| Details | CAH521337-00 | ST. CROIX REGIONAL MEDICAL CENTER | | Critical Access Hospital | 235 STATE STREET |
| ST. CROIX FALLS | WI | 07/01/2019 | 08/31/2023 | 9/18/2023 5:30 PM |
| Details | CAH521337-01 | ST. CROIX REGIONAL MEDICAL CENTER | FREDERIC CLINIC | Critical Access Hospital | 205 Oak Street West |
| FREDERIC | WI | 07/01/2019 | 08/31/2023 | 9/18/2023 5:29 PM |
| Details | CAH521337-03 | ST. CROIX REGIONAL MEDICAL CENTER | ST. CROIX FALLS CLINIC | Critical Access Hospital | 216 South Adams Street |
| ST. CROIX FALLS | WI | 07/01/2019 | 08/31/2023 | 9/18/2023 5:31 PM |
| Details | CAH521337-05 | ST. CROIX REGIONAL MEDICAL CENTER | Unity Clinic | Critical Access Hospital | 1504 190th Avenue |
| Balsam Lake | WI | 07/01/2019 | 08/31/2023 | 9/18/2023 5:31 PM |
| Details | CAH521337-06 | ST. CROIX REGIONAL MEDICAL CENTER | Frederic Clinic - RHC | Critical Access Hospital | 205 Oak Street West |
| Frederic | WI | 07/01/2019 | 10/01/2019 | 10/1/2019 12:05 AM |
| Details | CAH521337-07 | ST. CROIX REGIONAL MEDICAL CENTER | Webster Health Center | Critical Access Hospital | 26425 Lakeland Avenue South |
| Webster | WI | 07/01/2019 | 08/31/2023 | 9/18/2023 5:30 PM |
| Details | CH052730 | OPEN CITIES HEALTH CENTER | OPEN CITIES HEALTH CENTER, INC. | HRSA-Funded Health Center | 409 Dunlap St N |
| Saint Paul | MN | 07/01/2017 | 08/26/2023 | 8/26/2023 12:01 AM |
| Details | CH053020 | WEST SIDE COMMUNITY HEALTH SERVICES, INC. | WESTSIDE COMMUNITY HEALTH SERVICES, INC. | HRSA-Funded Health Center | 153 Cesar Chavez St |
| Saint Paul | MN | 07/01/2019 | 08/24/2023 | 8/24/2023 6:13 PM |
| Details | CHC24136-00 | UNITED FAMILY PRACTICE HEALTH CENTER | United Family Medicine | HRSA-Funded Health Center | 1026 7th St W |
| Saint Paul | MN | 04/01/2017 | 08/25/2023 | 9/15/2023 12:11 PM |
| Details | DSH240004 | HENNEPIN HEALTHCARE SYSTEM, INC. - HENNEPIN COUNTY MEDICAL CENTER | | Disproportionate Share Hospital | 701 PARK AVE SOUTH |
| MINNEAPOLIS | MN | 04/01/2020 | 08/23/2023 | 8/30/2023 5:05 PM |