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Butler County Health

Butler County Health is a county-owned, critical access hospital offering both inpatient and outpatient services. The facility is located in David City, Nebraska; serving the Butler County community and surrounding areas. Since we opened in November of 1973, the hospital continually makes improvements to the facility, equipment and services in order to improve patient care. The commitment, loyalty and leadership of our dedicated professionals have significantly contributed to the financial stability of Butler County Health.

Butler County Health employs over 145 people. The medical staff consists of six family practice physicians, three physician assistants and several visiting specialty providers. The people of Butler County Health are committed to providing high quality, personalized health care in a cost effective and safe manner, as well as providing leadership to improve the health of the community we serve.

Your Health.  Our Priority

Our Mission

Our mission is to deliver exceptional health care and provide accessible wellness opportunities to best serve our patients, their families, and our communities.

Our Vision

To improve the quality of life for those in our communities through the highest standard of care and to continuously serve as an educator and leader in promoting complete health and well-being.

Pillars of Excellence

Melissa ER


To create an environment with high satisfaction among patients, families, and healthcare professionals with an ongoing commitment to delivering a consistent positive experience for our patients that exceeds expectations with every interaction.



To actively collaborate with local, regional, & national organizations to fulfill the healthcare needs of our communities while taking a proactive approach to enhancing health status & access to care.



To provide expert healthcare through ongoing evaluation and transparency. To foster a culture of safety and quality throughout our programs, services, facilities, and technology—ensuring all patients receive accurate, timely care.

Cindy Endo


To continuously improve our financial stability, strengthening our ability to reinvest in resources to care for our communities.

Erin in Admissions


To be the employer of choice. To recruit, retain, develop, and support a motivated, highly skilled, and diverse workforce to meet the healthcare needs of our hospital, patients, and communities we serve.

The Parkinson's Empowerment Group at Butler County Health targets so many aspects and symptoms of Parkinson’s. It improves a person’s posture, mobility, balance, and coordination, as well as cognition and ability to multi-task. I also like the flexibility of the program and being able to adjust exercises from each position to fit the need of each individual patient.  

Andy Valenti, Physical Therapist Assistant

My strategy in nutrition coaching is to focus on the positive – what things could we add to increase the variety of healthy foods in your routine?  By focusing on adding more healthy choices, you will not feel deprived as you gradually leave out less nutritious choices.  My goal is to help you get a personalized approach to wellness that you can achieve and maintain with your current lifestyle.

Sandra Burwell, Registered Dietitian

Butler County Health has felt like home to me from the beginning of my employment.  I have spent more than 5 years working in an environment that has challenged me to pursue my nursing skills in many different areas such as the Emergency Department, Obstetrics, Inpatient Care, Outpatient Care and as Quality Improvement and Patient Safety Coordinator.

Tara Palensky, RN

BCH Roots to Shoots Pediatric Therapy Clinic eliminates the need for long commutes to distant facilities like Madonna, allowing Aria to maximize her therapy sessions and educational opportunities.  It is significant for Aria’s overall well-being as it reduces the stress and agitation she had from extended travel.  The staff is like our family to us.

Jennifer Prothman

The communication between us and Leia’s Roots to Shoots therapists is excellent.  We are given the tools and resources to practice techniques at home for ongoing progress and development so she can continue to thrive.  The entire staff at Roots to Shoots goes above and beyond what needs to be done; from teaching her to wear something as simple as a mask, to helping her feel comfortable riding in another vehicle like a school bus.  They are our angels.

Stacey Bykerk

I feel having a 3D mammogram was a blessing for me since it detected my Stage 1 cancer.  The technicians were very helpful as they explained how the machine worked compared to the 2D method.  A big difference is that the 3D machines moves above your head from one size to another and gives a more complete image of the breast.  The testing time also seemed shorter than the standard mammogram.

Judy Dubs

I had a bunion on my foot and I wanted it removed,  but I really didn't want to travel too far to have the procedure done.  So when Butler County Health started providing Podiatry Services, I made an appointment right away.  Dr. Carlston is professional and personable.  He took the time to explain what happens during the procedure and afterwards.

Jill Pokorny

Being able to have my blood drawn at Butler County Health saves me a weekly trip to Omaha.  It is simple to schedule an appointment that works with my schedule and the staff is quick and efficient at drawing my blood samples.

Tanner Zeilinger