In 1984 a need was seen to offer more extensive home health care for local residents who preferred to receive needed care in their own homes. This enabled many to reduce costs and remain in their homes, at least for a longer period of time. This organization became known as Mobile Health Care, Ltd. and was later changed to Mobile Nursing Services, Ltd. This was the areas’ first private home health care delivery system. It was the first to offer such services at all times of the day and night.  Previously such care was available only during regular business hours. Mobile Nursing Services has been a leader and innovator in the field of home health care and has transformed this important method of healthcare delivery in the southeast Iowa area. It is the largest and oldest home health care system in the area, except for public organizations, and it has had a favorable competitive effect on those, resulting in overall improved care for the area residents from a variety of public and private sources. Mobile introduced many innovations into the local home health care market and continues to do so today operating in five counties.