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Lori Mazanec

Chief Executive Officer

Lori is a native of Alliance. She earned her Bachelor of Science degree in Business Administration with an emphasis in Accounting from Chadron State College in 1997, and her Masters in Healthcare Administration from Bellevue University in 2018. Lori began her career as the interim Accountant at Western Nebraska Community College before pursuing tax accounting. She worked for R.K. Nelson and Associates in Alliance for three years. In 2001, Lori joined Box Butte General Hospital as the Finance Assistant. She was promoted to Controller in 2008 which also included managing the finance department. She took the role of Chief Operating Officer at the hospital in 2013. In July 2016, Lori was named Interim CEO, a position she held for 6 months until officially taking on the role of CEO in December 2016. 

Lori is a graduate of the 2004 Leadership Box Butte program and Class VIII 2011 Nebraska Hospital Association Leadership Institute. She is also a Certified Just Culture Champion.

CEO Duties:

Overall management of Box Butte General Hospital, including administrative responsibilities of Executive Team, Hospital Medical Staff, Box Butte Health Foundation, Organizational Development, and Human Resources.


Brian Shelmadine

Chief Medical Officer

Brian Shelmadine, DO, PhD, CSCS, CASQSM, has been a primary care sports and lifestyle medicine provider since 2015 and has worked for BBGH since 2020. However, he has been working in adjacent fields of exercise, nutrition, teaching, coaching, and strength and conditioning since 2003. He’s received a bachelor’s degree in mass communication, a master’s in exercise science, a doctorate in exercise, nutrition, and preventative health, and another in osteopathic medicine, and two post-doctorates from a variety of institutions.
As the CMO I will have more administration duties moving forward which will affect my clinic practice. I will continue to do Lifestyle and Sports Medicine out of GNMSS. Starting the first week in December I will have clinic hours Monday and Thursday mornings as well as Tuesday and Wednesday afternoons.

CMO Duties:

Brian provides oversight to the delivery of medical care by clinical staff; serves as a mentor and assists the CEO with the management and resolution of medical staff concerns; provider recruitment; enhances and improves program offerings for the wellbeing program; develops and updates medical care protocols and procedures; and collaborates and develops continuing medical education, in addition to his medical practice.

Jim Bargen

Chief Operations Officer

Jim is a 2007 University of Nebraska-Lincoln graduate with a Bachelor of Science degree in Construction Management. The Hebron, NE native started his new duties as COO at BBGH on March 1, 2017, assuming leadership responsibilities for Plant Services, Environmental & Laundry Services, Information Services, GNMSS Clinics, and the Rehab & Wellness Center.

After graduating from UNL, Jim immediately joined Beckenhauer Construction Inc. (BCI) and after a few months, he became an assistant superintendent. From there he moved up to project management and last year BCI promoted him to Senior Project Manager where he worked with all other project managers.

Jim moved to Alliance in January of 2014 to be onsite for the BBGH construction project.

COO Duties:

Jim is responsible for the Community Health Needs Assessment. His administration responsibilities include Information Systems, Environmental Services, Plant Maintenance, Plant Operations, Diet/Nutrition Services, and Laundry.


Michael O'Dell

Chief Financial Officer

Mike brings a depth of healthcare experience to the CFO role. Born in rural Nevada, Mike attended Business College and earned his Bachelor's Degree in Accounting, and then passed the Certified Public Accountants Exam. After that, Mike traveled to rural areas of the U.S. working as a Medicaid and Medicare contractor, auditing healthcare facilities. Mike then attended the University of Denver, earning his Master's Degree in Tax/Accounting, went on to the University of Notre Dame earning an Executive Certificate in Leadership, and finally Harvard University, earning a Graduate Accounting Certificate. 

After about 10 years, Mike moved to Kansas for a hospital CFO position and on the weekends, would load up his kayak, mountain bike, and fishing pole and head to Nebraska! Mike said, "I remember telling my wife, this place is great and how much I loved it. The best fishing was at Lake Ogallala and Kayaking at the Niobrara. After meeting with Lori, the board, and the team members, I knew this was the place for me. The culture was exactly what I was looking for. Moving to Alliance combined my passion for healthcare and the outdoors. I have a strong sense of community and the desire to be a part of great things.”

CFO Duties:

Mike is responsible for financial planning, financial reporting and recordkeeping, cash management and investments, and contract management for Box Butte General Hospital. His administrative responsibilities include Finance, Patient Financial Services, Health Information Management, Purchasing, Central Supply, and Admissions. 

Jordan Colwell

Chief Nursing Officer

Jordan Colwell began his health care career approximately 20 years ago working as a phlebotomist and nurse aide at Box Butte General. After being away from BBGH for 10 years, he is now serving as Chief Nursing Officer. Colwell has worked in a level two trauma center as house supervisor, emergency room nurse, and accreditation coordinator. After his experience in the hospital setting, he moved to a nurse manager role in three family practice clinics and then served as Director of Clinical Services for 22-multi-specialty clinics. Most recently, Dr. Colwell served as Division Chair for Health Sciences/Nursing Instructor at Western Nebraska Community College. He also served his country as a Captain/Flight Nurse in the Air Force Reserve.

Jordan holds a Doctorate Degree in Business Administration, a Master of Science Degree in Health Care Administration, and two Bachelor of Science degrees, one in Nursing and the other in Health Sciences.

In addition to his work, Colwell is very active in Scottsbluff. He is currently the Vice Mayor of the City of Scottsbluff and a previous Riverside Discovery Center Zoo Board of Directors President, Western Nebraska Community College Foundation Board of Directors, and Scottsbluff YMCA Board of Directors. He has also participated in Leadership Nebraska, Leadership Scottsbluff, and the Nebraska Foster Care Review Board.

In his spare time, he enjoys spending time with his wife and sons. He also enjoys traveling, golfing, running/working out, gardening, and watching Husker Sports.

CNO Duties:

Senior nursing administrative position at Box Butte General Hospital, overseeing all the hospital nursing staff, and administrative responsibilities for Dialysis, Emergency Department, Multi-Specialty Services, Infusion and Wound Care Services, Intensive Care Unit, Patient Care Unit, Surgery, Pharmacy, Cardio-Pulmonary Rehab, Obstetrics, Nursery, Respiratory Therapy/Electrodiagnostics, Diabetic Education, Senior Life Solutions, and Nursing Education.