facebook tracking How are Idaho hospitals doing financially? Margins, losses and charity care

How are Idaho hospitals doing financially?

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.

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Lost money on patient care
59%
Idaho27 of 46 with a full-year margin
United States55%

Hospitals whose patient care cost more than it brought in, in their latest full-year report — more than the national share.

Typical operating margin
-3.2%

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.

Charity care
$118.1 million

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.

Beds and staff
3,317 beds

31,354 full-time-equivalent employees across 46 hospitals with a cost report.

Most charity care in Idaho

Charity care is reported at cost, not at list prices. The share is charity care as a part of the hospital's operating expenses.

Biggest losses on patient care

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.

Every Idaho hospital's finances

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 $2.5 billion -0.3% $23.4 million
St Alphonsus Regional Medical CenterBoise · FY Jun 2025 · 3,595 staff 374 $923.6 million -3.5% $23.4 million
Kootenai Medical CenterCoeur D'alene · FY Dec 2024 · 3,491 staff 317 $812.6 million -18.6% $4.9 million
St Lukes Magic Valley RMCTwin Falls · FY Sep 2024 · 1,948 staff 175 $522.4 million -5.7% $12.4 million
Portneuf Medical CenterPocatello · FY Dec 2024 · 1,149 staff 142 $511.5 million 17.2% $2.7 million
Mountain View HospitalIdaho Falls · FY Dec 2024 · 1,728 staff 40 $502.0 million 7.6% $436,000
Eastern Idaho Regional Medical CenterIdaho Falls · FY Sep 2024 · 1,067 staff 247 $425.5 million 57.7% $12.6 million
Saint Alphonsus Medical Center - NampaNampa · FY Jun 2025 · 980 staff 96 $337.6 million 13.9% $13.5 million
St Luke's Nampa Medical CenterNampa · FY Sep 2024 · 905 staff 87 $256.6 million 1.0% $5.0 million
St Joseph Regional Medical CenterLewiston · FY Jun 2025 · 499 staff 102 $195.4 million 0.2% $1.4 million
Bingham Memorial HospitalBlackfoot · FY Dec 2024 · 776 staff 25 $179.4 million -3.0% $1.2 million
Northwest Specialty HospitalPost Falls · FY Dec 2024 · 644 staff 30 $162.8 million 0.2% $7,000
Idaho Falls Community Hospital, LLCIdaho Falls · FY Dec 2024 · 441 staff 88 $128.7 million -16.1% $588,000
Treasure Valley HospitalBoise · FY Dec 2024 · 279 staff 7 $127.3 million 26.1% –
West Valley Medical CenterCaldwell · FY Sep 2024 · 370 staff 117 $119.5 million 29.9% $4.6 million
Gritman Medical CenterMoscow · FY Dec 2024 · 438 staff 25 $109.2 million -7.9% $96,000
Madison Memorial HospitalRexburg · FY Sep 2024 · 535 staff 53 $99.2 million -5.4% $193,000
St Lukes Wood River Medical CenterKetchum · FY Sep 2024 · 334 staff 25 $96.1 million 3.9% $1.9 million
North Canyon Medical CenterGooding · FY Sep 2024 · 279 staff 16 $72.9 million 8.4% $245,000
Cassia Regional Medical CenterBurley · FY Dec 2024 · 278 staff 25 $66.4 million -0.6% $3.7 million
Bhc Intermountain HospitalBoise · FY Sep 2024 · 220 staff 148 $65.2 million 55.1% –
Bonner General HospitalSandpoint · FY Dec 2024 · 371 staff 25 $63.4 million -6.5% $326,000
St Luke's McCallMcCall · FY Sep 2024 · 224 staff 15 $60.6 million -1.6% $1.1 million
Minidoka Memorial HospitalRupert · FY Sep 2024 · 271 staff 22 $57.1 million -7.9% $339,000
St Luke's Elmore Medical CenterMountain Home · FY Sep 2024 · 186 staff 20 $51.0 million 1.9% $873,000
Franklin County Medical CenterPreston · FY Sep 2024 · 227 staff 18 $46.4 million 4.6% –
Bear Lake Memorial HospitalMontpelier · FY Dec 2024 · 142 staff 21 $37.4 million -6.6% $45,000
Steele Memorial Medical CenterSalmon · FY Sep 2024 · 148 staff 18 $35.5 million -6.2% $111,000
Caribou Medical CenterSoda Springs · FY Dec 2024 · 169 staff 25 $33.0 million 3.7% $34,000
Teton Valley HospitalDriggs · FY Sep 2024 · 122 staff 13 $32.2 million -4.6% $185,000
State Hospital SouthBlackfoot · FY Jun 2025 · 285 staff 110 $29.8 million -27.3% –
Lifeways HospitalBoise · FY Jun 2025 · 231 staff 16 $29.3 million -9.9% –
Cottonwood Creek Behavioral HospitalMeridian · FY Dec 2024 · 175 staff 92 $29.1 million 16.4% –
Clearwater Valley Hospital & ClinicsOrofino · FY Dec 2024 · 166 staff 23 $28.6 million 5.6% $291,000
St Marys HospitalCottonwood · FY Dec 2024 · 180 staff 25 $28.1 million 1.5% $299,000
Weiser Memorial HospitalWeiser · FY Jun 2025 · 96 staff 24 $26.3 million -6.7% $101,000
Valor HealthEmmett · FY Sep 2024 · 118 staff 13 $24.2 million 0.2% $69,000
Syringa General HospitalGrangeville · FY Sep 2024 · 118 staff 15 $23.5 million -10.6% $38,000
Boundary Community HospitalBonners Ferry · FY Dec 2024 · 165 staff 20 $22.0 million -7.5% $235,000
St Luke's JeromeJerome · FY Sep 2024 · 106 staff 16 $21.0 million -10.5% $1.4 million
Shoshone Medical CenterKellogg · FY Nov 2024 · 94 staff 25 $19.5 million -8.7% $132,000
Benewah Community HospitalSaint Maries · FY Dec 2024 · 94 staff 19 $17.8 million -18.0% $34,000
Nell J Redfield Memorial HospitalMalad City · FY Jun 2025 · 63 staff 11 $16.0 million -6.8% $57,000
Lost Rivers Medical CenterArco · FY Sep 2024 · 69 staff 14 $12.9 million -12.1% $1,000
Power County Hospital DistrictAmerican Falls · FY Sep 2024 · 73 staff 10 $11.2 million -27.6% $28,000
Grove Creek Medical CenterBlackfoot · FY Dec 2024 · 25 staff 8 $3.1 million -34.4% $17,000

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.

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How Idaho compares with other states

Median operating margin in nearby states:

Questions about Idaho hospital finances

How many Idaho hospitals lose money?

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.

Which Idaho hospitals provide the most charity care?

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).

How do Idaho hospitals compare with other states?

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%).

What is the largest hospital in Idaho by revenue?

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%.

What is an operating margin?

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.