Gateway Regional Medical Center and a sister hospital owe Illinois approximately $121 million in provider assessments and penalties as federal regulators consider terminating Gateway’s Medicare agreement on November 17. GRANITE CITY, IL – October 30, 2026 (STL.News) Gateway Regional Medical Center in Granite City, Illinois, faces mounting financial and regulatory pressure as newly reported state documents show the hospital and a sister facility owe Illinois about $121 million in unpaid provider assessments and penalties. The findings come from an October 29 investigation by First Alert 4 (KMOV), which obtained documents showing about $47 million in obligations tied to Gateway
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