| Details | CAH161307-00 | HANCOCK COUNTY HEALTH SYSTEM | HANCOCK COUNTY HEALTH SYSTEM | Critical Access Hospital | 532 1ST STREET NW |
| BRITT | IA | 07/01/2019 | 01/01/2024 | 1/1/2024 12:01 AM |
| Details | CAH161356-00 | HENRY COUNTY HEALTH CENTER INC | | Critical Access Hospital | 407 SOUTH WHITE STREET |
| MOUNT PLEASANT | IA | 04/01/2020 | | 4/1/2020 12:05 AM |
| Details | CAH281322-00 | FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE | | Critical Access Hospital | 430 NORTH MONITOR STREET |
| WEST POINT | NE | 07/01/2019 | 07/10/2019 | 7/10/2019 9:24 AM |
| Details | CH072130 | NORTHWEST HEALTH SERVICES, INC. | FAMILY MEDICINE ASSOCIATES | HRSA-Funded Health Center | 2303 Village Dr |
| Saint Joseph | MO | 10/01/2017 | 06/07/2021 | 6/7/2021 5:42 PM |
| Details | DSH160064 | MercyOne North Iowa Medical Center | | Disproportionate Share Hospital | 1000 4TH STREET SW |
| MASON CITY | IA | 07/01/2017 | 10/01/2018 | 10/1/2018 12:05 AM |
| Details | SCH160064-00 | MERCYONE NORTH IOWA MEDICAL CENTER | | Sole Community Hospital | 1000 4TH STREET SW |
| MASON CITY | IA | 10/01/2018 | 07/11/2019 | 7/11/2019 11:19 AM |