| Details | CAH161361-00 | Hamilton County Public Hospital d/b/a Van Diest Medical Center | | Critical Access Hospital | 2350 Hospital Drive |
| Webster City | IA | 10/01/2020 | | 10/1/2020 12:01 AM |
| Details | CAH161366-00 | Shenandoah Medical Center | | Critical Access Hospital | 300 Pershing Ave |
| Shenandoah | IA | 01/01/2020 | 02/07/2022 | 4/5/2022 4:47 PM |
| Details | CAH161367-00 | PELLA REGIONAL HEALTH CENTER | | Critical Access Hospital | 404 JEFFERSON ST. |
| PELLA | IA | 07/01/2018 | 12/15/2023 | 12/15/2023 12:01 AM |
| Details | CAH281322-00 | FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE | | Critical Access Hospital | 430 NORTH MONITOR STREET |
| WEST POINT | NE | 04/01/2019 | 11/01/2022 | 11/16/2022 12:11 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 | DSH170040 | UNIVERSITY OF KANSAS HOSPITAL | | Disproportionate Share Hospital | 4000 Cambridge Street |
| Kansas City | KS | 01/01/2020 | | 1/1/2020 12:05 AM |
| Details | DSH280013 | THE NEBRASKA MEDICAL CENTER | | Disproportionate Share Hospital | 989200 Nebraska Medical Center |
| Omaha | NE | 01/01/2020 | | 1/1/2020 12:05 AM |
| Details | DSH430016 | AVERA MCKENNAN | | Disproportionate Share Hospital | 1325 S. CLIFF AVE. |
| SIOUX FALLS | SD | 01/01/2017 | 10/01/2016 | 8/3/2017 11:37 AM |
| Details | DSH430016 | AVERA MCKENNAN | | Disproportionate Share Hospital | 1325 S. CLIFF AVE. |
| SIOUX FALLS | SD | 04/01/2017 | | 8/3/2017 11:37 AM |
| Details | SCH160005-00 | ST. ANTHONY REGIONAL HOSPITAL | | Sole Community Hospital | 311 SOUTH CLARK STREET |
| CARROLL | IA | 04/01/2019 | 09/27/2020 | 10/5/2020 3:03 PM |