Leadership Team

Jefferson County Health Center Leadership Team not only provides skilled and compassionate care to our community, it also manages with integrity and expertise. The outstanding leaders of JCHC call on their experience as well as their willingness to ensure whole-person healing to lead JCHC into the future.


Jacque Bookin-NosbischAfter joining JCHC in 1993, Jacque Bookin-Nosbisch has served as vice president nursing,  inpatient nurse manager, assistant inpatient director, charge nurse in the inpatient setting, and a staff nurse in temporary and long-term care. Jacque received her Associate degree in nursing from Indian Hills Community College in Ottumwa, Iowa and her Bachelor of Science degree in nursing from William Penn University in Oskaloosa, Iowa. She completed critical care classes through Indian Hills and has maintained her Advanced Cardiac Life Support Certification since 1995. Jacque has completed several health care leadership series and professional development programs including the Iowa Hospital Association Executive Leadership Academy. She has served on the board of the Iowa Organization of Nurse Leaders and serves on the Professional Advisory Committee for Indian Hills Community College Nursing Program and Iowa Wesleyan University Division of Nursing.



bryan hunger, MHA, CMPE | Chief Executive Officer

Bryan Hunger

Bryan Hunger serves as the chief executive officer of Jefferson County Health Center (JCHC). Since 2016, Bryan’s executive leadership responsibilities include assuring that the services delivered by JCHC are consistent with the organization’s mission and are accessible to all people in the communities we serve. Prior to his appointment as CEO, he served as the chief provider services officer at Regional Medical Center in Manchester, Iowa. He also worked with the University of Texas medical branch as a practice manager. Bryan earned his Bachelor’s degree from Bringham Young University-Idaho in Rexburg, Idaho. He earned his Master of Health Administration (MHA) degree from Ohio University in Athens, Ohio. Bryan is a Certified Medical Practice Executive (CMPE) and serves on several boards and councils including Health Enterprises Governing Board, Southeastern Renal Dialysis Governing Board, Iowa Hospital Association (IHA) ServiShare Board of Directors, and IHA Council on Representation and Advocacy.




Larry PeachLarry Peach became the CFO at Jefferson County Health Center (JCHC) in 2013. Prior to joining JCHC and over the course of 30 years, he served as the chief financial officer at Mendota Community Hospital in Mendota, Illinois, Graham Hospital in Canton, Illinois, and Morrison Community Hospital in Morrison, Illinois. Larry earned his Bachelor of Arts degree in accounting and finance from Illinois State University in Normal, Illinois. He earned his Masters of Business Administration degree from St. Ambrose University in Davenport, Iowa. Larry is a member of the Healthcare Financial Management Association, an organization for healthcare financial leaders.




Curtis Smith, MHA, BSN, RN | Chief Operating Officer

Curtis SmithAfter joining the JCHC in 1990, Curtis Smith served as vice president ancillary services, out-patient director, emergency department manager, assistant emergency department manager, house supervisor of the emergency department, LPN in the emergency department, and nursing assistant. Curtis holds an associate's degree in nursing from Indian Hills Community College, a Bachelor of Science degree in nursing from the University of Phoenix, a Master of Healthcare Administration degree from the University of Iowa,  and is a registered nurse (RN). He is an Army National Guard Veteran, serving as a combat medic from 1989 to 1996. Curtis served on the Iowa Organization of Nurse Leaders Board, Iowa Hospital Association Council on Education and Member Services, and Iowa Healthcare Collaborative’s Advisory Council.



Daniel Uzupis, MS | Chief Information Officer

Daniel UzupisDaniel joined JCHC in 2021 with nearly 20 years of experience in information systems and information technology. He guides strategic technology direction and implementation for JCHC with a focus on improving efficiencies and enhancing the patient experience. Prior to joining the health center, Daniel was the Chief Information Officer for Philadelphia FIGHT, a federally-qualified health center in Philadelphia, Pennsylvania. He also held positions in other Philadelphia-area organizations including American Reading Company, Grand View Hospital, and Albert Einstein Healthcare Network. Daniel earned his bachelor’s degree in management of information technology from DeSales University, and a master’s degree in information systems/management from the University of Phoenix.