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EDITION 2026.08 /8,821 RECORDS / PUBLIC DOMAIN

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U.S. State / FIPS 19

Iowa

Iowa has 99 counties, 1,337 public schools and 118 Medicare-certified hospitals reporting to CMS — the 62 carrying an overall star rating average 3.24 out of 5.

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At a glance

Counts come from the current release; nothing here is estimated.

Public schools

1,337schools

School districts

339districts

Hospitals

118facilities

Counties

99counties

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Federal money

Obligations recorded against a place of performance in Iowa. An obligation is a legal commitment to pay, not cash out the door — outlays follow later, sometimes by years.

Obligations, FY2025

$36.5B

35th of 56 among states

Per resident

$11,4402020 population

Change since FY2017

+58%nominal

Fiscal years covered

9years

Federal obligations in Iowa, FY2017–FY2025
$20B$25B$30B$35B$40B
$36B
201720212025
View as table
PeriodObligations
2017$23B
2018$24B
2019$26B
2020$36B
2021$38B
2022$31B
2023$31B
2024$32B
2025$36B

Figures are nominal — not adjusted for inflation — because USAspending publishes them that way and adjusting them here would mean this site had edited a government figure. The per-resident figure divides by the 2020 decennial count, which is the population USAspending carries; a 2020 denominator against 2025 spending overstates per-head figures wherever a place has grown since. Iowa ranks 35th of 56 on this measure in FY2025.

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Most complete reporters

Hospitals reporting the most quality measures to CMS. More measures means a fuller public record, not necessarily better care — the two are easy to confuse and are kept separate here.

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Hospitals in Iowa

40 of 118 shown, ordered by how complete their public record is.

Hospitals in Iowa
HospitalCityCountyCMS rating
Allen HospitalWaterlooBlack Hawk County
Broadlawns Medical CenterDes MoinesPolk County
Buena Vista Regional Medical CenterStorm LakeBuena Vista County
Cass County Memorial HospitalAtlanticCass County
Chi Health Mercy Council BluffsCouncil BluffsPottawattamie County
Finley HospitalDubuqueDubuque County
Floyd Valley HealthcareLe MarsPlymouth County
Genesis Medical Center-DavenportDavenportScott County
Greater Regional Medical CenterCrestonUnion County
Grinnell Regional Medical CenterGrinnellPoweshiek County
Iowa City Va Medical CenterIowa CityJohnson County
Kossuth Regional Health CenterAlgonaKossuth County
Lakes Regional HealthcareSpirit LakeDickinson County
Mary Greeley Medical CenterAmesStory County
Mercy Medical Center - Cedar RapidsCedar RapidsLinn County
Mercyone Clinton Medical CenterClintonClinton County
Mercyone Des Moines Medical CenterDes MoinesPolk County
Mercyone Dubuque Medical CenterDubuqueDubuque County
Mercyone North Iowa Medical CenterMason CityCerro Gordo County
Mercyone Siouxland Medical CenterSioux CityWoodbury County
Mercyone Waterloo Medical CenterWaterlooBlack Hawk County
Methodist Jennie EdmundsonCouncil BluffsPottawattamie County
Ottumwa Regional Health CenterOttumwaWapello County
Pella Regional Health CenterPellaMarion County
Southeast Iowa Regional Medical CenterWest BurlingtonDes Moines County
Spencer Municipal HospitalSpencerClay County
St Anthony Regional Hospital & Nursing HomeCarrollCarroll County
St Lukes HospitalCedar RapidsLinn County
St Lukes Regional Medical CenterSioux CityWoodbury County
Trinity - BettendorfBettendorfScott County
Trinity MuscatineMuscatineMuscatine County
Trinity Regional Medical CenterFort DodgeWebster County
Unitypoint Health - Des Moines Iowa Methodist MediDes MoinesPolk County
Unitypoint Health - MarshalltownMarshalltownMarshall County
University of Iowa Health Care Medical Center DownIowa CityJohnson County
University of Iowa Hospital & ClinicsIowa CityJohnson County
Va Central Iowa Healthcare SystemDes MoinesPolk County
Waverly Health CenterWaverlyBremer County
WinnmedDecorahWinneshiek County
Knoxville Hospital & ClinicsKnoxvilleMarion County
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School districts in Iowa

The 40 largest of 339 by enrollment. The full list, and every school in each district, is on the districts page.

Largest school districts in Iowa
DistrictSchoolsEnrollment
Des Moines Independent Comm School District5930,739
Cedar Rapids Comm School District3315,564
Sioux City Comm School District2214,989
Iowa City Comm School District2914,805
Davenport Comm School District3014,135
Waukee Comm School District1713,082
Ankeny Comm School District1712,750
Waterloo Comm School District1810,645
Dubuque Comm School District1810,518
West Des Moines Comm School District149,225
Council Bluffs Comm School District158,784
Linn-Mar Comm School District127,690
Johnston Comm School District87,487
Southeast Polk Comm School District117,397
Cedar Falls Comm School District115,892
Pleasant Valley Comm School District85,803
College Comm School District105,740
Marshalltown Comm School District105,190
Ottumwa Comm School District114,990
Muscatine Comm School District94,688
Ames Comm School District84,678
Bettendorf Comm School District74,633
Urbandale Comm School District74,308
Dallas Center-Grimes Comm School District73,767
Western Dubuque Comm School District83,742
Fort Dodge Comm School District73,676
Indianola Comm School District63,665
Mason City Comm School District93,598
Norwalk Comm School District53,574
North Scott Comm School District73,463
Clinton Comm School District63,444
Burlington Comm School District83,334
Clear Creek Amana Comm School District73,061
Lewis Central Comm School District43,022
Storm Lake Comm School District62,882
Newton Comm School District72,857
Bondurant-Farrar Comm School District52,731
Pella Comm School District52,491
Waverly-Shell Rock Comm School District72,394
Carlisle Comm School District42,369

All 339 districts in Iowa

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