A hospital in Boise, ID. It ran an operating surplus of 2.1% in FY25 on $976.3M of operating revenue. It held 89 days of cash on hand (68th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 3.6% in FY21 to 2.1% in FY25.
Operating margin · FY25
+2.1%
▼ 1.2 pts vs FY24
vs Urban PPS hospitals53rd pctl of 1,475 (FY25)
Days cash on hand · FY25
89d
all sources
▲ 0.8 days vs FY24
vs Urban PPS hospitals68th pctl of 1,386 (FY25)
Total operating revenue · FY25
$976.3M
▲ 45.6 $M vs FY24
vs Urban PPS hospitals88th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+5.0%
▼ 1.2 pts vs FY24
vs Urban PPS hospitals45th pctl of 1,475 (FY25)
One point of operating margin at SAINT ALPHONSUS REGIONAL MEDICAL CENTER is about $9.8M per year (1% of FY25 total operating revenue).
Where SAINT ALPHONSUS REGIONAL sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalSAINT ALPHONSUSUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
725,839
893,932
923,619
Other operating revenue
21,204
36,683
52,633
Total operating revenue
747,042
930,615
976,252
Total operating expenses
794,435
899,301
955,514
Operating income
(47,393)
31,314
20,738
Operating margin %
-6.3%
+3.4%
+2.1%
Investment income
22,245
23,787
25,572
Other non-operating, net
2,588
3,385
3,486
Net income
(22,560)
58,486
49,796
Net income %
-2.9%
+6.1%
+5.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 268-bed hospital at 72% occupancy 47% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
72.2%
Verified fact2025
HCRIS WS S-3
Average daily census
194.02
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
268
Verified fact2025
HCRIS WS S-3
Annual discharges
19,206
Verified fact2025
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
47.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,595
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.1%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.7
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.8%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.02
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.027668
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
ADA County, ID
Median household income
$88.9K
vs $82.1K US · $59.7K rural median
Poverty rate
8.5%
vs 12.5% US · 14.3% rural median
Uninsured
6.7%
vs 8.6% US · 8.4% rural median
Age 65+
15.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.1% of county personal income is Medicare/Medicaid medical benefits; 13.8% arrives as government transfers (BEA, 2022).
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