Check out our facility:

Senior Leadership

Brian Rokusek, President & Chief Executive Officer

Brian was welcomed aboard in Dec 2021 and joins Thayer County Health Services with over 28 years of experience in healthcare management. Previously, Brian worked 20 years as the administrator of the McCook Clinic in McCook, NE. He has experience as a Medical Technologist and also spent 17 years in the US Army Reserve as a Chief Warrant Officer.

Jamie Koch – Chief Nursing Officer

Since 2015, Jamie oversees the hospital nursing department as Chief Nursing Officer. Jamie received her Bachelor of Science in Nursing from Midland Lutheran College in 2002 and began her nursing career at Children’s Hospital and Medical Center in Omaha, NE working in the Newborn Intensive Care Unit. Jamie also worked at St. Elizabeth Regional Medical Center in Lincoln, NE in the Adult Critical Care Unit. Jamie also has experience in outpatient endoscopy and outpatient surgery. Jamie began her career at TCHS as a night shift nurse in the hospital nursing department in 2007 and learned many new things in the Emergency Room and Labor and Delivery Rooms.

Amanda Vandervoort – Chief Operations Officer

Amanda began serving as the Chief Operations Officer in August 2021.  She comes to TCHS with 12 years of hospital experience in the rural Midwest.  She received her Bachelor in Business Administration from the University of Kansas in 1999 and worked in finance for the following years.  She served in the U.S. Army Reserves in progressive leadership roles, including the Adjutant General branch and service support units. Amanda finished her degree in nursing in 2008 and holds a Master of Healthcare Administration.  She is a registered nurse with a background in post-surgical patient care, utilization review, health information, and clinical informatics.  Additionally, she worked in strategic planning, and business development, and holds a certification in healthcare compliance.  Amanda, her husband, and two children recently have made Hebron their home.

Michael DeFoe- Chief Financial Officer

Mike has lived and worked in the Midwest for 20 years. His career in rural healthcare has been almost exclusively in critical access hospitals similar to Thayer County Health Services. Starting as a Staff Accountant, and Controller and has now held CFO positions for over 12 years. Mike attained a Bachelor’s of Accounting in Oklahoma and MBA in Healthcare Administration in North Dakota. He is a US Army veteran who worked primarily in the intelligence community during his time in service. Mike is married with three children and he enjoys, camping, fishing and many other outdoor actives.

2021 Board Members L2R: Loren Wiedel, Karen Dahlkoetter, Laura Tuma, Connie Lichty, Michael Long

Karen Dahlkoetter – Board Chair
Loren Wiedel – Board Vice Chair
Laura Tuma – Board Treasurer
Connie Lichty – Board Secretary
Michael Long – Board Member At Large