Thayer County Health Services

What Thayer County Health Services does

Thayer County Health Services (TCHS) is a county-owned Critical Access Hospital system headquartered in Hebron, Nebraska, founded in 1948 as Thayer County Memorial Hospital. It operates a 17-bed inpatient facility designated as a Level IV Trauma Center—the only one in the region—alongside four outpatient clinic locations (Hebron, Bruning, Davenport, Deshler), a retail pharmacy with county-wide delivery, a 17,000-square-foot Korff Fitness & Wellness Center, an in-house Advanced Life Support ambulance service, and a Specialty Clinic staffed by visiting specialists. The organization serves individual residents of Thayer County and 288+ surrounding communities within a 50-mile radius across rural Nebraska and Kansas, with a service portfolio spanning acute care, 24/7 emergency services, surgical services, labor and delivery, laboratory (60+ in-house tests), comprehensive diagnostic imaging (Large Bore MRI, CT, 3D mammography, PET/CT, nuclear medicine), physical/occupational/speech rehabilitation, cardiopulmonary services, behavioral health (Senior Life Solutions), sleep studies, diabetes education, swing-bed skilled nursing, and a 2025-launched sports medicine program.

TCHS generates revenue primarily through fee-for-service patient care (inpatient, outpatient, ER, surgical, lab, radiology, rehab, pharmacy, specialty clinic) billed to Medicare, Medicaid, CHIP, and private insurance. As a Critical Access Hospital designated in 1999, TCHS receives cost-based Medicare reimbursement, and as a National Health Services Corps site it offers discounted fees for qualifying patients. Supplemental revenue and capital are sourced through the Foundation for Thayer County Health Services (a 501(c)(3) established in 1984 that runs capital campaigns) and the Hospital Guild (a volunteer organization with 500+ members contributing $30,000-$50,000 annually), as well as episodic major estate gifts (notably a $6.9 million gift from Glenn Korff in 2015). The hospital has operated under a Management Services Agreement with St. Elizabeth Community Health Center (now part of CHI Health / Catholic Health Initiatives) since 1988.

The organization operates on a community-governed, mission-driven model overseen by a Board of Trustees, with county ownership and no private equity or institutional investor participation. Core technical infrastructure consists of an Electronic Medical Records system implemented across the hospital and clinics (funded by a $1.6M HIT grant in 2007), the HealtheLife patient portal, a PersonaPay online bill-pay integration, and participation in regional Health Information Exchanges. Recent strategic activity includes the December 2025 installation of a Large Bore MRI, the 2025 launch of the TCHS Sports Medicine program, and a December 2025 website relaunch—all under CEO Brian Rokusek, who was appointed in December 2021.

Name

Thayer County Health Services

Legal name

Thayer County Health Services

Website

https://thayercountyhealth.com

Company type

Private

Founded year

1948

Operating status

Operating

Headcount range

51–100 employees

Short description

Thayer County Health Services is a county-owned Critical Access Hospital and Level IV Trauma Center in Hebron, Nebraska, providing acute, emergency, surgical, outpatient, and wellness services across 288+ rural communities via a 17-bed hospital and four satellite clinics.

Ownership category

akta.pro rank

Product category

Rural Hospital Services

NAICS

General Medical and Surgical Hospitals (6221), Ambulatory Health Care Services (621), Outpatient Care Centers (6214)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Public/County Primary Care Clinics (HLAFAGAI)

akta.pro secondary industries

County/District/Local Health Departments (HLAJAAAB), Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC)

Keywords

• Critical access hospital
• Rural healthcare services
• Emergency medical services
• Primary care clinic
• Diagnostic imaging services

Headquarters

HQ city

Hebron

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Patient Services Revenue: Fee-for-service revenue from inpatient, outpatient, and emergency room patient care including acute care, surgical services, laboratory, radiology, rehabilitation, pharmacy, and specialty clinic visits. The hospital participates in Medicare and Medicaid programs.
2. Foundation Fundraising: The Foundation for Thayer County Health Services, a nonprofit 501(c)(3) organization established in 1984, conducts capital campaigns to fund facility upgrades, medical equipment purchases, and programs. Past campaigns raised funds for 1999 expansion, 2004 campaign ($1.5M), and 2015 building campaign ($14.8M).
3. Hospital Guild Donations: The Hospital Guild, with over 500 members, donates $30,000-$50,000 annually to support equipment, supplies, and materials. Guild operates Things and Stuff thrift shop generating additional fundraising revenue.
4. Critical Access Hospital Reimbursement: As a Critical Access Hospital designated in 1999, TCHS receives alternative Medicare payment model reimbursement providing cost-based reimbursement for small rural hospitals, enabling financial stability while serving the community.

Pricing tiers

Go-to-market motion1 record

Distribution channels9 records

Marketing channels5 records

Core offering

Thayer County Health Services is a county-owned Critical Access Hospital providing comprehensive inpatient, outpatient, and emergency healthcare services to rural residents of Thayer County and surrounding communities across Nebraska and Kansas within a 50-mile radius. Offerings span a 17-bed Level IV Trauma Center hospital, four primary care clinic locations, specialty clinic services, diagnostic imaging, laboratory, pharmacy, rehabilitation, behavioral health, and a fitness/wellness center.

Product overview

Thayer County Health Services is a comprehensive primary care system offering a unified portfolio of healthcare services centered around a 17-bed Critical Access Hospital with Level IV Trauma Center designation in Hebron, Nebraska. The portfolio includes core clinical services (Acute Care, Emergency Services, Surgical Services, Laboratory, Radiology with Large Bore MRI, Pharmacy), specialty services through the Specialty Clinic (cardiology, orthopedics, oncology, neurology, OB/GYN, urology, and more), rehabilitation therapies (physical, occupational, speech, cardiac, pulmonary), and behavioral health programs (Senior Life Solutions). Supporting infrastructure includes four clinic locations (Hebron primary clinic plus Bruning, Davenport, Deshler satellites), the Korff Fitness & Wellness Center (17,000 sq ft fitness facility), Thayer County Pharmacy (retail with county-wide delivery), Little Blue Bistro cafeteria, and HealtheLife Patient Portal for online access. The 2025 TCHS Sports Medicine program extends care directly to local schools and athletes.

Differentiator

Problem solved

Functional benefit

Products and services

• Acute Care Short-term active treatment for injuries, illnesses, urgent medical conditions, or recovery after surgery in the 17-bed Critical Access Hospital and clinics. For patients in Thayer County and surrounding communities.
• Ambulance Services Fully equipped Advanced Life Support (ALS) ambulance available 24/7 with on-call paramedics, EMTs, and drivers; uses Stryker LUCAS for automated CPR, Zoll X Series monitor with 12-lead EKG, infusion pumps, and transport ventilator. Performs approximately 110 transports per year to Lincoln, Hastings, and Omaha.
• Behavioral Health Mental health and substance use counseling services provided by licensed therapists for individuals in the Thayer County service area.
• Cardiopulmonary Services Comprehensive care for heart and lung conditions including cardiac stress testing, EKG, 24-hour cardiac monitoring, pulmonary function testing, and cardiac/pulmonary rehabilitation.
• Emergency Services 24-hour Emergency Department designated as the region's only Basic Level (Level IV) Trauma Center, trained in adult, pediatric, and cardiac trauma care.
• Labor & Delivery / OB Family Services Comprehensive prenatal, labor and delivery, obstetrics, family, and well-child services including TCHS Baby Camp childbirth education, cesarean sections, breastfeeding support, and car seat safety education.
• Laboratory Services 24/7 laboratory testing offering 60+ in-house tests in chemistry, coagulation, hematology, serology, transfusion services, and urinalysis; partnership with Regional Pathology Services and Pathology Medical Services for specialized testing including therapeutic drug levels, microbiology, and immunology.
• Medicare Services (Annual Wellness Visit) Free Annual Wellness Visit benefit under Medicare covering health risk assessments, preventive care planning, and personalized prevention plans; also includes the Welcome to Medicare Initial Preventive Physical Exam for new Medicare patients within one year of enrollment.
• Pharmacy Services Hospital pharmacy serving rural health clinics, hospitalized patients, and specialty clinic patients; complemented by the downtown Thayer County Pharmacy offering prescriptions, OTC medications, immunizations (Flu, COVID-19, Pneumonia, Shingles, RSV, Tetanus), and free delivery within Thayer County.
• Radiology Services Comprehensive diagnostic imaging including diagnostic X-ray, fluoroscopy, CT, MRI (Large Bore), bone densitometry (DEXA), ultrasound, 3D mammography/tomosynthesis, nuclear medicine, PET, and low-dose CT lung screening.
• Rehabilitation Services Physical, occupational, and speech therapies provided by licensed therapists including dry needling, LSVT-BIG certification, pelvic floor therapy, cardiac rehabilitation, and pulmonary rehabilitation.
• Senior Life Solutions Intensive outpatient group therapy program for adults aged 65+ experiencing depression, anxiety, grief, or life transitions related to aging; staffed by a board-certified psychiatrist, licensed social workers, and registered nurse.
• Sleep Studies Home and in-lab sleep studies for diagnosing sleep disorders, including general diagnostic overnight studies and CPAP/BIPAP titration studies; scored by a Registered Polysomnographic Technologist and interpreted by a board-certified sleep medicine pulmonologist. ACHC-accredited sleep lab.
• Specialty Clinic Referral-based specialty care delivered by visiting specialists covering cardiology, general surgery, neurosurgery, oncology, orthopedics, pain management, podiatry, urology, vascular surgery, women's health/OB-GYN, and wound care.
• Surgical Services State-of-the-art surgical care including general surgery (colon resections, laparoscopic cholecystectomy), ophthalmology, orthopedics, oncology, pain management, podiatry, and urology procedures.
• Swing Bed Program Certified Skilled Nursing program providing skilled nursing or rehabilitation services for patients transitioning from acute care; covered by Medicare, Medicaid, and many private insurance plans.
• TCHS Sports Medicine Program Athletic care program providing on-site training for local schools, rapid injury assessment, surgical access, and individualized rehabilitation for athletes of all ages; powered by an athletic trainer, physical therapy assistant, physical therapists, family practice providers, and orthopaedic surgeon.
• Wellness Services (Corporate Wellness) Customized corporate wellness programs for businesses including on-site health screenings, biometric screening, health risk assessments, health coaching, nutritional counseling, and flu shots.
• Korff Fitness & Wellness Center 17,000-square-foot fitness facility with treadmills, arc trainers, stationary bikes, rowing machines, free weights, heated therapy pool, indoor walking track, and aerobics room with 200+ virtual Fitness on Demand classes; 24/7 member key card access.
• Thayer County Pharmacy Retail pharmacy at 428 Lincoln Ave, Hebron offering prescriptions, OTC medications, supplements, immunizations, and free prescription delivery to Thayer County residents; open Monday-Saturday.
• Hebron Clinic Primary care clinic at 120 Park Ave, Hebron open Monday-Friday; serves as the main outpatient care location and houses family practice, OB, and routine healthcare services.
• Bruning Clinic Satellite clinic at 108 N Fillmore St, Bruning, NE offering primary care services on Tuesday 8:30 AM-12:00 PM and Friday 1:30-5:00 PM.
• Davenport Clinic Satellite clinic at 105 N Linden Ave, Davenport, NE offering primary care services on Monday and Wednesday, with wheelchair-accessible transport van service.
• Deshler Clinic Satellite clinic at 915 4th St, Deshler, NE offering primary care services on Tuesday and Thursday.
• Diabetes Education Education program helping individuals manage diabetes through training in blood glucose monitoring, healthy eating, physical activity, medication management, problem solving, and healthy coping.

Named customers3 records

Segments3 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature4 records

Partnerships

Five partnerships are on record, tiered core and supporting.

• St. Elizabeth Community Health Center (now CHI Health/Catholic Health Initiatives)coreStrategic or Co-development PartnerSince 1988, TCHS has maintained a Management Services Agreement with St. Elizabeth Community Health Center in Lincoln (now part of CHI Health). This partnership has continued to flourish, supporting and advancing healthcare services in the region. Thayer County and the TCHS Board of Directors remain highly satisfied with the ongoing relationship.
• Regional Pathology ServicessupportingTechnology or IntegrationPartnership for specialized laboratory testing not performed on-site, including therapeutic drug levels, microbiology, and immunology testing services.
• Pathology Medical Services (Lincoln, NE)supportingTechnology or IntegrationDr. Corey T. Allard, D.O. serves as Laboratory Medical Director overseeing TCHS lab department. Pathology Medical Services provides pathology specimen interpretation and clinical pathology oversight.
• Health Information ExchangessupportingTechnology or IntegrationTCHS participates in electronic health information exchanges enabling electronic exchange of medical information with other participating providers, hospitals, and health plans for treatment, payment, and healthcare operations purposes.
• National Health Services CorpscoreStrategic or Co-development PartnerTCHS is designated as a National Health Services Corps site, committing to serve all patients and offer discounted fees for patients who qualify. This federal program supports healthcare access in underserved areas.

Scale indicators13 records

Recent moves16 records

Expansion highlights5 records

Broad incumbents

• Bryan Health: Lincoln, NE-based regional health system that is a common referral destination for TCHS complex cases. Comparable as a Nebraska-based broader-scope incumbent offering inpatient and specialty services TCHS cannot fully provide locally.
• CHI Health: Regional health system headquartered in Nebraska and the management services partner for TCHS since 1988 (originally St. Elizabeth Community Health Center, now part of CommonSpirit Health). Comparable as the parent/management counterparty and as a regional referral destination for higher-acuity cases.
• CommonSpirit Health: National nonprofit health system parent of CHI Health (TCHS's management services counterparty since 1988). Comparable as the ultimate parent organization whose strategic decisions affect CHI Health's rural-hospital management agreements and referral infrastructure.

Direct peers

• York General Health Services: Rural Nebraska health system in York offering hospital, clinic, and home health services with a comparable mid-sized rural catchment in central Nebraska. Comparable on CAH-style operations, multi-clinic footprint, and community hospital governance model.
• Boone County Health Center: Nebraska Critical Access Hospital in Albion, NE offering acute care, outpatient specialty clinic, surgical, and emergency services to a similar rural Nebraska county catchment. Directly comparable on CAH economics, satellite clinic footprint, and visiting-specialist model.
• Sidney Regional Medical Center: Critical Access Hospital in Sidney, NE (western Nebraska) with comparable scale, CAH reimbursement model, and broad outpatient service lines including visiting specialists and community fundraising. Strong peer for rural-hospital performance benchmarking.
• Fillmore County Hospital: Nebraska Critical Access Hospital in Geneva, NE — similar 17-bed scale, CAH designation, rural Nebraska catchment, and broad outpatient service lines. Closest peer for benchmarking operations, reimbursement model, and capital campaign dynamics in the same state regulatory environment.

Regional players

• Avera Health: Large rural-health-focused regional system headquartered in Sioux Falls, SD operating Critical Access Hospitals and regional referral centers across the upper Midwest. Comparable as a regional CAH network operator with similar rural-hospital management expertise and complementary geography to TCHS.
• Regional West Health Services: Regional referral health system in Scottsbluff, NE providing tertiary services to rural western Nebraska, eastern Wyoming, and southern South Dakota. Comparable as a regional referral partner for CAHs like TCHS operating in the rural Plains.
• Great Plains Health: Regional referral health system based in North Platte, NE serving rural western and central Nebraska. Comparable as a regional hub that complements (rather than competes directly with) TCHS and operates Critical Access Hospital partnerships in surrounding counties.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/korfffitnessandwellness
• Xx.com/tchsne

Compliance9 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Thayer County Health Services