| Details | CAH281322-00 | FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE | | Critical Access Hospital | 430 NORTH MONITOR STREET |
| WEST POINT | NE | 04/01/2019 | 04/14/2021 | 4/14/2021 4:42 PM |
| Details | CAH281360-00 | BOX BUTTE GENERAL HOSPITAL | | Critical Access Hospital | 2101 BOX BUTTE AVENUE |
| ALLIANCE | NE | 01/01/2020 | 03/11/2021 | 3/14/2022 1:58 PM |
| Details | CHC08231-00 | HOUSTON COMMUNITY HEALTH CENTERS INC | HOUSTON COMMUNITY HEALTH CENTER | HRSA-Funded Health Center | 424 Hahlo St |
| Houston | TX | 07/01/2025 | | 4/11/2025 11:40 AM |
| Details | DSH130049 | KOOTENAI HEALTH INC | KOOTENAI HEALTH | Disproportionate Share Hospital | 2003 Kootenai Health Way |
| COEUR DALENE | ID | 01/01/2019 | 04/01/2019 | 4/1/2019 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 | RRC130049-00 | KOOTENAI HOSPITAL DISTRICT | | Rural Referral Center | 2003 KOOTENAI HEALTH WAY |
| COEUR DALENE | ID | 04/01/2019 | 07/27/2020 | 8/6/2020 5:44 PM |
| 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 |