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 |
|---|---|---|---|---|---|---|---|---|
| Winneshiek Medical Center | Decorah | CAH | 25 | $97,905,166 | 0.6% | 1.7% | -5.3% | 2025-06-30 |
| Wayne County Hospital | Corydon | CAH | 25 | $37,588,266 | 0.1% | 1.6% | -24.6% | 2025-06-30 |
| WAVERLY HEALTH CENTER | WAVERLY | CAH | 21 | $86,309,668 | 0.4% | 1.4% | 3.8% | 2025-06-30 |
| WASHINGTON COUNTY HOSPITAL | WASHINGTON | CAH | 22 | $50,710,526 | 0.1% | 2.1% | -21.3% | 2025-06-30 |
| Virginia Gay Hospital | Vinton | CAH | 25 | $34,568,609 | 0.2% | 1.0% | -0.8% | 2025-06-30 |
| VETERANS MEMORIAL HOSPITAL | WAUKON | CAH | 25 | $28,267,253 | 0.6% | 1.6% | -6.4% | 2025-06-30 |
| VAN BUREN COUNTY HOSPITAL | KEOSAUQUA | CAH | 25 | $29,770,212 | 1.2% | 2.1% | 4.8% | 2025-06-30 |
| UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER | IOWA CITY | DSH | 743 | $2,642,499,199 | 0.9% | 1.3% | -17.0% | 2025-06-30 |
| UNITYPOINT HEALTH-MARSHALLTOWN | MARSHALLTOWN | SCH | 16 | $82,269,128 | 0.8% | 2.7% | 2.9% | 2024-12-31 |
| UNITY HEALTHCARE D/B/A TRINITY MUSCATINE | MUSCATINE | SCH | 15 | $69,633,459 | 1.4% | 13.4% | 2024-12-31 | |
| TRINITY REGIONAL MEDICAL CENTER | FORT DODGE | SCH | 44 | $180,483,850 | 0.9% | 1.8% | 1.1% | 2024-12-31 |
| TRINITY BETTENDORF | BETTENDORF | DSH | 80 | $102,250,236 | 1.0% | 2.3% | 3.3% | 2024-12-31 |
| Sumner Community Club dba Community Memorial Hospital | Sumner | CAH | 16 | $17,939,286 | 0.1% | 1.0% | -6.1% | 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 |
| Stewart Memorial Community Hospital | Lake City | CAH | 20 | $42,707,790 | 0.2% | 1.6% | 5.5% | 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 |
| ST. LUKE'S JONES REGIONAL MEDICAL CENTER | ANAMOSA | CAH | 9 | $57,212,563 | 0.8% | 2.1% | 12.3% | 2024-12-31 |
| ST. ANTHONY REGIONAL HOSPITAL | CARROLL | CAH | 25 | $119,775,290 | 1.2% | 2.3% | 0.9% | 2025-06-30 |
| ST LUKES METHODIST HOSPITAL | CEDAR RAPIDS | DSH | 279 | $482,456,855 | 0.5% | 1.2% | 32.4% | 2024-12-31 |
| Southeast Iowa Regional Medical Center | WEST BURLINGTON | DSH | 174 | $409,640,854 | 1.1% | 2.5% | -7.3% | 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 |
| SIOUX CENTER HEALTH | SIOUX CENTER | CAH | 19 | $69,521,254 | 0.6% | 1.6% | -6.0% | 2025-06-30 |
| Shenandoah Medical Center | Shenandoah | CAH | 25 | $59,442,844 | 0.1% | 1.8% | -5.2% | 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 |
| SANFORD SHELDON MEDICAL CENTER | SHELDON | CAH | 25 | $43,379,111 | 3.9% | 6.3% | 15.1% | 2024-12-31 |
| RINGGOLD COUNTY HOSPITAL | MOUNT AYR | CAH | 16 | $27,984,555 | 1.6% | 2.1% | 1.3% | 2025-06-30 |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY | CRESCO | CAH | 18 | $44,518,269 | 0.1% | 1.4% | -17.1% | 2025-06-30 |
| POCAHONTAS COMMUNITY HOSPITAL | POCAHONTAS | CAH | 25 | $18,666,192 | 0.1% | 1.7% | 5.0% | 2025-06-30 |
| PEOPLES MEMORIAL HOSPITAL dba Buchanan County Health Center | INDEPENDENCE | CAH | 25 | $65,126,221 | 0.3% | 1.6% | 1.4% | 2025-06-30 |
| PELLA REGIONAL HEALTH CENTER | PELLA | CAH | 25 | $132,518,253 | 2.6% | 2.9% | -12.1% | 2024-12-31 |
| PALO ALTO COUNTY HOSPITAL | EMMETSBURG | CAH | 24 | $37,260,928 | 0.4% | 2.2% | 4.9% | 2025-06-30 |
| Palmer Lutheran Health Center | West Union | CAH | 25 | $46,622,630 | 3.3% | 4.4% | 6.3% | 2024-09-30 |
| OSCEOLA COMMUNITY HOSPITAL | SIBLEY | CAH | 25 | $16,363,963 | 0.3% | 1.1% | -1.4% | 2025-06-30 |
| ORANGE CITY MUNICIPAL HOSPITAL | ORANGE CITY | CAH | 25 | $57,032,212 | 0.5% | 1.0% | -35.4% | 2025-06-30 |
| Montgomery County Memorial Hospital | Red Oak | CAH | 25 | $56,500,388 | 0.7% | 2.3% | -16.3% | 2025-06-30 |
| Monroe County Hospital | Albia | CAH | 25 | $36,223,551 | 1.6% | 2.7% | -4.7% | 2025-06-30 |
| Mitchell County Regional Health Center | OSAGE | CAH | 25 | $38,860,682 | 0.0% | 1.3% | -1.4% | 2025-06-30 |
| MercyOne Waterloo Medical Center | WATERLOO | DSH | 137 | $371,084,060 | 2.3% | 3.7% | -4.9% | 2025-06-30 |
| MERCYONE SIOUXLAND MEDICAL CENTER | SIOUX CITY | DSH | 115 | $156,293,161 | 5.5% | 6.1% | -31.0% | 2025-06-30 |
| MercyOne Oelwein Medical Center | OELWEIN | CAH | 17 | $19,412,010 | 1.1% | 2.6% | 17.2% | 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 Centerville Medical Center | CENTERVILLE | CAH | 20 | $44,080,284 | 1.9% | 4.1% | -10.2% | 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 |
| Mercy Medical Center New Hampton | NEW HAMPTON | CAH | 11 | $23,191,316 | 2.7% | 3.2% | 6.9% | 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 | CEDAR RAPIDS | DSH | 216 | $507,673,151 | 2.0% | 2.4% | -2.1% | 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 |
| MANNING REGIONAL HEALTHCARE CENTER | MANNING | CAH | 17 | $22,934,436 | 0.6% | 1.1% | 11.0% | 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 |
| MADISON COUNTY MEMORIAL HOSPITAL | WINTERSET | CAH | 25 | $34,477,002 | 1.1% | 1.8% | -0.6% | 2025-06-30 |
| Lucas County Health Center | Chariton | CAH | 25 | $32,994,199 | 1.3% | 3.1% | -2.6% | 2025-06-30 |
| LORING HOSPITAL | SAC CITY | CAH | 25 | $21,135,518 | 0.4% | 1.5% | 10.5% | 2025-06-30 |
| Kossuth Regional Health Center | Algona | CAH | 24 | $45,470,613 | 0.5% | 1.8% | -3.2% | 2025-06-30 |
| KNOXVILLE COMMUNITY HOSPITAL INC. | KNOXVILLE | CAH | 25 | $57,226,214 | 0.3% | 2.1% | 2.1% | 2025-06-30 |
| Keokuk County Health Center | Sigourney | CAH | 25 | $15,106,884 | 0.2% | 5.0% | -15.3% | 2025-06-30 |
| JENNIE EDMUNDSON MEMORIAL | COUNCIL BLUFFS | DSH | 117 | $156,698,000 | 2.2% | 3.0% | 3.0% | 2024-12-31 |
| JEFFERSON COUNTY HEALTH CENTER | FAIRFIELD | CAH | 25 | $74,770,431 | 0.8% | 1.1% | 10.4% | 2025-06-30 |
| Jackson County Public Hospital | Maquoketa | CAH | 25 | $31,173,225 | 0.1% | 2.5% | 18.6% | 2025-06-30 |
| IOWA SPECIALTY HOSPITAL - CLARION | CLARION | CAH | 25 | $98,705,037 | 0.3% | 2.3% | 3.4% | 2025-06-30 |
| IOWA METHODIST MEDICAL CENTER | DES MOINES | DSH | 597 | $1,149,177,894 | 0.7% | 1.4% | 21.5% | 2024-12-31 |
| 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 |
| Humboldt County Memorial Hospital | Humboldt | CAH | 17 | $32,045,475 | 0.1% | 2.8% | -3.4% | 2025-06-30 |
| HENRY COUNTY HEALTH CENTER INC | MOUNT PLEASANT | CAH | 25 | $66,918,066 | 0.4% | 3.4% | 9.8% | 2025-06-30 |
| Hegg Memorial Hospital | Rock Valley | CAH | 25 | $25,947,625 | 0.5% | 1.6% | -16.4% | 2025-06-30 |
| Hawarden Regional Healthcare | Hawarden | CAH | 25 | $21,577,463 | 0.3% | 2.1% | -5.7% | 2025-06-30 |
| HANCOCK COUNTY HEALTH SYSTEM | BRITT | CAH | 25 | $31,795,008 | 0.1% | 2.8% | -7.7% | 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 |
| GUTTENBERG MUNICIPAL HOSPITAL | GUTTENBERG | CAH | 25 | $28,410,426 | 0.5% | 0.9% | -3.6% | 2025-06-30 |
| Guthrie County Hospital | Guthrie Center | CAH | 25 | $26,531,431 | 1.5% | 1.5% | 2025-06-30 | |
| Grundy County Memorial Hospital | Grundy Center | CAH | 25 | $40,182,578 | 0.1% | 1.1% | 13.7% | 2025-06-30 |
| GREENE COUNTY MEDICAL CENTER | JEFFERSON | CAH | 25 | $34,786,522 | 0.7% | 1.5% | -0.3% | 2025-06-30 |
| GREATER REGIONAL MEDICAL CENTER | CRESTON | CAH | 25 | $116,276,507 | 0.7% | 1.5% | 0.8% | 2025-06-30 |
| GRAPE COMMUNITY HOSPITAL - HAMBURG | HAMBURG | CAH | 25 | $14,960,468 | 0.4% | 1.6% | 0.4% | 2024-09-30 |
| Genesis Medical Center, DeWitt | DeWitt | CAH | 13 | $34,299,283 | 0.7% | 1.8% | -13.0% | 2025-06-30 |
| GENESIS MEDICAL CENTER - DAVENPORT | DAVENPORT | DSH | 308 | $495,121,236 | 0.7% | 1.8% | 6.3% | 2025-06-30 |
| Franklin General Hospital | Hampton | CAH | 25 | $29,579,752 | 0.1% | 3.2% | -3.8% | 2025-06-30 |
| FLOYD VALLEY HOSPITAL | LE MARS | CAH | 25 | $55,992,348 | 0.6% | 2.4% | -5.6% | 2025-06-30 |
| FLOYD COUNTY HOSPITAL | CHARLES CITY | CAH | 25 | $55,797,850 | 0.1% | 2.5% | 3.0% | 2025-06-30 |
| ELLSWORTH MUNICIPAL HOSPITAL | IOWA FALLS | CAH | 17 | $39,002,409 | 0.4% | 2.6% | 7.0% | 2025-06-30 |
| DELAWARE COUNTY MEMORIAL HOSPITAL | MANCHESTER | CAH | 25 | $81,437,363 | 5.2% | 6.5% | -0.2% | 2025-06-30 |
| DECATUR COUNTY HOSPITAL | LEON | CAH | 11 | $26,931,590 | 0.6% | 2.9% | -3.6% | 2025-06-30 |
| DAVIS COUNTY HOSPITAL | BLOOMFIELD | CAH | 25 | $34,453,899 | 0.5% | 2.5% | -0.1% | 2025-06-30 |
| Dallas County Hospital | Perry | CAH | 25 | $28,894,380 | 0.4% | 3.0% | -5.7% | 2025-06-30 |
| CRAWFORD COUNTY MEMORIAL HOSPITAL | DENISON | CAH | 25 | $47,238,315 | 0.2% | 2.5% | 3.8% | 2025-06-30 |
| CLARKE COUNTY PUBLIC HOSPITAL | OSCEOLA | CAH | 25 | $44,590,970 | 0.2% | 3.3% | 2.4% | 2025-06-30 |
| CLARINDA REGIONAL HEALTH CENTER | Clarinda | CAH | 25 | $63,015,834 | 0.0% | 1.6% | -5.7% | 2025-06-30 |
| CENTRAL COMMUNITY HOSPITAL d/b/a MercyOne Elkader Medical Center | ELKADER | CAH | 15 | 2025-06-30 | ||||
| CATHOLIC HEALTH INITIATIVES - IOWA, CORP | DES MOINES | DSH | 519 | $992,800,012 | 1.0% | 2.2% | -24.5% | 2025-06-30 |
| CASS COUNTY MEMORIAL HOSPITAL | ATLANTIC | CAH | 25 | $82,633,497 | 0.7% | 1.5% | -1.2% | 2025-06-30 |
| BURGESS HEALTH CENTER | ONAWA | CAH | 25 | $35,642,230 | 0.7% | 2.3% | -1.7% | 2025-06-30 |
| BUENA VISTA REGIONAL MEDICAL CENTER | STORM LAKE | CAH | 25 | $77,579,345 | 1.7% | 3.2% | 3.2% | 2025-06-30 |
| BROADLAWNS MEDICAL CENTER | DES MOINES | DSH | 113 | $249,263,037 | 2.2% | 5.2% | -18.0% | 2025-06-30 |
| BOONE COUNTY HOSPITAL | BOONE | CAH | 25 | $58,162,466 | 0.9% | 2.7% | 0.3% | 2025-06-30 |
| BELMOND COMMUNITY HOSPITAL | BELMOND | CAH | 22 | $57,273,852 | 0.6% | 2.5% | 2.2% | 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 |
| Avera McKennan dba Avera Merrill Pioneer Hospital | Rock Rapids | CAH | 11 | $11,790,993 | 0.6% | 2.6% | -4.2% | 2025-06-30 |
| Avera Holy Family Health | ESTHERVILLE | CAH | 22 | $32,394,629 | 0.8% | 2.0% | 3.7% | 2025-06-30 |
| AUDUBON COUNTY MEMORIAL HOSPITAL | AUDUBON | CAH | 17 | $16,655,030 | 0.1% | 1.0% | -11.1% | 2025-06-30 |
| Allen Memorial Hospital Corporation | Waterloo | DSH | 188 | $378,033,375 | 0.8% | 1.3% | 11.9% | 2024-12-31 |
| 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 |
| 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 - 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 |
| ADAIR COUNTY MEMORIAL HOSPITAL | GREENFIELD | CAH | 25 | $16,160,831 | 0.2% | 2.6% | -28.4% | 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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