The largest employer is MercyOne North Iowa Medical Center, formerly known as Mercy Medical Center-North Iowa, and before that as St. Joseph Mercy Hospital, is the region's largest hospital. The facility serves 14 counties across northern Iowa. In June 2019, the hospital opened a new $10.6 million behavioral center. The new center will help MercyOne to increase the number of behavioral health-care services it can offer to those in the community it serves who are struggling with mental illness and substance abuse issues. MercyOne to open $10.6 million behavioral center