JEFFERSON, Iowa (AP) — The Greene County Medical Center in Jefferson is getting $20 million in federal government loans to help expand and renovate the 75-year-old hospital. The U.S. Department of Agriculture’s community facilities program is offering an $18 million direct loan and a $2 million guaranteed loan for the project. The hospital is the area’s largest employer with over 250 workers on staff. It has a payroll of more than $9 million. Agriculture Under Secretary for Rural Development Dallas Tonsager announced the grant on Monday during a visit to the area. He says it’s part of the Obama administration’s effort to advance technology in rural health care. The USDA administers and manages housing, business and community infrastructure and facility programs through a national network of state and local rural development offices.