensures patient comfort and timely discharge when stable.
Ambulance Services
Advanced life support ambulance equipped with Zoll Auto pulse, transport ventilator, and wireless EKG transmission handles 110 annual transports. Our trained EMTs provide critical care during transfers to regional hospitals in Lincoln, Hastings, and Omaha.
Behavioral Health
Licensed professionals offer talk therapy, medication management, and CBT for depression, anxiety, and trauma. Specialized programs like Senior Life Solutions address age-related mental health challenges through group therapy and psychiatric support.
Diagnostic Imaging
Advanced imaging services include 3D mammography, MRI, CT scans, and nuclear medicine. Our radiology department supports accurate diagnoses through fluoroscopy, ultrasound, and bone density testing with board-certified specialists.
Surgical Services
We perform general, orthopedic, urological, and OB/GYN surgeries onsite. Specialized teams handle procedures from appendectomies to knee replacements, supported by visiting specialists in cardiology, neurology, and vascular surgery.
People
Brian Rokusek
President & Chief Executive Officer
With 30+ years in healthcare management, Brian leads TCHS since 2021, focusing on rural healthcare access and quality improvement. His strategic vision emphasizes patient experience and team collaboration in rural Nebraska communities.
Jamie Koch
Chief Nursing Officer
Leading clinical departments since 2015, Jamie holds a Master of Science in Nursing. With experience from night shift RN to CNO, she prioritizes education and rural healthcare excellence while balancing family life with two children.
Amanda Vandervoort
Chief Operations Officer
Amanda brings 12 years of rural hospital experience, combining nursing expertise with healthcare administration. A registered nurse with military leadership background, she focuses on strategic planning and clinical informatics since 2021.
Michael DeFoe
Chief Financial Officer
With 12+ years as CFO in critical access hospitals, Mike manages TCHS finances using his dual expertise in accounting and healthcare administration. A US Army veteran, he balances fiscal responsibility with rural healthcare needs.
JennaLee Harris
Behavioral Health Counselor
Licensed mental health practitioner with RN credentials, JennaLee provides behavioral health services since 2016. Her dual expertise in nursing and counseling supports integrated care for patients facing mental health challenges.
Questions
What emergency services do you offer?
Our 24/7 emergency room provides Level IV Trauma care with advanced life support ambulance transport and immediate specialist consultations.
Do you accept my insurance?
We accept Medicaid, Medicare, CHIP, and private insurance. Contact us at 402-768-9020 for specific coverage verification.
What specialty clinics are available?
We offer cardiology, chronic pain management, orthopedics, urology, and vascular surgery through visiting specialists and onsite providers.
How do I request medical records?
Submit a signed Records Request Form online or contact our medical records department at 402-768-7203 for assistance.
Are behavioral health services available?
Yes, our licensed counselors provide individual therapy, medication management, and Senior Life Solutions group programs for mental health support.
What surgical procedures do you perform?
We handle general surgeries, orthopedic procedures, C-sections, and specialized operations through visiting surgeons in cardiology and vascular fields.
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