IA · 99 Counties

Iowa Rural Hospitals

127 active hospitals serving 99 counties. 10 counties have no hospital access.

127
Hospitals
82
Critical Access
82
Rural
13,522
Beds
10
Deserts
10%
No Hospital

CMS Rural Health Transformation Program

Iowa Receives $209.0M/year$1.0B total over 5 years (FY2026–2030)

As part of the federal $50 billion Rural Health Transformation Program (CFDA 93.798), Iowa receives $209,040,064/year for FY2026–2030 to strengthen rural health infrastructure, expand access, and support workforce development.

Lead Agency: Iowa Department of Health and Human Services
Award ID: RHTCMS332065

Source: USAspending.gov, CFDA 93.798. Performance period: 2025-12-29 to 2030-10-30.

County Health Map

Explore Iowa's 99 counties and 127 hospitals. Click any county or hospital for details.

Layers:
No HospitalHas Hospital

Counties with vs. without a hospital

Margin ≥ 0%-5% to 0%Below -5%No dataCAHFQHC
Loading map...

Sources: CMS POS, CDC SVI (2022), HRSA HPSA, County Health Rankings, CDC PLACES (2023), AHRF (2024), HRSA FQHCs. Hospital markers sized by bed count, colored by operating margin. FQHC diamonds show safety-net delivery sites.

Hospital Directory

All 127 active hospitals in Iowa. Search by name, city, or county.

HospitalCityCountyBedsOwnershipType
Adair County Memorial HospitalGreenfieldAdair25Not-for-ProfitCAHRural
Allen HospitalWaterlooBlack Hawk234Government
Audubon County Memorial HospitalAudubonAudubon25Not-for-ProfitCAHRural
Avera Holy Family HospitalEsthervilleEmmet25GovernmentCAHRural
Avera Merrill Pioneer HospitalRock RapidsLyon25GovernmentCAHRural
Boone County HospitalBooneBoone25Not-for-ProfitCAH
Broadlawns Medical CenterDes MoinesPolk200Not-for-Profit
Buchanan County Health CenterIndependenceBuchanan25Not-for-ProfitCAHRural
Buena Vista Regional Medical CenterStorm LakeBuena Vista35Not-for-ProfitCAHRural
Burgess Health CenterOnawaMonona25GovernmentCAHRural

127 hospitals shown

Hospital Deserts

10 of 99 counties (10%) have no hospital.

Residents in these counties must travel to neighboring areas for hospital care.

10 counties in Iowa have no hospital.

Learn how the AHEAD model could transform rural health access.

Assess Your Hospital's Readiness

County Health Profiles

All 99 counties in Iowa. Each county has a dedicated health profile with SVI scores, health metrics, HPSA designations, and hospital access.

CountyPopulationHospitalsStatus
Adair7,49611 Hospital
Adams3,70411 Hospital
Allamakee14,06111 Hospital
Appanoose12,31711 Hospital
Audubon5,67411 Hospital
Benton25,57511 Hospital
Black Hawk131,14433 Hospitals
Boone26,71511 Hospital
Bremer24,98822 Hospitals
Buchanan20,56522 Hospitals

99 counties shown

County Health Snapshot

Average health indicators across Iowa's 99 counties

9.8%
Avg Diabetes Rate
39.6%
Avg Obesity Rate
5.7%
Avg Uninsured Rate
5.4
PCPs per 10K
3
High-Vulnerability Counties
Avg SVI: 0.22

Health Professional Shortage Areas

312
Primary Care HPSAs
209
Dental Health HPSAs
369
Mental Health HPSAs
15.5M
Est. Underserved Population

Sources: County Health Rankings (2025), CDC Social Vulnerability Index (2022), HRSA Bureau of Health Workforce (HPSA designations)

Share statewide health data with your team

Financial Health

FY2025 hospital financial performance from CMS cost reports

-1.5%
Median Operating Margin
50
Negative Margin Hospitals

50 hospitals reporting negative margins.

See how your hospital compares.

Explore Hospital Profiles

Federal Rural Health Funding

16 active HRSA grants totaling $25.2M in FY2025

$10.7M
Rural Health Outreach
13 grants · CFDA 93.912
$7.2M
Small Hospital Improvement (SHIP)
1 grant · CFDA 93.301
$5.8M
1 grant · CFDA 93.241
$1.5M
State Office of Rural Health
1 grant · CFDA 93.913

Largest Grant Recipients

Iowa Department Of Public Health$14.5M
Iowa Healthcare Collaborative$3.9M
Telligen, Inc$2.0M
North Central Iowa Mental Health Center, Incorpora$900K
Mercy Medical Center-Newton$897K

Source: USAspending.gov, FY2025. Includes CFDA 93.241 (Flex), 93.301 (SHIP), 93.912 (Outreach), 93.913 (SORH).

Healthcare Workforce & Access

Provider supply, community health centers, and medically underserved designations

Provider Workforce

2,383
Primary Care Physicians
74.3/100k
4,099
Nurse Practitioners
1,645
Physician Assistants
179.1 NP+PA/100k
2,364
Dentists
73.7/100k
$11,228
Medicare Per Capita Cost
14.1%
Avg Readmission Rate

Federally Qualified Health Centers

115
FQHC Sites
73
Rural Sites
63.5% of total
42
Urban Sites
14
Grantee Organizations

Medically Underserved Areas & Populations

99
Total Designations
97
Underserved Areas (MUA)
2
Underserved Populations (MUP)
54.9
Avg MUA Score

CDC PLACES Health Indicators

Census-tract-level health data aggregated to county averages

12.4%
Diabetes
Max: 15.2%
39.4%
Obesity
Max: 45.5%
20.5%
Depression
Max: 23.6%
16.3%
Mental Distress
Max: 18%
8.1%
COPD
16%
Smoking
37.2%
High Blood Pressure
7.6%
Heart Disease
3.8%
Stroke
7.4%
Uninsured (18-64)

Sources: AHRF 2024-2025 (HRSA), HRSA GIS Portal (FQHCs, MUA/MUP), CDC PLACES 2023-2024

Hospital Closures

2 rural hospitals closed since 2005

HospitalCityCountyYear
MercyOne Primghar Medical CenterPRIMGHARO'Brien2024
Blessing Health KeokukKEOKUKLee2022

Source: UNC Sheps Center for Health Services Research

Hospital Ownership

Breakdown of Iowa's 127 hospitals by ownership type

60
Not-for-Profit
47% of total
5
For-Profit
4% of total
62
Government
49% of total

See the Analytics Platform

Role-specific dashboards, AI-powered queries, and hospital financial data — live for Iowa.

Interactive Dashboard·Iowa: 127 rural hospitals, 82 CAHs, 10 hospital deserts

AI-Powered Q&A·Iowa: 127 rural hospitals, 82 CAHs, 10 hospital deserts

What's in the Iowa Dashboard

Interactive tools tailored to your state's rural health landscape

📊

Hospital Scorecard

Compare financials, bed counts, and risk scores across all 127 hospitals. Filter by county, ownership, or CAH status.

🗺️

Access Maps

Visualize 10 hospital deserts and service area gaps. See which communities are most underserved.

💬

AI-Powered Q&A

Ask questions in plain English about Iowa's hospitals and get instant, data-backed answers from CMS data.

Have questions about Iowa's rural hospitals? See the Iowa FAQ — data-driven answers about hospital access, grants, and health metrics.

Share this pageLinkedInX / TwitterEmail

See the Full Iowa Dashboard

Request a personalized demo with interactive dashboards, AI queries, and hospital risk scoring for Iowa.

Data from CMS Provider of Services, CMS Cost Reports (HCRIS), County Health Rankings, CDC Social Vulnerability Index, Community Benefit Insight, UNC Sheps Center, USAspending.gov, and HRSA Bureau of Health Workforce. Last updated: 2026-03-11.