Rosa Beltran sits in the driver's seat of a parked car, warm sun on her scrubs, a dark phone in her hand.

Parked Chart

Filed before she drives.

$58 a month

The visit note for one home-care nurse, spoken from the driver's seat.

Rosa Beltran. Des Moines. Her own phone. Cancel any day.

Ellis Ward, 3:10 PM

West side of Des Moines. She is at the curb. The next house is twelve minutes away.

She said: next visit Friday 10/23. His daughter has the gauze.

$58 a month

One nurse, the visits she drives, and the chart in before the wheels move. Friday 10/23 is already the return. Nothing else is billed.