Cindy Carstens has worked in the health care industry since 1981 and came to Stewart Memorial Community Hospital in the summer of 2008. She earned her Associate Degree of Nursing from Iowa Central Community College in Fort Dodge, a Bachelor of Science in Nursing from the University of Phoenix and a Master’s in Healthcare Administration from Des Moines University.

Cindy is a Top 100 Nurses recipient in Iowa and belongs to the Iowa Organization of Nurse Leaders. She currently serves on the following committees or boards: Iowa Central Nursing Advisory Committee, Calhoun County Board of Health, Calhoun County Disaster Coalition, and IHA Advocacy Committee. 

Carstens is a member of the Rockwell City Rotary and has volunteered time to the SMCH “This is Home Project” since it’s conception.

Cindy and her husband Alan have three grown children: Matt, Jenni, and Curtis; two grandsons: Brandon and Layne; and five granddaughters; Cassidy, Tyler, Calleigh, Ebyn and Madesyn. In her free time, Cindy enjoys attending her grandchildren’s’ sporting events and cattle shows, reading, traveling, and camping with friends and family.



Since 1989, Jim Henkenius has served as the CFO at Stewart Memorial Community Hospital. The Iowa native earned his Bachelor Degree in Accounting from Briar Cliff College in Sioux City.

Henkenius is a member of the Health Financial Management Association (HFMA) and is active with his children’s activities, church and community. He is a volunteer 5th-6th grade Football coach and 6th grade boys’ Basketball coach for Southern Cal Schools. He is also a board member of The Kids Spot Day Care, Committee member for the Lake City Pool Fundraiser, Usher and Finance committee member at St. Mary’s Catholic Church, and a volunteer worker at the Capri Theatre.

Jim and his wife Jodi are the parents of five children, Chelsey, Ashley, Derrick, Emily and Joshua. In addition to being involved with his family and church, Jim enjoys golfing and doing crossword puzzles.



Throughout her nursing career, Ann Lengeling has held many roles. She began as an aide and, as she advanced her education, worked as a licensed practical nurse, and as a registered nurse before earning her bachelor of science in nursing from the University of Iowa. Over the years she’s worked on the inpatient floor and as an emergency room nurse in a hospital on all kinds of shifts, including nights and weekends.

Her most recent role was with Kindred Hospice as Executive Director.  While Ann feels strongly about hospice care, she says she missed providing care for acute patients in the hospital. “My leadership goals led me back to the hospital setting.”

Ann and her husband, Nate, have three children: Grace, Wade, and Nora. The family enjoys spending time together while camping and kayaking.



Jeff Gardner has served in numerous roles in healthcare over the course of his career.  He began his career with the United States Air Force, serving in the enlisted ranks as a laboratory, radiologic, and emergency medical technician. He subsequently received a direct commission as first lieutenant, serving as a Medical Service Corps officer in healthcare administration. He achieved his Master’s Degree in Healthcare Administration from Midwestern State University, following completion of his Bachelor’s Degree in Business Management and Education from Wayland Baptist University.  Jeff has also earned three Associates Degree’s in Medical Technology, Instructional Technology and Business Administration.

Since 2006, Jeff has served at the senior administrative level of physician practice management, primarily in Texas and New Mexico. Most recently, Jeff held the title of Operations Director at Memorial Community Hospital in Blair, Nebraska, where he led physician practice management for a multi-site rural health clinic group. Jeff is a member of the American College of Healthcare Executives, Medical Group Management Association, and the American College of Medical Practice Executives.  He is also board certified as a Healthcare Safety Professional and Hazard Control Manager.

Jeff is married to Rosalinda and together they have six children and ten grandchildren, who they love to visit in Texas and New Mexico whenever possible. The couple enjoys many outdoor activities including bowhunting, fishing, camping, hiking, golfing, and gardening. They are both accomplished cooks, avid bowlers and enjoy country music and dancing. They’re strong supporters of their Catholic faith and FFA/4-H activities for area youth.