Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Report No. 1 · 2026 edition · all states

Iowa

In Iowa, 1 of the 10 general hospital systems over $100 million with a hospital in the state reported more in chief executive compensation than they gave in charity care; nationally, 73 of 655. The median system with a hospital in Iowa spent 0.45% of expenses on charity care, against 1.06% for all systems nationally. Highest reported chief executive compensation: $4,999,360, Bill Gassen, Sanford (files from South Dakota).

45 nonprofit hospital systems have a hospital in Iowa, 5 of them filing from another state. A system with hospitals in several states is listed on each of those states' pages with its system-wide figures.

#System and CEOCEO payRevenueCharity care,
% of expenses
Charity careCEO pay as %
of charity care
52 SanfordBill Gassen · files from South Dakota $5.0M $6.1B 1.53% $89.1M 5.6%
109 Alegent Health - Bergan Mercy Health SystemTim Bricker · files from Arizona $2.9M $2.2B 1.46% $29.7M 9.7%
136 Catholic Health Initiatives - IowaRobert Ritz $2.5M $2.0B 0.44% $8.6M 28.9%
301 Gundersen Lutheran Medical CenterScott Rathgaber MD · files from Wisconsin $1.4M $3.1B 1.14% $32.5M 4.3%
365 Southeast Iowa Regional Medical CenterMichael Mccoy $1.1M $457.0M 1.07% $4.9M 23.4%
368 Avera MckennanRonald Place MD · files from South Dakota $1.1M $1.9B 0.94% $16.7M 6.7%
500 Mercy Medical CenterTimothy Quinn MD $818,087 $524.5M 3.61% $19.0M 4.3%
638 Henry County Health CenterTeresa Colgan $553,203 $70.0M 0.32% $232,778 237.7%
671 Pella Regional Health CenterRobert Kroese $510,626 $159.6M 0.34% $499,072 102.3%
772 Shenandoah Medical CenterMatthew Sells $388,716 $67.0M 0.03% $19,000 2045.9%
797 Sioux Center HealthCory Nelson $368,120 $77.6M 0.36% $266,000 138.4%
798 St Anthony Regional Hospital and Nursing HomeAllen Anderson $367,068 $130.9M 1.22% $1.4M 25.5%
800 Hegg Memorial Hospital D/B/A Hegg Health CenterGlenn Zevenbergen $366,507 $30.4M 0.31% $90,000 407.2%
872 Burgess Health CenterLynn Wold $284,367 $38.3M 0.01% $3,000 9478.9%
896 Loring HospitalMatthew D Johnson $260,624 $25.1M 0.14% $26,591 980.1%
929 Ida County Iowa Community HospitalGlen Winekauf $231,642 $27.3M 0.02% $7,000 3309.2%
950 Osceola Community HospitalJoseph Heitritter $214,926 $19.8M 0.15% $25,000 859.7%
960 Virginia Gay HospitalTina Eden $204,871 $44.8M 0.13% $52,000 394.0%
968 Community HospitalCristin Hendrickson $198,205 $18.1M 0.19% $33,000 600.6%
985 Manning Regional Healthcare CenterShannon Black $185,889 $24.6M 0.67% $137,000 135.7%
998 Knoxville Hospital and ClinicsKevin Kincaid $164,364 $122.1M 0.39% $422,829 38.9%
1010 Central Community HospitalBrooke Kensinger $146,028 $15.8M 0.47% $65,831 221.8%
1026 Avera Holy FamilyMichelle Majerus $59,279 $38.2M 0.52% $160,947 36.8%

Systems not shown: 22 with an unidentifiable chief executive or charity care reported off line 7a. Each has its own page: Central Iowa Hospital, Mercy Health Services - Iowa, Trinity Medical Center, Allen Memorial Hospital, St Luke's Methodist Hospital, Covenant Medical Center, Northwest Iowa Hospital, Trinity Regional Medical Center, Jennie Edmundson Memorial Hospital, The Finley Hospital, Mercy Medical Center - Clinton, Grinnell Regional Medical Center, St Luke'Sjones Regional Medical Center, Sioux Valley Memorial Hospital Assocation, Mercy Medical Center - Centerville, Sartori Memorial Hospital, Stewart Memorial Community Hospital, Mercy Medical Center - Newton, Mercy Hospital of Franciscan Sisters, Mercy Hospital Iowa City Iowa, Sumner Community Club, Baum Harmon Mercy Hospital.

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Iowa nonprofit hospitals: CEO pay vs charity care