| Details | CAH051319-00 | DIGNITY HEALTH D/B/A MERCY MEDICAL CENTER MT. SHASTA | | Critical Access Hospital | 914 PINE STREET. |
| MOUNT SHASTA | CA | 07/01/2019 | 03/21/2024 | 5/3/2024 2:49 PM |
| Details | CAH051332-00 | Mark Twain Medical Center | | Critical Access Hospital | 768 Mountain Ranch Road |
| San Andreas | CA | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | CAH161304-00 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING, IOWA d/b/a CHI Health Mercy Corning | | Critical Access Hospital | 603 ROSARY DRIVE |
| CORNING | IA | 07/01/2019 | 05/30/2021 | 8/22/2022 10:52 AM |
| Details | CAH161309-00 | ALEGENT HEALTH-COMMUNITY MEMORIAL HOSPITAL d/b/a CHI Health Missouri Valley | | Critical Access Hospital | 631 N. 8TH STREET |
| MISSOURI VALLEY | IA | 07/01/2019 | 05/30/2021 | 8/12/2022 8:16 AM |
| Details | CAH241370-00 | ST. GABRIEL'S HOSPITAL | | Critical Access Hospital | 815 SE 2nd Street. |
| LITTLE FALLS | MN | 10/01/2020 | 05/30/2021 | 8/22/2022 12:15 PM |
| Details | CAH281323-00 | ALEGENT HEALTH-MEMORIAL HOSPITAL, SCHUYLER d/b/a CHI Health Schuyler | | Critical Access Hospital | 104 W. 17TH STREET |
| SCHUYLER | NE | 10/01/2019 | 04/30/2021 | 10/14/2021 11:07 AM |
| Details | CAH281342-00 | SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's | | Critical Access Hospital | 1301 Grundman BLVD |
| NEBRASKA CITY | NE | 07/01/2019 | 10/12/2022 | 10/12/2022 5:02 PM |
| Details | CAH281346-00 | ALEGENT CREIGHTON HEALTH d/b/a CHI Health Plainview | | Critical Access Hospital | 704 N 3rd St |
| Plainview | NE | 07/01/2019 | 04/30/2021 | 10/12/2021 11:10 AM |
| Details | DSH030024 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER | | Disproportionate Share Hospital | 350 W THOMAS ROAD |
| PHOENIX | AZ | 10/01/2023 | | 10/1/2023 12:01 AM |
| Details | DSH030036 | CHANDLER REGIONAL MEDICAL CENTER | CHANDLER REGIONAL MEDICAL CENTER | Disproportionate Share Hospital | 1955 W. Frye Road |
| CHANDLER | AZ | 07/01/2019 | 10/05/2021 | 10/5/2021 7:55 AM |
| Details | DSH040007 | ST VINCENT INFIRMARY | | Disproportionate Share Hospital | #2 ST. VINCENT CIRCLE |
ATTN: PHARMACY
| LITTLE ROCK | AR | 07/01/2020 | 07/02/2020 | 11/22/2021 8:43 AM |
| Details | DSH050017 | MERCY GENERAL HOSPITAL | | Disproportionate Share Hospital | 4001 J STREET |
| SACRAMENTO | CA | 07/01/2019 | 03/21/2024 | 5/21/2024 4:07 PM |
| Details | DSH050036 | BAKERSFIELD MEMORIAL HOSPITAL | | Disproportionate Share Hospital | 420 34TH STREET |
| BAKERSFIELD | CA | 07/01/2019 | 03/01/2022 | 3/1/2022 12:01 AM |
| Details | DSH050042 | ST ELIZABETH COMMUNITY HOSPITAL | | Disproportionate Share Hospital | 2550 SISTER MARY COLUMBA |
| RED BLUFF | CA | 07/01/2019 | 03/21/2024 | 5/3/2024 2:51 PM |
| Details | DSH050058 | GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER | | Disproportionate Share Hospital | 1420 SOUTH CENTRAL AVE |
| GLENDALE | CA | 07/01/2019 | 03/10/2022 | 3/17/2022 3:22 PM |
| Details | DSH050082 | ST JOHNS REGIONAL MEDICAL CENTER | | Disproportionate Share Hospital | 1600 N ROSE AVE |
| OXNARD | CA | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | DSH050084 | ST JOSEPH'S MEDICAL CENTER | | Disproportionate Share Hospital | 1800 N CALIFORNIA STREET |
| STOCKTON | CA | 07/01/2019 | 03/01/2022 | 3/1/2022 12:01 AM |
| Details | DSH050089 | COMMUNITY HOSPITAL OF SAN BERNARDINO | | Disproportionate Share Hospital | 1805 MEDICAL CENTER DRIVE |
| SAN BERNARDINO | CA | 07/01/2019 | 02/01/2022 | 2/24/2022 4:40 PM |
| Details | DSH050107 | MARIAN MEDICAL CENTER | | Disproportionate Share Hospital | 1400 E CHURCH ST |
| SANTA MARIA | CA | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | DSH050116 | NORTHRIDGE HOSPITAL MEDICAL CENTER | | Disproportionate Share Hospital | 18300 ROSCOE BLVD |
| NORTHRIDGE | CA | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | DSH050127 | WOODLAND MEMORIAL HOSPITAL | | Disproportionate Share Hospital | 1325 COTTONWOOD ST |
| WOODLAND | CA | 07/01/2019 | 03/21/2024 | 5/16/2024 11:33 AM |
| Details | DSH050129 | ST. BERNARDINE MEDICAL CENTER | | Disproportionate Share Hospital | 2101 N. WATERMAN AVENUE |
| SAN BERNARDINO | CA | 07/01/2019 | 02/01/2022 | 5/20/2023 5:36 PM |
| Details | DSH050149 | CALIFORNIA HOSPITAL MEDICAL CENTER | | Disproportionate Share Hospital | 1401 SOUTH GRAND AVENUE |
| LOS ANGELES | CA | 07/01/2019 | 02/01/2022 | 3/21/2022 2:13 PM |
| Details | DSH050150 | SIERRA NEVADA MEMORIAL HOSPITAL | | Disproportionate Share Hospital | 155 GLASSON WAY |
| GRASS VALLEY | CA | 07/01/2019 | 03/21/2024 | 5/14/2024 2:32 PM |
| Details | DSH050152 | UCSF HEALTH - ST. FRANCIS HOSPITAL | | Disproportionate Share Hospital | 900 HYDE STREET |
| SAN FRANCISCO | CA | 07/01/2019 | 03/18/2024 | 5/14/2024 3:51 PM |
| Details | DSH050191 | ST. MARY MEDICAL CENTER | | Disproportionate Share Hospital | 1050 LINDEN AVENUE |
| LONG BEACH | CA | 10/01/2019 | 03/01/2022 | 4/29/2022 1:18 PM |
| Details | DSH050242 | DOMINICAN HOSPITAL | | Disproportionate Share Hospital | 1555 SOQUEL DRIVE |
| SANTA CRUZ | CA | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | DSH050280 | MERCY MEDICAL CENTER, REDDING | | Disproportionate Share Hospital | 2175 ROSALINE AVENUE |
| REDDING | CA | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | DSH050444 | MERCY MEDICAL CENTER MERCED | COMMUNITY CAMPUS | Disproportionate Share Hospital | 333 MERCY AVE |
| MERCED | CA | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | DSH050457 | UCSF HEALTH - ST. MARY'S HOSPITAL | | Disproportionate Share Hospital | 450 STANYAN STREET |
| SAN FRANCISCO | CA | 07/01/2019 | 03/18/2024 | 5/14/2024 3:52 PM |
| Details | DSH050516 | MERCY SAN JUAN MEDICAL CENTER | | Disproportionate Share Hospital | 6501 COYLE AVENUE |
| CARMICHAEL | CA | 07/01/2019 | 03/21/2024 | 8/19/2024 2:47 PM |
| Details | DSH050590 | METHODIST HOSPITAL OF SACRAMENTO | | Disproportionate Share Hospital | 7500 HOSPITAL DRIVE |
| SACRAMENTO | CA | 07/01/2019 | 03/21/2024 | 5/15/2024 6:36 PM |
| Details | DSH160028 | ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM d/b/a CHI Health Mercy Council Bluffs | | Disproportionate Share Hospital | 800 MERCY DRIVE |
| COUNCIL BLUFFS | IA | 07/01/2019 | 04/30/2021 | 10/22/2021 12:03 PM |
| Details | DSH160083 | CATHOLIC HEALTH INITIATIVES - IOWA, CORP | MERCYONE DES MOINES MEDICAL CENTER | Disproportionate Share Hospital | 1111 6th Avenue |
| DES MOINES | IA | 10/01/2020 | | 10/1/2020 12:01 AM |
| Details | DSH180011 | SAINT JOSEPH HEALTH SYSTEM | DBA SAINT JOSEPH - LONDON | Disproportionate Share Hospital | 1001 SAINT JOSEPH LANE |
| LONDON | KY | 07/01/2019 | 04/12/2019 | 4/17/2019 8:42 AM |
| Details | DSH180011 | SAINT JOSEPH HEALTH SYSTEM | DBA SAINT JOSEPH - LONDON | Disproportionate Share Hospital | 1001 SAINT JOSEPH LANE |
| LONDON | KY | 10/01/2019 | | 10/1/2019 12:05 AM |
| Details | DSH180025 | ST. JOE. - FLAGET | | Disproportionate Share Hospital | 4305 NEW SHEPHERDSVILLE RD |
| BARDSTOWN | KY | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | DSH180064 | SAINT JOSEPH HEALTH SYSTEM, INC. DBA SAINT JOSEPH MOUNT STERLING | | Disproportionate Share Hospital | 225 Falcon Drive |
| MT. STERLING | KY | 04/01/2021 | 04/30/2021 | 6/23/2021 2:39 PM |
| Details | DSH180143 | SAINT JOSEPH EAST | | Disproportionate Share Hospital | 150 NORTH EAGLE CREEK DRIVE |
| LEXINGTON | KY | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | DSH280060 | Alegent Health Bergan Mercy Health System d/b/a CHI Health Creighton University Med Center-Bergan Mercy | | Disproportionate Share Hospital | 7500 Mercy Road |
| Omaha | NE | 07/01/2019 | 04/30/2021 | 10/12/2021 10:55 AM |
| Details | DSH280081 | CHI Health Immanuel | | Disproportionate Share Hospital | 6901 N. 72ND ST |
| OMAHA | NE | 10/01/2019 | 04/30/2021 | 10/13/2021 1:48 PM |
| Details | DSH500011 | St. Anne Hospital | | Disproportionate Share Hospital | 16251 SYLVESTER RD. SW |
| BURIEN | WA | 10/01/2020 | 04/22/2021 | 6/3/2021 2:33 PM |
| Details | PED033302-00 | PHOENIX CHILDREN'S HOSPITAL | | Children's Hospital | 1919 E THOMAS ROAD |
| PHOENIX | AZ | 10/01/2020 | | 10/1/2020 12:01 AM |
| Details | RRC030119-00 | MERCY GILBERT MEDICAL CENTER | | Rural Referral Center | 3555 S. VAL VISTA DRIVE |
| GILBERT | AZ | 07/01/2019 | 12/31/2021 | 2/24/2022 2:10 PM |
| Details | RRC360211-00 | TRINITY HOSPITAL HOLDING COMPANY | | Rural Referral Center | 4000 JOHNSON ROAD |
| STEUBENVILLE | OH | 04/01/2020 | 11/02/2021 | 11/2/2021 12:01 AM |
| Details | RRC500039-00 | ST. MICHAEL MEDICAL CENTER | | Rural Referral Center | 1800 NW MYHRE ROAD |
| SILVERDALE | WA | 10/01/2020 | 04/22/2021 | 4/22/2021 3:53 PM |