Checking on Our Success Is Now Urgent


As the Chief Financial Officer for Community Hospital in McCook, I tell people that I have three major worries.

The first concern is demographics. As we model out our population changes in Red Willow County between the 202 census and where we expect to be for the 2030 census, we know that if we continue on our historical trends that we would end this decade with a decrease of about 520 people or about five percent fewer residents. 

This drop is compounded by two other factors: an aging community, resulting in 15 percent fewer working-age population members (20-64 year olds) or about 875 fewer people; and a 24 percent increase of the Medicare-aged population in the country or about 515 more people in that category.

From the healthcare perspective, this creates both financial challenges and operational challenges. On the fiscal side, Medicare payments do not cover the full cost of providing care compared to traditional insurance. For day-to-day operations, we will have a smaller workforce to draw upon to take care of more elderly community members. 

So Community Hospital made it part of its mission to make the community a better place to live, work and play as we need a vibrant community in order to attract the workforce needed to provide the care our community needs. 

We have thrown our support behind the community amenity improvement projects, including McCook’s new outdoor aquatic center and the city’s ball fields, the McCook YMCA renovation and expansion campaign, the inclusive playground at Kelley Park and many more projects.

We have invested in housing, from participating in the McCook Economic Development Corp.’s North Point project to downtown student housing, which serves two purposes: engaging the medical young professionals more fully into McCook’s activities and businesses as well as freeing up some housing currently used by the hospital to house these students. 

These are not just frivolous projects that are nice to have. All of these projects and more are needed if we want to maintain a level of economic sustainability over the next decade and for the next generations. Families need them. Young people need them. All ages need them. And this movement in our community cannot be pushed down the road any longer.

On March 13, the U.S. Census Bureau released their 2024 population estimates by county. Unfortunately, as we near the half way point of the decade, we are not moving in the right direction. 

The internal forecast we prepared for long-range planning at the hospital showed that the population of Red Willow County would have decreased by 230 people by 2024 to a total of 10,495. The census data, which counts between the regular census every decade, relies on birth and death certificates, as well as other federal data basis such as Social Security, IRS and postal records. Currently, the estimate is for Red Willow County is at 10,409, nearly 100 fewer people than we had projected.

And we are not alone in this fight for people.

Hitchcock County to our west is down 155 people to 2,460, while Furnas County to our east is down 170 people to 4,468. This results in our three-county area losing a total population of 618 over the past four years. 

The improvements we have been making have not yet had time to leave their mark. The new city pool is open with the remodeled YMCA, ballparks and playgrounds scheduled for completion over the next few years so we will see their impact down the road.

But I am optimistic that these amenities and projects will have a meaningful impact on our ability to attract and retain people over time, both for the hospital and for the community. We will continue to watch the official counts for signs of progress, working to stop the out-migration and hopefully see a shift to an increase in population. Ultimately, it will take everyone’s effort and input - from local businesses to individuals - to make the community grow and thrive and to say that we have found success.

***

Sean Wolfe is the CFO for Community Hospital and the treasurer for McCook Community Foundation Fund, along with numerous other volunteer roles in the community and has a passion for making his hometown an even better place to call home.

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It was fall of 2012. I was a senior in high school and preparing for the next chapter of my life, college. I was determined that I was going to the University of Nebraska in Lincoln for physical therapy. I also knew to go through undergrad and graduate school I was going to need a lot of scholarships or “student debt” would be my middle name. With that mindset, I ultimately decided not to play basketball my senior year to allocate my time to scholarship applications and a part-time job. It was a tough decision since I enjoyed playing basketball and being around my friends, but it was an investment toward my future. Flash forward to early spring, where I was absolutely blessed by being recognized as a recipient of numerous scholarships that alleviated a major financial burden! Leading up to that point, I was already active in community service projects. But upon receiving those scholarships, I was motivated to give back and say “thank you” for the investment in my education by others. I wanted to do something big, something that would impact the community. Through various conversations and research, I decided to bring back an iconic memory to many McCook natives, a drive-in movie. Through strong partnerships with many local businesses and volunteers, we held a drive-in movie not only my senior year but also my first two years of college, as I returned to help coordinate the project. During the three years of shows in McCook, we rented all the equipment from Dallas, but the dream was to build a permanent, non-profit drive-in for the community to use. However, as I progressed further in my new career of farming, my resources of time and energy were capped and the event sat idle. That is until a group of young, ambitious, and talented students picked up the lost baton. During numerous discussions, Youth Change Reaction members, otherwise known as YCR, shared that they wanted to complete a big project. Many ideas were tossed around, but when the idea of bringing back the drive-in movie came about, it stuck for two reasons: these young adults had memories of attending drive-in movies plus it would meet their goal of going BIG. In the process of picking up the lost baton, their journey into uncharted waters included raising $75,000, building partnerships with community businesses and organizations, and finding the proper equipment. It was truly humbling and at that point, because life really had come full circle. I was once a YCR member and had this dream nearly 10 years ago. But now these young adults went above and beyond in building McCook’s very own “Cars Under the Stars” non-profit outdoor drive-in theater. This project was a true philanthropic endeavor that not only will last for many years, but leaves a legacy, young or old, that we all play a vital role in our community. The power of community collaboration, teamwork, and dedication pulled off a tremendous feat and now our community has a long-standing asset to enjoy. I encourage everyone to take these philanthropic efforts exemplified by our talented youth and implement them into our communities. Embodying the mission of making our rural Nebraska community a better place to live and call home. Those efforts may not result in fulfilling the entire dream you have, but it may be planting the seed and laying the foundation for someone to pick it up. We all have our blessed talents. What are we doing to help move our community forward? What has someone done before you to help set the stage for you to improve? Is there a lost baton in your community that you can pick up and make better? *** Gavin Harsh is an original member of Youth Change Reaction, the youth organization for the McCook Community Foundation Fund, and now serves as a volunteer member on the MCFF Advisory Committee.