By state
Iowa
- 1,332RecordsOne 340B identifier each, not one hospital.
- 930ParticipatingRecords the latest file shows as taking part today.
- 47.1%Disproportionate share hospitalsHospitals serving a large share of low-income patients, as a share of this state’s records.
- 100Records with locations beneath themA hospital registers its clinics and departments separately; this counts the records those are registered under.
627 of 1,332 records in Iowa are registered as disproportionate share hospitals, and 100 parent records hold locations registered beneath them.
How Iowa compares with itself
Distributions across the hospitals in Iowa that file a Medicare cost report: the middle half, the midpoint, and the range the tenth to the ninetieth covers. No hospital is ranked. The same figures nationally →
Charity care
Middle half between 0.3% and 1.1%, midpoint 0.6%, across 100 hospitals with cost reports ending 2024–2025.
Uncompensated care
Middle half between 1.6% and 2.7%, midpoint 2.1%, across 102 hospitals with cost reports ending 2024–2025.
Left after the cost of care
Middle half between -6.1% and 3.8%, midpoint -0.5%, across 102 hospitals with cost reports ending 2024–2025.
Contract pharmacies
Middle half between 5 and 21, midpoint 10, across 103 hospitals with cost reports ending 2024–2025.
The register over time
Records entering 340B, by year
When the records now on the register in Iowa first joined.
1992–2026. 2026: 161 so far — the file is dated inside this year, so this column is not a full one.
Records with a termination date, by year
Records whose registration ends, counted by the year it ends.
2016–2026. 2026: 63 so far — the file is dated inside this year, so this column is not a full one.
Contract-pharmacy arrangements beginning, by year
Each arrangement counted in the year the register says it began.
1999–2026. 2026: 274 so far — the file is dated inside this year, so this column is not a full one.
Hospitals in Iowa that file a cost report
| Hospital ↑↓ | City ↑↓ | Type ↑↓ | Beds ↑↓ | Net patient revenue ↑↓ | Charity care, share of patient revenue ↑↓ | Uncompensated care, same basis ↑↓ | Left after the cost of care ↑↓ | Year ended |
|---|---|---|---|---|---|---|---|---|
| ADAIR COUNTY MEMORIAL HOSPITAL | GREENFIELD | CAH | 25 | $16,160,831 | 0.2% | 2.6% | -28.4% | 2025-06-30 |
| ALEGENT HEALTH - MERCY HOSPITAL, CORNING, IOWA d/b/a CHI Health Mercy Corning | CORNING | CAH | 22 | $25,835,195 | 1.7% | 1.8% | 7.6% | 2025-06-30 |
| ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM d/b/a CHI Health Mercy Council Bluffs | COUNCIL BLUFFS | DSH | 141 | $122,316,646 | 3.2% | 4.7% | -4.0% | 2025-06-30 |
| ALEGENT HEALTH-COMMUNITY MEMORIAL HOSPITAL d/b/a CHI Health Missouri Valley | MISSOURI VALLEY | CAH | 25 | $36,642,568 | 1.3% | 2.7% | -1.9% | 2025-06-30 |
| Allen Memorial Hospital Corporation | Waterloo | DSH | 188 | $378,033,375 | 0.8% | 1.3% | 11.9% | 2024-12-31 |
| AUDUBON COUNTY MEMORIAL HOSPITAL | AUDUBON | CAH | 17 | $16,655,030 | 0.1% | 1.0% | -11.1% | 2025-06-30 |
| Avera Holy Family Health | ESTHERVILLE | CAH | 22 | $32,394,629 | 0.8% | 2.0% | 3.7% | 2025-06-30 |
| Avera McKennan dba Avera Merrill Pioneer Hospital | Rock Rapids | CAH | 11 | $11,790,993 | 0.6% | 2.6% | -4.2% | 2025-06-30 |
| BAUM HARMON MERCY HOSPITAL DBA MERCYONE PRIMGHAR MEDICAL CENTER | PRIMGHAR | CAH | 14 | $1,324,535 | 2.0% | 2.0% | -85.2% | 2024-09-29 |
| BELMOND COMMUNITY HOSPITAL | BELMOND | CAH | 22 | $57,273,852 | 0.6% | 2.5% | 2.2% | 2025-06-30 |
| BOONE COUNTY HOSPITAL | BOONE | CAH | 25 | $58,162,466 | 0.9% | 2.7% | 0.3% | 2025-06-30 |
| BROADLAWNS MEDICAL CENTER | DES MOINES | DSH | 113 | $249,263,037 | 2.2% | 5.2% | -18.0% | 2025-06-30 |
| BUENA VISTA REGIONAL MEDICAL CENTER | STORM LAKE | CAH | 25 | $77,579,345 | 1.7% | 3.2% | 3.2% | 2025-06-30 |
| BURGESS HEALTH CENTER | ONAWA | CAH | 25 | $35,642,230 | 0.7% | 2.3% | -1.7% | 2025-06-30 |
| CASS COUNTY MEMORIAL HOSPITAL | ATLANTIC | CAH | 25 | $82,633,497 | 0.7% | 1.5% | -1.2% | 2025-06-30 |
| CATHOLIC HEALTH INITIATIVES - IOWA, CORP | DES MOINES | DSH | 519 | $992,800,012 | 1.0% | 2.2% | -24.5% | 2025-06-30 |
| CENTRAL COMMUNITY HOSPITAL d/b/a MercyOne Elkader Medical Center | ELKADER | CAH | 15 | 2025-06-30 | ||||
| CLARINDA REGIONAL HEALTH CENTER | Clarinda | CAH | 25 | $63,015,834 | 0.0% | 1.6% | -5.7% | 2025-06-30 |
| CLARKE COUNTY PUBLIC HOSPITAL | OSCEOLA | CAH | 25 | $44,590,970 | 0.2% | 3.3% | 2.4% | 2025-06-30 |
| CRAWFORD COUNTY MEMORIAL HOSPITAL | DENISON | CAH | 25 | $47,238,315 | 0.2% | 2.5% | 3.8% | 2025-06-30 |
| Dallas County Hospital | Perry | CAH | 25 | $28,894,380 | 0.4% | 3.0% | -5.7% | 2025-06-30 |
| DAVIS COUNTY HOSPITAL | BLOOMFIELD | CAH | 25 | $34,453,899 | 0.5% | 2.5% | -0.1% | 2025-06-30 |
| DECATUR COUNTY HOSPITAL | LEON | CAH | 11 | $26,931,590 | 0.6% | 2.9% | -3.6% | 2025-06-30 |
| DELAWARE COUNTY MEMORIAL HOSPITAL | MANCHESTER | CAH | 25 | $81,437,363 | 5.2% | 6.5% | -0.2% | 2025-06-30 |
| ELLSWORTH MUNICIPAL HOSPITAL | IOWA FALLS | CAH | 17 | $39,002,409 | 0.4% | 2.6% | 7.0% | 2025-06-30 |
| FLOYD COUNTY HOSPITAL | CHARLES CITY | CAH | 25 | $55,797,850 | 0.1% | 2.5% | 3.0% | 2025-06-30 |
| FLOYD VALLEY HOSPITAL | LE MARS | CAH | 25 | $55,992,348 | 0.6% | 2.4% | -5.6% | 2025-06-30 |
| Franklin General Hospital | Hampton | CAH | 25 | $29,579,752 | 0.1% | 3.2% | -3.8% | 2025-06-30 |
| GENESIS MEDICAL CENTER - DAVENPORT | DAVENPORT | DSH | 308 | $495,121,236 | 0.7% | 1.8% | 6.3% | 2025-06-30 |
| Genesis Medical Center, DeWitt | DeWitt | CAH | 13 | $34,299,283 | 0.7% | 1.8% | -13.0% | 2025-06-30 |
| GRAPE COMMUNITY HOSPITAL - HAMBURG | HAMBURG | CAH | 25 | $14,960,468 | 0.4% | 1.6% | 0.4% | 2024-09-30 |
| GREATER REGIONAL MEDICAL CENTER | CRESTON | CAH | 25 | $116,276,507 | 0.7% | 1.5% | 0.8% | 2025-06-30 |
| GREENE COUNTY MEDICAL CENTER | JEFFERSON | CAH | 25 | $34,786,522 | 0.7% | 1.5% | -0.3% | 2025-06-30 |
| Grundy County Memorial Hospital | Grundy Center | CAH | 25 | $40,182,578 | 0.1% | 1.1% | 13.7% | 2025-06-30 |
| Guthrie County Hospital | Guthrie Center | CAH | 25 | $26,531,431 | 1.5% | 1.5% | 2025-06-30 | |
| GUTTENBERG MUNICIPAL HOSPITAL | GUTTENBERG | CAH | 25 | $28,410,426 | 0.5% | 0.9% | -3.6% | 2025-06-30 |
| Hamilton County Public Hospital d/b/a Van Diest Medical Center | Webster City | CAH | 25 | $48,317,724 | 0.1% | 1.8% | 1.9% | 2025-06-30 |
| HANCOCK COUNTY HEALTH SYSTEM | BRITT | CAH | 25 | $31,795,008 | 0.1% | 2.8% | -7.7% | 2025-06-30 |
| Hawarden Regional Healthcare | Hawarden | CAH | 25 | $21,577,463 | 0.3% | 2.1% | -5.7% | 2025-06-30 |
| Hegg Memorial Hospital | Rock Valley | CAH | 25 | $25,947,625 | 0.5% | 1.6% | -16.4% | 2025-06-30 |
| HENRY COUNTY HEALTH CENTER INC | MOUNT PLEASANT | CAH | 25 | $66,918,066 | 0.4% | 3.4% | 9.8% | 2025-06-30 |
| Humboldt County Memorial Hospital | Humboldt | CAH | 17 | $32,045,475 | 0.1% | 2.8% | -3.4% | 2025-06-30 |
| Ida County Iowa Community Hospital dba Horn Memorial Hospital | Ida Grove | CAH | 25 | $25,624,789 | 0.0% | 1.1% | -15.6% | 2024-12-31 |
| IOWA METHODIST MEDICAL CENTER | DES MOINES | DSH | 597 | $1,149,177,894 | 0.7% | 1.4% | 21.5% | 2024-12-31 |
| IOWA SPECIALTY HOSPITAL - CLARION | CLARION | CAH | 25 | $98,705,037 | 0.3% | 2.3% | 3.4% | 2025-06-30 |
| Jackson County Public Hospital | Maquoketa | CAH | 25 | $31,173,225 | 0.1% | 2.5% | 18.6% | 2025-06-30 |
| JEFFERSON COUNTY HEALTH CENTER | FAIRFIELD | CAH | 25 | $74,770,431 | 0.8% | 1.1% | 10.4% | 2025-06-30 |
| JENNIE EDMUNDSON MEMORIAL | COUNCIL BLUFFS | DSH | 117 | $156,698,000 | 2.2% | 3.0% | 3.0% | 2024-12-31 |
| Keokuk County Health Center | Sigourney | CAH | 25 | $15,106,884 | 0.2% | 5.0% | -15.3% | 2025-06-30 |
| KNOXVILLE COMMUNITY HOSPITAL INC. | KNOXVILLE | CAH | 25 | $57,226,214 | 0.3% | 2.1% | 2.1% | 2025-06-30 |
| Kossuth Regional Health Center | Algona | CAH | 24 | $45,470,613 | 0.5% | 1.8% | -3.2% | 2025-06-30 |
| LORING HOSPITAL | SAC CITY | CAH | 25 | $21,135,518 | 0.4% | 1.5% | 10.5% | 2025-06-30 |
| Lucas County Health Center | Chariton | CAH | 25 | $32,994,199 | 1.3% | 3.1% | -2.6% | 2025-06-30 |
| MADISON COUNTY MEMORIAL HOSPITAL | WINTERSET | CAH | 25 | $34,477,002 | 1.1% | 1.8% | -0.6% | 2025-06-30 |
| Mahaska County Hospital d/b/a Mahaska Health Partnership | Oskaloosa | CAH | 25 | $124,587,881 | 0.8% | 2.0% | 11.5% | 2025-06-30 |
| MANNING REGIONAL HEALTHCARE CENTER | MANNING | CAH | 17 | $22,934,436 | 0.6% | 1.1% | 11.0% | 2025-06-30 |
| Marengo Memorial Hospital d/b/a Compass Memorial Healthcare | Marengo | CAH | 25 | $51,454,559 | 0.8% | 1.1% | 3.8% | 2025-06-30 |
| MERCY MEDICAL CENTER | CEDAR RAPIDS | DSH | 216 | $507,673,151 | 2.0% | 2.4% | -2.1% | 2025-06-30 |
| MERCY MEDICAL CENTER - DYERSVILLE, DBA MERCYONE DYERSVILLE MEDICAL CENTER | DYERSVILLE | CAH | 13 | $8,585,337 | 2.3% | 3.0% | 8.0% | 2025-06-30 |
| Mercy Medical Center New Hampton | NEW HAMPTON | CAH | 11 | $23,191,316 | 2.7% | 3.2% | 6.9% | 2025-06-30 |
| MERCY MEDICAL CENTER-CLINTON INC D/B/A MercyOne Clinton Medical Center | CLINTON | DSH | 107 | $110,686,898 | 3.0% | 3.2% | -15.0% | 2025-06-30 |
| MercyOne Centerville Medical Center | CENTERVILLE | CAH | 20 | $44,080,284 | 1.9% | 4.1% | -10.2% | 2025-06-30 |
| MercyOne North Iowa Medical Center | MASON CITY | DSH | 199 | $429,463,179 | 1.1% | 1.8% | -28.5% | 2025-06-30 |
| MercyOne Oelwein Medical Center | OELWEIN | CAH | 17 | $19,412,010 | 1.1% | 2.6% | 17.2% | 2025-06-30 |
| MERCYONE SIOUXLAND MEDICAL CENTER | SIOUX CITY | DSH | 115 | $156,293,161 | 5.5% | 6.1% | -31.0% | 2025-06-30 |
| MercyOne Waterloo Medical Center | WATERLOO | DSH | 137 | $371,084,060 | 2.3% | 3.7% | -4.9% | 2025-06-30 |
| Mitchell County Regional Health Center | OSAGE | CAH | 25 | $38,860,682 | 0.0% | 1.3% | -1.4% | 2025-06-30 |
| Monroe County Hospital | Albia | CAH | 25 | $36,223,551 | 1.6% | 2.7% | -4.7% | 2025-06-30 |
| Montgomery County Memorial Hospital | Red Oak | CAH | 25 | $56,500,388 | 0.7% | 2.3% | -16.3% | 2025-06-30 |
| ORANGE CITY MUNICIPAL HOSPITAL | ORANGE CITY | CAH | 25 | $57,032,212 | 0.5% | 1.0% | -35.4% | 2025-06-30 |
| OSCEOLA COMMUNITY HOSPITAL | SIBLEY | CAH | 25 | $16,363,963 | 0.3% | 1.1% | -1.4% | 2025-06-30 |
| Palmer Lutheran Health Center | West Union | CAH | 25 | $46,622,630 | 3.3% | 4.4% | 6.3% | 2024-09-30 |
| PALO ALTO COUNTY HOSPITAL | EMMETSBURG | CAH | 24 | $37,260,928 | 0.4% | 2.2% | 4.9% | 2025-06-30 |
| PELLA REGIONAL HEALTH CENTER | PELLA | CAH | 25 | $132,518,253 | 2.6% | 2.9% | -12.1% | 2024-12-31 |
| PEOPLES MEMORIAL HOSPITAL dba Buchanan County Health Center | INDEPENDENCE | CAH | 25 | $65,126,221 | 0.3% | 1.6% | 1.4% | 2025-06-30 |
| POCAHONTAS COMMUNITY HOSPITAL | POCAHONTAS | CAH | 25 | $18,666,192 | 0.1% | 1.7% | 5.0% | 2025-06-30 |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY | CRESCO | CAH | 18 | $44,518,269 | 0.1% | 1.4% | -17.1% | 2025-06-30 |
| RINGGOLD COUNTY HOSPITAL | MOUNT AYR | CAH | 16 | $27,984,555 | 1.6% | 2.1% | 1.3% | 2025-06-30 |
| SANFORD SHELDON MEDICAL CENTER | SHELDON | CAH | 25 | $43,379,111 | 3.9% | 6.3% | 15.1% | 2024-12-31 |
| SHELBY CO CHRIS A MYRTUE MEMORIAL HOSPITAL | Harlan | CAH | 25 | $59,902,431 | 0.6% | 2.0% | -8.7% | 2025-06-30 |
| Shenandoah Medical Center | Shenandoah | CAH | 25 | $59,442,844 | 0.1% | 1.8% | -5.2% | 2024-12-31 |
| SIOUX CENTER HEALTH | SIOUX CENTER | CAH | 19 | $69,521,254 | 0.6% | 1.6% | -6.0% | 2025-06-30 |
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION D/B/A CHEROKEE REGIONAL MEDICAL CENTER | CHEROKEE | CAH | 15 | $50,951,212 | 0.4% | 2.5% | -11.6% | 2024-12-31 |
| Southeast Iowa Regional Medical Center | WEST BURLINGTON | DSH | 174 | $409,640,854 | 1.1% | 2.5% | -7.3% | 2025-06-30 |
| ST LUKES METHODIST HOSPITAL | CEDAR RAPIDS | DSH | 279 | $482,456,855 | 0.5% | 1.2% | 32.4% | 2024-12-31 |
| ST. ANTHONY REGIONAL HOSPITAL | CARROLL | CAH | 25 | $119,775,290 | 1.2% | 2.3% | 0.9% | 2025-06-30 |
| ST. LUKE'S JONES REGIONAL MEDICAL CENTER | ANAMOSA | CAH | 9 | $57,212,563 | 0.8% | 2.1% | 12.3% | 2024-12-31 |
| ST. LUKE'S REGIONAL MEDICAL CENTER | SIOUX CITY | DSH | 179 | $237,962,495 | 1.1% | 2.2% | 14.0% | 2024-12-31 |
| Stewart Memorial Community Hospital | Lake City | CAH | 20 | $42,707,790 | 0.2% | 1.6% | 5.5% | 2024-12-31 |
| STORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTER | NEVADA | CAH | 17 | $34,977,487 | 0.4% | 2.1% | 0.7% | 2025-06-30 |
| Sumner Community Club dba Community Memorial Hospital | Sumner | CAH | 16 | $17,939,286 | 0.1% | 1.0% | -6.1% | 2024-12-31 |
| TRINITY BETTENDORF | BETTENDORF | DSH | 80 | $102,250,236 | 1.0% | 2.3% | 3.3% | 2024-12-31 |
| TRINITY REGIONAL MEDICAL CENTER | FORT DODGE | SCH | 44 | $180,483,850 | 0.9% | 1.8% | 1.1% | 2024-12-31 |
| UNITY HEALTHCARE D/B/A TRINITY MUSCATINE | MUSCATINE | SCH | 15 | $69,633,459 | 1.4% | 13.4% | 2024-12-31 | |
| UNITYPOINT HEALTH-MARSHALLTOWN | MARSHALLTOWN | SCH | 16 | $82,269,128 | 0.8% | 2.7% | 2.9% | 2024-12-31 |
| UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER | IOWA CITY | DSH | 743 | $2,642,499,199 | 0.9% | 1.3% | -17.0% | 2025-06-30 |
| VAN BUREN COUNTY HOSPITAL | KEOSAUQUA | CAH | 25 | $29,770,212 | 1.2% | 2.1% | 4.8% | 2025-06-30 |
| VETERANS MEMORIAL HOSPITAL | WAUKON | CAH | 25 | $28,267,253 | 0.6% | 1.6% | -6.4% | 2025-06-30 |
| Virginia Gay Hospital | Vinton | CAH | 25 | $34,568,609 | 0.2% | 1.0% | -0.8% | 2025-06-30 |
| WASHINGTON COUNTY HOSPITAL | WASHINGTON | CAH | 22 | $50,710,526 | 0.1% | 2.1% | -21.3% | 2025-06-30 |
| WAVERLY HEALTH CENTER | WAVERLY | CAH | 21 | $86,309,668 | 0.4% | 1.4% | 3.8% | 2025-06-30 |
| Wayne County Hospital | Corydon | CAH | 25 | $37,588,266 | 0.1% | 1.6% | -24.6% | 2025-06-30 |
| Winneshiek Medical Center | Decorah | CAH | 25 | $97,905,166 | 0.6% | 1.7% | -5.3% | 2025-06-30 |
Records
A record is one 340B identifier, not one hospital: a hospital registers its outpatient clinics and departments separately, so a single system can hold dozens of records here.
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