Iowa hospitals drew almost $1B in Medicare advances to deal with COVID-19

Print More

Suzanne Behnke/IowaWatch

Clarke County Hospital in Osceola, Iowa, is one of 44 critical access hospitals and 77 hospitals, overall, in Iowa taking accelerated and advance Medicare payments earlier this year to help their cash flow while dealing with the COVID-19 pandemic's early days. The Osceola hospital drew $7.3 million in accelerated payments.

This story is part of a nationwide collaboration of Institute for Nonprofit News members examining the effect COVID-19 is having on rural health care. IowaWatch reporting in this project was made possible by support from the Solutions Journalism Network, a nonprofit organization dedicated to rigorous and compelling reporting about responses to social problems.

Seventy-seven Iowa hospitals collected $928.3 million in accelerated and advance Medicare payments that were available as a government stimulus to cover expenses in the COVID-19 pandemic’s early days last spring, an IowaWatch analysis of Centers for Medicare & Medicaid Services data shows.

Amounts for Iowa hospitals ranged from $92.8 million for MercyOne Des Moines Medical Center to $1 million for Sanford Medical Center in Rock Rapids, the data show.

Others of note included $76.6 million for UnityPoint Health-Iowa Methodist Center in Des Moines; $56.3 million for the Genesis Medical Center in Davenport; $55 million for MercyOne North Iowa Medical Center in Mason City; $41.7 million for Mercy Medical Center in Cedar Rapids; and $38.6 million for Saint Luke’s Hospital in Cedar Rapids.

See end of the story for each Iowa recipient and amount

The funds were part of $1.02 billion in accelerated and advance Medicare payments sent not only to Iowa hospitals, but to physicians, optometrists, chiropractors, psychiatrists, psychologists and other health care providers; facilities for skilled nursing and senior living; mental health care facilities; and others eligible for the accelerated and advance payments, the data show. They must be paid back to Medicare and Medicaid Services. 

The Medicare payment programs, separate from funding healthcare providers received from programs such as the CARES Act and other COVID-19-related emergency plans, allowed applying health care providers to receive in advance three months of anticipated Medicare billings. Medicare distributed $100.3 billion nationwide before stopping accelerated payments for re-evaluation and suspended advance payments in April because of other available funding. 

The 77 Iowa hospitals taking accelerated Medicare payments included 44 critical access hospitals with 25 or fewer beds and serving rural areas. The rural hospitals could seek ahead of time up to 125% of their anticipated Medicare payments for a six-month period, rules for the program stated. About 800 of the nation’s 1,330 critical access hospitals received accelerated Medicare payments earlier this year. 

University of Iowa Hospitals and Clinics, which has received roughly $49 million in CARES fund distributions for the hospital and its physicians, did not apply for the accelerated and advance Medicare programs. Neither did others. Industry officials said in several IowaWatch interviews that some hospital leaders were skittish about the program’s payback plan. 

Lyle Muller/IowaWatch

A sign directs traffic to Washington County Hospital & Clinics in Washington, Iowa, which drew $5 million in accelerated Medicare payments earlier this year.

See what Iowa healthcare providers have received in CARES Act funding here 

That plan calls for hospitals taking accelerated payments to credit Medicare for billings until the advanced money is paid back, beginning 120 days after receiving funding. Those that cannot pay back the advances in full have to pay 10.25% interest on the balance owed after a certain amount of time has passed:

  • Up to a year after receiving funds for critical access hospitals, inpatient acute care hospitals, cancer hospitals and children’s hospitals.
  • Up to 210 days for long-term care hospitals, inpatient rehabilitation centers, inpatient mental health facilities, and their suppliers.
  • Thirty days after the 120-day payback period ends for other healthcare providers.

The Center for Medicare & Medicaid Services has told hospitals the U.S. Treasury Department set the interest rate and that it cannot waive or change the rate. The Treasury Department has declined to respond to multiple requests IowaWatch made in July, August and September for the reason the interest rate is in double digits.

Paying back the accelerated and advance payments is doable but challenging, Michael Topchik, national leader for the Chartis Center for Rural Health, said. It especially would be challenging for hospitals operating in the red with, say, 17 days of operating cash on hand, he said.  

“For them to pay that back, that will take them from a position of stabilizing that hospital to just putting them back right where they were, with feet to the fire,” Topchik said.

Topchik said he and researchers at Chartis, part of the national healthcare delivery consulting firm iVantage Health Analytics, have heard the concerns about paying back the funds and, if stuck with it, the interest rate. But, he said, he wonders why roughly one-third of the country’s hospitals did not take the payments. 

Hospitals’ financial performance played a key role in decisions.

IowaWatch reviewed certified financial data for each Iowa hospital earlier this year and found that 44 of the state’s 118 hospitals ended the last fiscal year for which they reported with a negative balance. Most of the hospitals in that analysis are in small, rural regions but a few were short-term acute care hospitals in urban areas, IowaWatch reported. (That 44 hospitals showed up in that analysis and also is the number of critical access hospitals drawing accelerated Medicare payments is a statistical coincidence.)

Iowa Hospital Association

Kirk Norris, president and CEO, Iowa Hospital Association 

Even a larger hospital faces difficulty paying back accelerated payments, Kirk Norris, president of the Iowa Hospital Association, said. Norris said a hospital could pay back accelerated payments but then end up having to furlough workers when Medicare money doesn’t come in later.

Norris suggested that rural hospitals would survive COVID-19 financially if the accelerated payments became forgiven loans but no congressional action is pending to do that.

“This whole thing has really been … as much about lost revenue as it has been expenses that you previously didn’t have,” Norris said.

Revenue losses are expected to continue, he said. A large part of the reason is the loss of clinical procedures small hospitals normally rely on but which have been delayed or canceled while the hospitals deal with COVID-19. Moreover, some patients are skipping or delaying medical checkups that produce hospital income because they wrongly fear going to the medical facility may not be safe. Or, they think a discomfort they feel is not serious enough to be checked, several hospital leaders and industry analysts at the state and national level said in IowaWatch interviews.

Mark Holmes, director of the Sheps Center for Health Services Research at the University of North Carolina, used mild heart attacks as one example. A lot of heart attacks can be mild enough that a person suffering it doesn’t feel compelled to go to a hospital, he said.

“They might have stayed home,” Holmes said. “They might have died in their house and just never have seen the health care system, interacted with the health care system because they were too scared to go in,”

RELATED STORY: INDUSTRY LEADERS EXPECTED COVID-19 TO TAKE SOME IOWA HOSPITALS DOWN

National stimulus efforts have included $175 billion in two initial rounds of CARES Act funding; another $10 billion for rural hospitals; payments of $12 billion in May and $10 billion in July for hospitals with high COVID-19 admissions; other distributions to safety net hospitals, children’s hospitals, assisted living facilities and nursing homes; and payroll protection plan payments for hospitals with 500 or fewer employees.

The Center for Medicare & Medicaid Services suspended the accelerated program April 24 to re-evaluate its use because of other revenue sources the federal government made available to healthcare providers.

Here is a list that IowaWatch compiled from the Center for Medicare & Medicaid Services data, showing the healthcare professionals and institutions in Iowa taking accelerated and advanced Medicare payments as of mid-May, before the program was suspended. 

TO LEARN HOW IOWAWATCH’S NONPROFIT JOURNALISM IS FUNDED AND HOW YOU CAN SUPPORT IT, GO TO THIS LINK.

This IowaWatch story was republished by The Des Moines Register, The Gazette (Cedar Rapids, IA), The Courier (Waterloo-Cedar Falls, IA), Storm Lake Times, KCCI.com and MSN.com under IowaWatch’s mission of sharing stories with media partners.

This list was created using Center for Medicare & Medicaid Services data; and healthcare provider information in Iowa Secretary of State filings, a list of Iowa Hospital Association members; business web searches and financial documents stored and made available to IowaWatch by the American Hospital Directory.
RecipientFacility typeLocationAmount
Monroe County HospitalCritical Access HospitalAlbia$4,022,578
Amana Family Practice ClinicHealthcare ProvidersAmana$70,954
Mary Greeley Medical CenterShort Term Acute Care HospitalAmes$21,688,891
Jones Regional Medical CenterCritical Access HospitalAnamosa$4,224,411
Cass County Memorial HospitalCritical Access HospitalAtlantic$8,959,927
Iowa Specialty Hospital-BelmondCritical Access HospitalBelmond$4,813,987
GenorthoAmbulatory Surgery CenterBettendorf$276,818
Eastern Iowa DermatologyDermatologistBettendorf$274,656
Genesis Hospice: Clarissa C. Cook Hospice HouseHospiceBettendorf$2,331,086
UnityPoint Health – TrinityShort Term Acute Care HospitalBettendorf$8,548,271
Board of Trustees Grand CharitySkilled Nursing/Senior LivingBettendorf$124,496
Davis County Hospital & ClinicsCritical Access HospitalBloomfield$5,046,012
Heritage Medical Equipment & SuppliesMedical SuppliesBurlington, West Burlington$185,181
Wellendorf ENT, PCEar, nose, throat practiceCarroll$36,852
Lease Eye MD PCEye Care EquipmentCarroll$46,000
Saint Anthony Regional HospitalShort Term Acute Care HospitalCarroll$10,518,326
Cedar Falls Medical CenterShort Term Acute Care HospitalCedar Falls $3,811,126
Martin Health CenterSkilled Nursing/Senior LivingCedar Falls $515,728
MercyCare Community PhysiciansHealthcare ProvidersCedar Rapids$1,410,276
Mercycare Management Inc.Healthcare ProvidersCedar Rapids$74,414
Physicians Clinic of IowaHealthcare ProvidersCedar Rapids$6,421,569
Spanda Inc.Healthcare ProvidersCedar Rapids$24,550
Medical Laboratories LCMedical Lab TestingCedar Rapids$419,320
Dr. D.M. Fitzgerald AssociatesOptometristCedar Rapids$75,944
Reutzel Pharmacy Aim Healthcare Inc.PharmacyCedar Rapids$21,410
Radiology Consultants of IowaRadiology servicesCedar Rapids$1,000,000
Mercy Medical CenterShort Term Acute Care HospitalCedar Rapids$41,746,387
Saint Luke’s HospitalShort Term Acute Care HospitalCedar Rapids$38,649,107
Manor Care of Cedar RapidsSkilled Nursing/Senior LivingCedar Rapids$424,394
MercyOne Centerville Medical CenterCritical Access HospitalCenterville$3,139,640
Fresenius Kidney Care Cline Family Dialysis CenterDialysis CenterCenterville$135,794
Lucas County Health CenterCritical Access HospitalChariton$3,840,048
Fresenius Medical Care,  North IowaDialysis CenterCharles City$454,712
Cherokee Regional Medical CenterCritical Access HospitalCherokee$5,773,882
Great Plains HealthcareHealthcare ProvidersCherokee$19,724
Careage Hills Rehabilitation & Healthcare Skilled Nursing/Senior LivingCherokee$170,340
Clarinda Regional Health CenterCritical Access HospitalClarinda$8,230,290
Pure Health ServicesHome Health CareClarinda$60,000
BCP ClarindaSkilled Nursing/Senior LivingClarinda$27,882
Iowa Specialty Hospital-ClarionCritical Access HospitalClarion$8,748,271
Clarion Wellness and Rehabilitation Center Skilled Nursing/Senior LivingClarion$161,082
Riverbend Chiropractic and WellnessChiropracticClinton$2,093
Dr. Randy R. RobinsonHealthcare ProvidersClinton$41,703
Dr. Steven E Craig, DPMPodiatristClinton$24,500
MercyOne Clinton Medical CenterShort Term Acute Care HospitalClinton$13,462,263
Total Body ChiropracticChiropracticClive$1,464
Iowa Ear CenterHearing ServicesClive$153,486
MercyOne Clive Rehabilitation HospitalRehabilitation HospitalClive$2,714,523
Corridor Radiology LLCRadiology servicesCoralville$80,000
Radiologic Medical Pro CompRadiology servicesCoralville$182,000
CHI Health Mercy CorningCritical Access HospitalCorning$3,734,161
Wayne County HospitalCritical Access HospitalCorydon$4,677,620
Ridge Family PracticeHealthcare ProvidersCouncil Bluffs$16,297
Hopp Physical TherapyPhysical Therapy Council Bluffs$30,000
Alegent Health Mercy HospitalShort Term Acute Care HospitalCouncil Bluffs$10,515,600
Methodist Jennie Edmundson HospitalShort Term Acute Care HospitalCouncil Bluffs$15,033,052
Greater Regional Medical CenterCritical Access HospitalCreston$13,550,288
Crest Haven Care CenterSkilled Nursing/Senior LivingCreston$46,000
Spring Park Surgery Center, L.L.C.Ambulatory Surgery CenterDavenport$600,000
Mississippi Medical Plaza LCHealthcare ProvidersDavenport$229,568
Plastic Surgery Center PCHealthcare ProvidersDavenport$22,000
Heartland Hospice ServicesHospiceDavenport$1,573,124
Select Specialty Hospital Quad CitiesLong Term Hospital CareDavenport$2,382,955
Quad City Physical Therapy & SpinePhysical Therapy Davenport$11,388
Genesis Medical Center, East Rusholme StreetShort Term Acute Care HospitalDavenport$56,280,016
Kahl Home for the Aged & InfirmedSkilled Nursing/Senior LivingDavenport$562,828
Manor Care of DavenportSkilled Nursing/Senior LivingDavenport$219,784
Verdi Eye ClinicEye care – laser treatmentsDavenport, Clinton, Rock Island Ill.$89,218
Winneshiek Medical CenterCritical Access HospitalDecorah$9,102,571
Mercy River Hills Surgery CenterAmbulatory Surgery CenterDes Moines$296,486
Surgery Center of Des MoinesAmbulatory Surgery CenterDes Moines$575,000
Medical Center AnesthesiologyAnesthesiologistsDes Moines$743,662
Primary Health Care Inc.Healthcare ProvidersDes Moines$146,409
Chi National Home CareHome Health CareDes Moines$1,386,146
Select Specialty Hospital – Des MoinesLong Term Hospital CareDes Moines$2,451,896
Alpha Allied ServicesMental Health practitionersDes Moines$1,353
Dr. Jeffrey L. KoenenOptometristDes Moines$1,689
Orthopaedic Outpatient Surgery CenterOrthopedicsDes Moines$295,203
USPT Physical TherapyPhysical Therapy Des Moines$38,718
RCG Mercy Des MoinesRenal Care CenterDes Moines$710,979
MercyOne Des Moines Medical CenterShort Term Acute Care HospitalDes Moines$92,799,950
UnityPoint Health-Iowa Methodist CenterShort Term Acute Care HospitalDes Moines$76,570,088
BCP Union ParkSkilled Nursing/Senior LivingDes Moines$63,588
Discovery Trail HealthcareSkilled Nursing/Senior LivingDes Moines$344,682
Evangelical Retirement HomesSkilled Nursing/Senior LivingDes Moines$176,000
Riverside Healthcare Inc.Skilled Nursing/Senior LivingDes Moines$166,259
Chi National Home CareHospiceDes Moines, Johnston$1,050,831
Genesis Medical Center, DeWittCritical Access HospitalDeWitt$2,272,838
MercyOne Dubuque Medical CenterShort Term Acute Care HospitalDubuque$24,711,659
UnityPoint Health – Finley HospitalShort Term Acute Care HospitalDubuque$12,893,986
Ennoble Nursing and RehabilitationSkilled Nursing/Senior LivingDubuque$391,208
Manor Care of DubuqueSkilled Nursing/Senior LivingDubuque$587,052
MercyOne Dyersville Medical CenterCritical Access HospitalDyersville$1,310,843
Colonial Manor of ElmaSkilled Nursing/Senior LivingElma$123,000
Avera Holy Family HospitalCritical Access HospitalEstherville$6,877,195
Gypsum Creek HealthcareHealthcare ProvidersFort Dodge$157,718
Dr. Terry D. MoehnkeOptometristFort Dodge$11,467
Medical Arts Eyecare PLCOptometristFort Dodge$28,500
Trinity Regional Medical CenterShort Term Acute Care HospitalFort Dodge$15,648,711
QHC Fort Dodge Villa Care CenterSkilled Nursing/Senior LivingFort Dodge$65,114
Advance Physical Therapy-Blessing Corp Services/Ft. MadisonPhysical Therapy Fort Madison$41,827
Fort Madison Community HospitalShort Term Acute Care HospitalFort Madison$6,216,763
UnityPoint Health – Grinnell Regional Medical CenterShort Term Acute Care HospitalGrinnell$4,373,901
Grinnell Health Care CenterSkilled Nursing/Senior LivingGrinnell$80,466
Creekside Inc.Skilled Nursing/Senior LivingGrundy Center$86,000
George C. Grape Community HospitalCritical Access HospitalHamburg$2,128,537
American Baptist Homes of the Midwest / Elm CrestSkilled Nursing/Senior LivingHarlan$266,522
Hawarden Community HospitalCritical Access HospitalHawarden$2,424,904
Humboldt County Memorial HospitalCritical Access HospitalHumboldt$5,002,547
QHC Humboldt NorthSkilled Nursing/Senior LivingHumboldt$26,907
QHC Humboldt SouthSkilled Nursing/Senior LivingHumboldt$80,079
Family Health Care of Siouxland – Indian Hills ClinicHealthcare ProvidersIndian Hills$209,715
Outpatient Surgery Center LLCAmbulatory Surgery CenterIowa City$408,575
Mercy Iowa CityShort Term Acute Care HospitalIowa City$23,335,207
Greene County Medical CenterCritical Access HospitalJefferson$4,784,562
Wesley Retirement/Community Services, Wesley at HomeHome Health CareJohnston$3,346,152
Brio of JohnstonSkilled Nursing/Senior LivingJohnston$466,373
Chi Living Communities / Bishop Drumm Retirement CenterSkilled Nursing/Senior LivingJohnston$385,719
UnityPoint Health KeokukShort Term Acute Care HospitalKeokuk$2,011,853
Van Buren County HospitalCritical Access HospitalKeosauqua$3,277,204
Knoxville Hospital and ClinicsCritical Access HospitalKnoxville$6,590,388
Floyd Valley HospitalCritical Access HospitalLeMars$5,670,703
Halsteds PC / Groetken Family Eye CareOptometristLeMars$4,977
Hawkeye Clinic of LeMarsOptometristLeMars$9,498
Madrid Home for the AgingSkilled Nursing/Senior LivingMadrid$204,205
Jackson County Regional Health CenterCritical Access HospitalMaquoketa$3,356,114
CrestridgeSkilled Nursing/Senior LivingMaquoketa$60,814
Compass Memorial HealthcareCritical Access HospitalMarengo$5,755,260
Dennis L. Dozier LMSWClinical Social WorkMarion$5,152
Crestview AcresSkilled Nursing/Senior LivingMarion$47,591
Marshalltown Vision / Eyecare AssociatesOptometristMarshalltown$43,325
UnityPoint Health MarshalltownShort Term Acute Care HospitalMarshalltown$5,896,985
MercyOne North Iowa Medical CenterShort Term Acute Care HospitalMason City$55,046,626
BCP MediapolisSkilled Nursing/Senior LivingMediapolis$173,905
CHI Health Missouri ValleyCritical Access HospitalMissouri Valley$4,080,282
Longview Home Inc.Skilled Nursing/Senior LivingMissouri Valley$95,541
QHC MitchellvilleSkilled Nursing/Senior LivingMitchellville$16,060
Ringgold County HospitalCritical Access HospitalMount Ayr$5,551,396
Davis Radiology PCRadiology servicesMount Pleasant$338,030
UnityPoint Health – TrinityShort Term Acute Care HospitalMuscatine$3,840,296
Lutheran Homes SocietySkilled Nursing/Senior LivingMuscatine$472,231
MercyOne New HamptonCritical Access HospitalNew Hampton$4,272,147
Dr. Riley F. Uglum/Eye Care Associates Of New HamptonOptometristNew Hampton$37,984
New Hampton Care CenterSkilled Nursing/Senior LivingNew Hampton$119,000
Mercy Medical Center-NewtonShort Term Acute Care HospitalNewton$5,218,236
Newton VillageSkilled Nursing/Senior LivingNewton$131,659
Dennis ShemannNo available informationNo available information$2,357
MercyOne Oelwein Medical CenterCritical Access HospitalOelwein$2,689,140
Burgess Health CenterCritical Access HospitalOnawa$5,199,797
Elmwood Care CenterSkilled Nursing/Senior LivingOnawa$127,000
Clarke County HospitalCritical Access HospitalOsceola$7,304,422
Mahaska Health County HospitalCritical Access HospitalOskaloosa$8,267,924
Fresenius Medical Care, OttumwaDialysis CenterOttumwa$239,845
Ottumwa Regional Health CenterShort Term Acute Care HospitalOttumwa$11,126,603
Pella Regional Health CenterCritical Access HospitalPella$9,808,291
Child and Family Eyecare PCOptometristPella$38,000
Herman L. Rowley Memorial TrustSkilled Nursing/Senior LivingPerry$141,375
Pocahontas Community HospitalCritical Access HospitalPocahontas$3,270,868
MercyOne Primghar Medical CenterCritical Access HospitalPrimghar$1,864,416
Orthopaedic Specialists PCOrthopedicsQuad Cities$230,000
Accordius Health at St. Mary’sSkilled Nursing/Senior LivingQuad Cities$272,208
Sanford Medical Center Rock RapidsCritical Access HospitalRock Rapids$1,092,644
Rock Rapids Care CenterSkilled Nursing/Senior LivingRock Rapids$121,856
Sunny Knoll Care CenterSkilled Nursing/Senior LivingRockwell City$85,000
Loring HospitalCritical Access HospitalSac City$3,684,950
Shenandoah Medical CenterCritical Access HospitalShenandoah$6,707,106
Osceola Regional Health CenterCritical Access HospitalSibley$2,023,473
Sioux Center Health CenterCritical Access HospitalSioux Center$5,386,568
Patrick A. Walding DC PCChiropracticSioux City$3,037
David Van Wagner MD PCHealthcare ProvidersSioux City$33,718
Qualicenters Sioux City LLCHealthcare ProvidersSioux City$874,761
Siouxland Medical Education Foundation Inc.Healthcare ProvidersSioux City$154,285
Siouxland Mental Health CenterMental Health practitionersSioux City$42,658
TKC OpticalOptometristSioux City$15,119
James V. SnowdenPsychologistsSioux City$5,055
MercyOne Siouxland Medical CenterShort Term Acute Care HospitalSioux City$26,003,692
UnityPoint Health St. Luke’s Regional Medical CenterShort Term Acute Care HospitalSioux City$19,117,445
Orthopaedics PCOrthopedicsSpencer$119,037
Spencer Municipal HospitalShort Term Acute Care HospitalSpencer$12,715,502
Hawkeye Health Services Inc.Home Health CareUrbandale$1,378,325
Hospice of the MidwestHospiceUrbandale$1,600,000
Iowa Hospice LLCHospiceUrbandale$2,075,709
Chladek Orthotic & Prosthetic, Inc.OrthopedicsUrbandale$21,101
Community Health Centers of IowaHealthcare ProvidersVarious locations$1,661
McFarland Clinic PCHealthcare ProvidersVarious locations$15,738,735
Mercy ServicesHealthcare ProvidersVarious locations$1,467,568
Heartland Home HealthcareHome Health CareVarious locations$235,205
Recover Health of Iowa Home Health CareVarious locations$225,951
UnityPoint at HomeHome Health CareVarious locations$8,070,205
Gentiva Certified HealthcareHospiceVarious locations$899,616
Central Iowa Hospital CorporationMedical GroupVarious locations$315,041
Radiology Partners of Iowa Inc.Radiology servicesVarious locations$120,304
Physiotherapy AssociatesRehabilitation CenterVarious locations$55,950
WellSpireSenior Living ServicesVarious locations$73,949
Abcm CorporationSkilled Nursing/Senior LivingVarious locations$3,066,665
Hearthstone, A Ministry of WesleyLifeSkilled Nursing/Senior LivingVarious locations$319,027
Premier EstatesSkilled Nursing/Senior LivingVarious locations$1,626,410
Residential Alternatives of IllinoisSkilled Nursing/Senior LivingVarious locations$912,619
Southfield Wellness Community/Webster Care Corp.Skilled Nursing/Senior LivingVarious locations$185,000
Unlimited Development, Inc.Skilled Nursing/Senior LivingVarious locations$778,580
Iowa Physicians FoundationHealthcare ProvidersVarious locations, Des Moines$14,016,847
Eye Care of Iowa PCOptometristVarious locations/Des Moines$4,498
Fresenius Medical Care, Quad CitiesDialysis CenterVarious locations/Quad Cities$454,892
Washington County HospitalCritical Access HospitalWashington$5,036,157
Covenant Medical Center (MercyOne Waterloo Medical Center)Short Term Acute Care HospitalWaterloo$21,981,540
UnityPoint Health-Allen HospitalShort Term Acute Care HospitalWaterloo$24,952,744
Manor Care of WaterlooSkilled Nursing/Senior LivingWaterloo$256,053
Waverly Health CenterCritical Access HospitalWaverly$5,154,343
Northern Iowa Therapy AssociatesRehabilitation CenterWaverly$529,893
Van Diest Medical CenterCritical Access HospitalWebster City$3,400,000
Crestview Nursing & RehabilitationSkilled Nursing/Senior LivingWebster City$194,605
Prairie Creek Healthcare Inc.Skilled Nursing/Senior LivingWest Bend$138,167
Great River Medical CenterShort Term Acute Care HospitalWest Burlington$33,889,467
Great River Physicians and ClinicsHealthcare ProvidersWest Des Moines$2,468,849
Avalon Hospice IowaHospiceWest Des Moines$330,655
Edgewater, a WesleyLife Community for Healthy LivingSkilled Nursing/Senior LivingWest Des Moines$525,330
Manor Care of West Des MoinesSkilled Nursing/Senior LivingWest Des Moines$203,479
Zearing Health Care CenterSkilled Nursing, RehabilitationZearing$1,928