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.



Holly Espenhover brings more than a decade of personnel and leadership experience to Stewart Memorial Community Hospital.  The field of healthcare and the people who work in it are a passion of hers and started at an early age and came naturally to her by working with both her dad who was a podiatrist and her mom who was a nurse. 

After attending Iowa State University for three years, Holly joined the Army in 2001 and was Active Duty for 5 ½ years serving with the Southern European Task Force (SETAF) in Vicenza, Italy.  Her experience and knowledge led to fast promotions and leadership opportunities in her field of work as a Non-Commissioned Officer who oversaw Aviation Operations.  This also afforded her the opportunity to finish her degree through the University of Maryland to obtain her Bachelors of Science degree in Psychology.  She is currently pursuing her Masters of Leadership Development through Drake University.

Espenhover has been with Stewart Memorial Community Hospital since August of 2012 and oversees the People Pillar strategy and initiatives for the organization.  She is an active member of the Society for Human Resource Management (SHRM) and American Society for Healthcare Human Resources Administration (ASHHRA).  She serves on the Iowa Hospital Association Council of Education and Member Services and is a board member for Region 8 Workforce Investment Board (RWIB) who helps determine how state educational programs and the support funds are dispersed in the local region. 

Holly and her husband, Adam, reside in Carroll with their two boys, Ethan and Connor.  Together they enjoy traveling to new places, skiing, camping, completing home projects, and watching their boys take on any kind of sport.