| Details | CAH171337-00 | WAMEGO HOSPITAL ASSOCIATION | | Critical Access Hospital | 711 Genn Drive |
| WAMEGO | KS | 01/01/2022 | 07/07/2022 | 7/7/2022 12:01 AM |
| Details | CAH231315-00 | ASCENSION BORGESS-LEE HOSPITAL | | Critical Access Hospital | 420 WEST HIGH STREET |
| DOWAGIAC | MI | 10/01/2021 | 04/29/2024 | 4/29/2024 5:06 PM |
| Details | CAH231328-00 | Ascension Borgess Allegan Hospital | | Critical Access Hospital | 555 LINN STREET |
| ALLEGAN | MI | 10/01/2021 | | 10/1/2021 12:01 AM |
| Details | CAH441300-00 | HICKMAN COMMUNITY HOSPITAL | DBA SAINT THOMAS HICKMAN HOSPITAL | Critical Access Hospital | 135 EAST SWAN STREET |
| CENTERVILLE | TN | 10/01/2021 | | 10/1/2021 12:01 AM |
| Details | CAH451365-00 | Ascension Seton d/b/a Ascension Seton Highland Lakes | | Critical Access Hospital | 3201 S WATER STREET |
| BURNET | TX | 10/01/2021 | 08/01/2022 | 9/15/2022 11:00 AM |
| Details | CAH451371-00 | Ascension Seton d/b/a Ascension Seton Edgar B. Davis | | Critical Access Hospital | 130 HAYS STREET |
| LULING | TX | 10/01/2021 | 08/01/2022 | 9/10/2022 9:42 PM |
| Details | DSH100025 | SACRED HEART HEALTH SYSTEM | | Disproportionate Share Hospital | 5151 NORTH 9TH AVENUE |
| PENSACOLA | FL | 10/01/2021 | 07/01/2022 | 7/11/2022 4:53 PM |
| Details | DSH140180 | Presence Saints Mary and Elizabeth Medical Center | | Disproportionate Share Hospital | 2233 WEST DIVISION STREET |
| CHICAGO | IL | 10/01/2021 | 04/29/2022 | 9/28/2022 10:59 AM |
| Details | DSH140304 | UChicago Medicine AdventHealth Bolingbrook | | Disproportionate Share Hospital | 500 REMINGTON BLVD. |
| BOLINGBROOK | IL | 10/01/2021 | 03/31/2022 | 4/5/2022 1:03 PM |
| Details | DSH150084 | ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis | | Disproportionate Share Hospital | 2001 WEST 86TH STREET |
| INDIANAPOLIS | IN | 01/01/2022 | 11/16/2022 | 11/21/2022 4:23 PM |