Operating margins, losses, charity care, beds and staff for 46 Idaho hospitals, from the cost reports they file with Medicare, compared with the rest of the U.S.
Hospitals whose patient care cost more than it brought in, in their latest full-year report — more than the national share.
The median Idaho hospital kept -3.2% of its patient revenue after operating costs, against -1.6% nationally (#30 of 50 states). Excludes donations and investment income.
The cost of free or discounted care Idaho hospitals gave patients who qualified, in their latest full-year reports: 0.3% of the U.S. total of $35.6 billion.
31,354 full-time-equivalent employees across 46 hospitals with a cost report.
Charity care is reported at cost, not at list prices. The share is charity care as a part of the hospital's operating expenses.
The lowest operating margins among Idaho hospitals with a full-year report. A negative margin means patient care cost more than it brought in; donations, grants and investments can still cover the gap.
Latest fiscal year each hospital reported. Reports marked "partial year" cover only part of a year (for example after a change of owner) and are left out of the state totals. Click a column to sort.
| Hospital | Beds | Patient revenue | Operating margin | Charity care |
|---|---|---|---|---|
| St Lukes Regional Medical CenterBoise · FY Sep 2024 · 7,481 staff | 560 | |||
| St Alphonsus Regional Medical CenterBoise · FY Jun 2025 · 3,595 staff | 374 | |||
| Kootenai Medical CenterCoeur D'alene · FY Dec 2024 · 3,491 staff | 317 | |||
| St Lukes Magic Valley RMCTwin Falls · FY Sep 2024 · 1,948 staff | 175 | |||
| Portneuf Medical CenterPocatello · FY Dec 2024 · 1,149 staff | 142 | |||
| Mountain View HospitalIdaho Falls · FY Dec 2024 · 1,728 staff | 40 | |||
| Eastern Idaho Regional Medical CenterIdaho Falls · FY Sep 2024 · 1,067 staff | 247 | |||
| Saint Alphonsus Medical Center - NampaNampa · FY Jun 2025 · 980 staff | 96 | |||
| St Luke's Nampa Medical CenterNampa · FY Sep 2024 · 905 staff | 87 | |||
| St Joseph Regional Medical CenterLewiston · FY Jun 2025 · 499 staff | 102 | |||
| Bingham Memorial HospitalBlackfoot · FY Dec 2024 · 776 staff | 25 | |||
| Northwest Specialty HospitalPost Falls · FY Dec 2024 · 644 staff | 30 | |||
| Idaho Falls Community Hospital, LLCIdaho Falls · FY Dec 2024 · 441 staff | 88 | |||
| Treasure Valley HospitalBoise · FY Dec 2024 · 279 staff | 7 | – | ||
| West Valley Medical CenterCaldwell · FY Sep 2024 · 370 staff | 117 | |||
| Gritman Medical CenterMoscow · FY Dec 2024 · 438 staff | 25 | |||
| Madison Memorial HospitalRexburg · FY Sep 2024 · 535 staff | 53 | |||
| St Lukes Wood River Medical CenterKetchum · FY Sep 2024 · 334 staff | 25 | |||
| North Canyon Medical CenterGooding · FY Sep 2024 · 279 staff | 16 | |||
| Cassia Regional Medical CenterBurley · FY Dec 2024 · 278 staff | 25 | |||
| Bhc Intermountain HospitalBoise · FY Sep 2024 · 220 staff | 148 | – | ||
| Bonner General HospitalSandpoint · FY Dec 2024 · 371 staff | 25 | |||
| St Luke's McCallMcCall · FY Sep 2024 · 224 staff | 15 | |||
| Minidoka Memorial HospitalRupert · FY Sep 2024 · 271 staff | 22 | |||
| St Luke's Elmore Medical CenterMountain Home · FY Sep 2024 · 186 staff | 20 | |||
| Franklin County Medical CenterPreston · FY Sep 2024 · 227 staff | 18 | – | ||
| Bear Lake Memorial HospitalMontpelier · FY Dec 2024 · 142 staff | 21 | |||
| Steele Memorial Medical CenterSalmon · FY Sep 2024 · 148 staff | 18 | |||
| Caribou Medical CenterSoda Springs · FY Dec 2024 · 169 staff | 25 | |||
| Teton Valley HospitalDriggs · FY Sep 2024 · 122 staff | 13 | |||
| State Hospital SouthBlackfoot · FY Jun 2025 · 285 staff | 110 | – | ||
| Lifeways HospitalBoise · FY Jun 2025 · 231 staff | 16 | – | ||
| Cottonwood Creek Behavioral HospitalMeridian · FY Dec 2024 · 175 staff | 92 | – | ||
| Clearwater Valley Hospital & ClinicsOrofino · FY Dec 2024 · 166 staff | 23 | |||
| St Marys HospitalCottonwood · FY Dec 2024 · 180 staff | 25 | |||
| Weiser Memorial HospitalWeiser · FY Jun 2025 · 96 staff | 24 | |||
| Valor HealthEmmett · FY Sep 2024 · 118 staff | 13 | |||
| Syringa General HospitalGrangeville · FY Sep 2024 · 118 staff | 15 | |||
| Boundary Community HospitalBonners Ferry · FY Dec 2024 · 165 staff | 20 | |||
| St Luke's JeromeJerome · FY Sep 2024 · 106 staff | 16 | |||
| Shoshone Medical CenterKellogg · FY Nov 2024 · 94 staff | 25 | |||
| Benewah Community HospitalSaint Maries · FY Dec 2024 · 94 staff | 19 | |||
| Nell J Redfield Memorial HospitalMalad City · FY Jun 2025 · 63 staff | 11 | |||
| Lost Rivers Medical CenterArco · FY Sep 2024 · 69 staff | 14 | |||
| Power County Hospital DistrictAmerican Falls · FY Sep 2024 · 73 staff | 10 | |||
| Grove Creek Medical CenterBlackfoot · FY Dec 2024 · 25 staff | 8 |
Figures as reported to CMS (Hospital Provider Cost Report), not audited statements. Operating margin = net income from patient care ÷ net patient revenue; it excludes investment income, donations and grants. Charity care is the cost of free or discounted care for patients who qualify under the hospital's financial assistance policy. How to read these figures.
Median operating margin of each state's hospitals (patient care only)
Median operating margin in nearby states:
27 of 46 Idaho hospitals (59%) reported a loss on patient care in their latest full-year Medicare cost report, compared with 55% nationwide. The median operating margin was -3.2%, lower than the U.S. median of -1.6%. The operating margin leaves out donations, investment income and grants, so some of these hospitals still end the year in the black.
Idaho hospitals reported $118.1 million in charity care (the cost of free or discounted care for patients who qualify) in their latest full-year reports. The largest amounts came from St Alphonsus Regional Medical Center ($23.4 million), St Lukes Regional Medical Center ($23.4 million), Saint Alphonsus Medical Center - Nampa ($13.5 million), Eastern Idaho Regional Medical Center ($12.6 million), St Lukes Magic Valley RMC ($12.4 million).
Idaho ranks 30 of 50 states by the median operating margin of its hospitals (1 = highest). A larger share of its hospitals lost money on patient care than the U.S. as a whole (59% vs 55%).
St Lukes Regional Medical Center in Boise reported the most net patient revenue: $2.5 billion in its latest full-year cost report, with 560 beds and an operating margin of -0.3%.
It is how much a hospital keeps from patient care after paying its operating costs, as a share of its patient revenue. A margin of 5% means the hospital kept 5 cents of every dollar it earned from patients; a negative margin means patient care cost more than it brought in. It excludes donations, investment income and grants.
Source: CMS Hospital Provider Cost Report (data.cms.gov), latest report per hospital. About the data.