| Details | CAH521303-00 | ThedaCare Medical Center Wild Rose, Inc. | | Critical Access Hospital | 601 GROVE AVENUE |
| WILD ROSE | WI | 04/01/2022 | 05/30/2023 | 6/2/2023 1:56 PM |
| Details | CAH521317-00 | Ascension Calumet Hospital, Inc. | | Critical Access Hospital | 614 MEMORIAL DRIVE |
| CHILTON | WI | 10/01/2021 | 05/31/2025 | 2/27/2025 6:32 PM |
| Details | CAH521326-00 | ThedaCare Medical Center - New London, Inc. | | Critical Access Hospital | 1405 Mill Street |
| New London | WI | 04/01/2022 | 05/30/2023 | 5/31/2023 10:13 AM |
| Details | CAH521334-00 | ThedaCare Medical Center - Waupaca | | Critical Access Hospital | 800 Riverside Drive |
| Waupaca | WI | 04/01/2022 | 05/30/2023 | 5/31/2023 10:12 AM |
| Details | CAH521346-00 | ThedaCare Medical Center Shawano, Inc. | | Critical Access Hospital | 100 County Road B |
| Shawano | WI | 04/01/2022 | 05/30/2023 | 5/31/2023 10:12 AM |
| Details | CAH521355-00 | ThedaCare Medical Center Berlin, Inc. | | Critical Access Hospital | 225 MEMORIAL DRIVE |
| BERLIN | WI | 04/01/2022 | 05/30/2023 | 6/2/2023 1:57 PM |
| Details | CH050900 | LA CLINICA DE LOS CAMPESINOS, INC. | Noble Community Clinics - Wautoma | HRSA-Funded Health Center | 400 S. Townline Rd |
| WAUTOMA | WI | 07/01/2016 | 06/14/2023 | 6/14/2023 12:26 PM |