You have questions, we have answers

Frequently Asked Questions

Health care can be confusing and you need to make sure you’re taking care of yourself and your family first. How do you know if Butler County Health is the right place for you? Ask and find out! We’d be more than happy to answer any and all of your questions or concerns! Start here for our most frequently asked questions and if you don’t find what your looking for, contact us!

Why am I asked the same questions at each visit regarding contact information, advance directives and insurance card?

Centers for Medicare and Medicaid Services (CMS) mandates that we ask these questions at each visit. We also ask for your most current insurance card at each visit to ensure we can take advantage of their benefits. Thank you for your understanding. 

Why did I receive two bills?

Your monthly statements include charges from Butler County Health.   Some hospital services provided to patients require consultation of a physician specialist such as a radiologist, surgeon, pathologist or a cardiologist. You will receive a separate statement from these physician specialists in addition to your hospital bill for hospital services.

How can I obtain copies of my medical records?

Please call Butler County Health Health Information Management at 402.367.1385 or email  You may also visit the office located at 320 South 10th Street, David City, NE.

I don't understand my bill. Who do I contact?

Every insurance company has different criteria related to patient responsibility for their billing. If you have questions about your bill, contact your insurance company directly to understand your patient responsibility or call the Butler County Health Business Office at 402.367.1200.  You may also visits the office located at 320 South 10th Street, David City, NE.

Where do I park?

10th Street in front of Butler County Health is currently closed.  To access Butler County Health Audiology Services, BCH Business Office, BCH HIM Department or Witter Family Medicine, please use the entrance located on 11th street across from Bemis Drive.

Butler County Health is currently under construction in the following areas: 10th Street in front of Butler County Health, 10th Street entrance to the hospital, north-east parking lot of the hospital and the north-east Emergency Room entrance Please use the 9th Street entrance of Butler County Health for Emergency Services and Admissions. If you are using online mapping this entrance is 372 S 9th Street.

The 10th street entrance and the north-east parking lot at Butler County Health is currently closed due to construction.  Please use the 9th Street entrance for Admissions and Emergency Services.  If you are using online mapping this entrance is 372 S 9th Street.

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