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

How are Wyoming hospitals doing financially?

Operating margins, losses, charity care, beds and staff for 27 Wyoming 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
77%
Wyoming20 of 26 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
-8.0%

The median Wyoming hospital kept -8.0% of its patient revenue after operating costs, against -1.6% nationally (#41 of 50 states). Excludes donations and investment income.

Charity care
$39.3 million

The cost of free or discounted care Wyoming hospitals gave patients who qualified, in their latest full-year reports: 0.1% of the U.S. total of $35.6 billion.

Beds and staff
1,268 beds

8,424 full-time-equivalent employees across 27 hospitals with a cost report.

Most charity care in Wyoming

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

Wyoming Medical Center Casper $11.6 million 4.4% of expenses · FY Dec 2024 Cheyenne Regional Medical Center Cheyenne $8.3 million 2.1% of expenses · FY Jun 2025 Campbell County Memorial Hospital Gillette $3.0 million 1.4% of expenses · FY Jun 2025 Ivinson Memorial Hospital Laramie $2.9 million 2.2% of expenses · FY Jun 2025 Memorial Hospital of Converse County Douglas $2.5 million 3.1% of expenses · FY Jun 2025 Cody Regional Health Cody $2.1 million 1.6% of expenses · FY Jun 2025

Biggest losses on patient care

The lowest operating margins among Wyoming 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.

North Platte Valley Medical Center Saratoga -89.7% -$8.0 million on $8.9 million patient revenue Memorial Hospital of Carbon County Rawlins -28.0% -$7.4 million on $26.6 million patient revenue South Lincoln Medical Center - CAH Kemmerer -23.9% -$4.1 million on $17.3 million patient revenue South Big Horn County Critical Access Hospital Basin -23.5% -$2.2 million on $9.3 million patient revenue Johnson County Healthcare Center Buffalo -20.3% -$6.5 million on $32.0 million patient revenue Campbell County Memorial Hospital Gillette -18.3% -$34.0 million on $186.4 million patient revenue

Every Wyoming 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
Cheyenne Regional Medical CenterCheyenne · FY Jun 2025 · 1,573 staff 166 $427.3 million 9.3% $8.3 million
Wyoming Medical CenterCasper · FY Dec 2024 · 732 staff 249 $261.9 million 0.5% $11.6 million
Campbell County Memorial HospitalGillette · FY Jun 2025 · 767 staff 66 $186.4 million -18.3% $3.0 million
St Johns Medical CenterJackson · FY Jun 2025 · 722 staff 48 $185.6 million -13.5% $1.7 million
Ivinson Memorial HospitalLaramie · FY Jun 2025 · 513 staff 76 $150.4 million 13.8% $2.9 million
Sheridan Memorial HospitalSheridan · FY Jun 2025 · 688 staff 88 $141.6 million -13.7% $527,000
Cody Regional HealthCody · FY Jun 2025 · 433 staff 25 $130.0 million -2.2% $2.1 million
Star Valley Medical CenterAfton · FY Jun 2025 · 436 staff 22 $107.3 million -5.8% $507,000
Memorial Hospital of Converse CountyDouglas · FY Jun 2025 · 281 staff 25 $88.1 million 5.4% $2.5 million
Powell Valley HospitalPowell · FY Jun 2025 · 431 staff 25 $73.9 million -11.6% $123,000
Sagewest Health CareRiverton · FY Dec 2024 · 208 staff 133 $68.7 million -6.0% $1.5 million
Community HospitalTorrington · FY Dec 2024 · 136 staff 25 $43.3 million -5.5% $909,000
Summit Medical CenterCasper · FY Jun 2025 · 64 staff 16 $35.2 million 14.8% –
Hot Springs County Memorial HospitalThermopolis · FY Jun 2025 · 133 staff 15 $33.1 million -17.3% $335,000
Johnson County Healthcare CenterBuffalo · FY Jun 2025 · 164 staff 25 $32.0 million -20.3% $86,000
Washakie Medical CenterWorland · FY Dec 2024 · 97 staff 18 $31.4 million -0.3% $759,000
North Big Horn Hospital DistrictLovell · FY Jun 2025 · 193 staff 14 $29.1 million -2.6% $333,000
Weston County Health ServicesNewcastle · FY Jun 2025 · 139 staff 12 $27.3 million -17.7% $198,000
Memorial Hospital of Carbon CountyRawlins · FY Jun 2025 · 166 staff 25 $26.6 million -28.0% $339,000
Wyoming Behavioral InstituteCasper · FY Dec 2024 · 178 staff 81 $25.6 million 17.1% –
Platte County Memorial HospitalWheatland · FY Dec 2024 · 112 staff 25 $25.4 million -15.8% $1.1 million
South Lincoln Medical Center - CAHKemmerer · FY Jun 2025 · 79 staff 14 $17.3 million -23.9% $56,000
Crook County Medical Services DistrctSundance · FY Jun 2025 · 60 staff 16 $15.6 million -10.0% $68,000
Niobrara Health & Life CenterLusk · FY Jun 2025 · 31 staff 24 $9.9 million -5.9% $9,000
South Big Horn County Critical Access HospitalBasin · FY Jun 2025 · 45 staff 10 $9.3 million -23.5% $379,000
North Platte Valley Medical CenterSaratoga · FY Oct 2025 · 44 staff 25 $8.9 million -89.7% –
Wyoming State HospitalEvanston · FY Jun 2024 – – – –

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 Wyoming compares with other states

Median operating margin of each state's hospitals (patient care only)

AK5.0% ME-3.0% VT-20.7% NH-0.5% WA-5.0% ID-3.2% MT-6.0% ND-10.5% MN-2.5% IL-2.3% WI3.2% MI0.0% NY-12.8% RI-14.7% MA-9.0% OR-6.4% NV4.0% WY-8.0% SD-0.8% IA-0.2% IN0.7% OH1.5% PA0.1% NJ-0.7% CT-7.9% CA-3.1% UT9.7% CO-3.1% NE-4.7% MO-3.7% KY4.0% WV-0.4% VA7.7% MD-3.7% DE3.3% AZ3.5% NM4.4% KS-15.3% AR-10.0% TN1.5% NC4.8% SC9.5% OK-5.6% LA-3.8% MS-3.8% AL-10.6% GA0.4% HI-11.0% TX1.2% FL7.6%

Median operating margin in nearby states:

Colorado · -3.1% Idaho · -3.2% Montana · -6.0% Nebraska · -4.7% Nevada · 4.0% North Dakota · -10.5% All states

Questions about Wyoming hospital finances

How many Wyoming hospitals lose money?

20 of 26 Wyoming hospitals (77%) reported a loss on patient care in their latest full-year Medicare cost report, compared with 55% nationwide. The median operating margin was -8.0%, 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 Wyoming hospitals provide the most charity care?

Wyoming hospitals reported $39.3 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 Wyoming Medical Center ($11.6 million), Cheyenne Regional Medical Center ($8.3 million), Campbell County Memorial Hospital ($3.0 million), Ivinson Memorial Hospital ($2.9 million), Memorial Hospital of Converse County ($2.5 million).

How do Wyoming hospitals compare with other states?

Wyoming ranks 41 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 (77% vs 55%).

What is the largest hospital in Wyoming by revenue?

Cheyenne Regional Medical Center in Cheyenne reported the most net patient revenue: $427.3 million in its latest full-year cost report, with 166 beds and an operating margin of 9.3%.

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.

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Source: CMS Hospital Provider Cost Report (data.cms.gov), latest report per hospital. About the data.