| Details | CAH031318-00 | BANNER PAYSON MEDICAL CENTER | | Critical Access Hospital | 807 S. PONDEROSA |
| PAYSON | AZ | 04/01/2020 | 11/09/2022 | 3/21/2023 1:05 PM |
| Details | CAH051309-00 | JEROLD PHELPS COMMUNITY HOSPITAL | | Critical Access Hospital | 733 CEDAR STREET |
| GARBERVILLE | CA | 01/01/2018 | 08/14/2023 | 8/14/2023 12:45 PM |
| Details | CAH051309-01 | JEROLD PHELPS COMMUNITY HOSPITAL | SOUTHERN HUMBOLDT COMMUNITY CLINIC | Critical Access Hospital | 509 ELM STREET |
| GARBERVILLE | CA | 01/01/2018 | 08/14/2023 | 9/19/2023 3:04 PM |
| Details | CAH061305-00 | East Phillips County Hospital District d/b/a MELISSA MEMORIAL HOSPITAL | | Critical Access Hospital | 1001 East JOHNSON ST |
| HOLYOKE | CO | 07/01/2018 | 07/19/2020 | 7/29/2020 12:32 PM |
| Details | CAH061308-00 | Conejos County Hospital Corporation | | Critical Access Hospital | 19021 US Hwy 285 |
| La Jara | CO | 10/01/2017 | 10/02/2017 | 10/9/2017 4:12 PM |
| Details | CAH111305-00 | Hospital Authority of Miller County DBA Miller County Hospital | | Critical Access Hospital | 209 N. Cuthbert St |
| Colquitt | GA | 07/01/2019 | 10/01/2022 | 10/6/2022 4:57 PM |
| Details | CAH131307-00 | Weiser Valley Hospital District, dba Weiser Memorial Hospital | | Critical Access Hospital | 645 East 5th Street |
| Weiser | ID | 01/01/2019 | 09/27/2022 | 10/24/2022 10:57 AM |
| Details | CAH131307-01 | Weiser Valley Hospital District, dba Weiser Memorial Hospital | Weiser Memorial Hospital Clinic (WMH Clinic) | Critical Access Hospital | 360 East Liberty Street |
| Weiser | ID | 01/01/2019 | | 1/1/2019 12:05 AM |