Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Iowa · Not ranked: see note below.

Grinnell Regional Medical Center

Jon Rozenfeld Board Member, Market President (Fr 01/24). Fiscal year ending 2024-12.

$625,264
CEO total compensation
Form 990 Part VII, columns D+E+F
0.34%
of expenses spent on charity care
Schedule H Part I line 7a
271.8%
CEO pay as a share of all charity care
In the most recent filing year, Jon Rozenfeld Board Member’s reported compensation was $625,264. The system’s charity care for the same year was $230,075. One person’s reported compensation was 2.7 times what the system gave to every patient who could not pay.

Not in the ranking because the chief executive could not be identified from the filing with confidence. The figures below are shown as filed.

Most of the reported compensation ($536,925 of $625,264) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$71,535,639
Total expenses
$67,401,809
Net assets
$15,630,298
Employees
426
Hospitals covered
1 facilities across 1 filing
Charity care, net
$230,075
Bad debt
$809,409
Medicare surplus (shortfall), as filed
($1,228,277)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$536,925
Other compensation, including deferred pay and nontaxable benefits (col. F)
$88,339
CEO total compensation (D+E+F)
$625,264 to Jon Rozenfeld Board Member

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Grinnell Regional Medical Center, EIN 42-0933383, fiscal year ending 2024-12, as published by the IRS. CEO identification: president title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$3.6M Of which charity care to patients who could not pay (line 7a)$230,075 (6%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($809,409) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Grinnell Regional Medical Center: CEO pay $625,264, charity care 0.34% of expenses