Since 2017, Ms. Neal has directed the financial activities for Shenandoah Medical Center, a critical access hospital that includes three rural health clinics, a co-owned ambulance service with the city of Shenandoah, and a philanthropic foundation. Each year, the medical center generates almost $50 million in net operating revenue. Throughout her tenure, Ms. Neal has orchestrated the growth and expansion of the medical center, shaping it into one of Iowa’s strongest operating facilities. She helped complete a $25 million facility expansion that added a medical office building, surgery center and emergency department, and also oversaw the financing of a $13 million cancer center. Her leadership has helped to overhaul the medical center’s revenue cycle and has transformed it from pain point to strong suit. Ms. Neal is also a member of Clarinda City Council in Clarinda, Iowa, and serves as a board member of Iowa’s Healthcare Financial Management Association.
Becker's Recognition
Kaley Nealhas been named a Becker's honoree on the lists below.
2023 Winner

Executives
29 Rural Hospital CFOs
Historically, rural areas have suffered a lack of access to quality healthcare. Members of rural communities may have to travel long distances, pay exorbitant costs, or face other barriers. Rural hospitals work hard to ease the burden on underserved communities, and CFOs are a crucial part of the equation.
Rural hospital CFOs maintain the financial health of their institutions, set strategic plans, secure funding, and keep costs affordable for patients.
2023 Winner

2024 Winner

Executives
Rural Hospital CFOs to Know
Historically, rural areas have suffered a lack of access to quality healthcare. Members of rural communities may have to travel long distances, pay exorbitant costs, or face other barriers. Rural hospitals work hard to ease the burden on underserved communities, and CFOs are a crucial part of the equation.
