CCN 130049KOOTENAI CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)248 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Coeur D'alene, ID. It ran an operating loss of 17.4% in FY24 on $821.0M of operating revenue. It held 141 days of cash on hand (78th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -8.7% in FY20 to -17.4% in FY24. Including nonoperating items, the all-in result was positive at 5.6%.
Operating margin · FY24
-17.4%
▼ 1.0 pts vs FY23
vs Urban PPS hospitals11th pctl of 2,562 (FY24)
Days cash on hand · FY24
141d
all sources
▲ 13.3 days vs FY23
vs Urban PPS hospitals78th pctl of 2,354 (FY24)
Total operating revenue · FY24
$821.0M
▲ 84.9 $M vs FY23
vs Urban PPS hospitals85th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+5.6%
▼ 0.6 pts vs FY23
vs Urban PPS hospitals50th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at KOOTENAI HEALTH is about $8.2M per year (1% of FY24 total operating revenue).
Where KOOTENAI HEALTH sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One urban pps hospitalKOOTENAI HEALTHUrban 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
FY22
FY23
FY24
Patient revenue
656,535
714,354
812,587
Other operating revenue
11,012
21,779
8,422
Total operating revenue
667,547
736,133
821,009
Total operating expenses
817,941
856,306
963,472
Operating income
(150,395)
(120,173)
(142,463)
Operating margin %
-22.5%
-16.3%
-17.4%
Grants & contributions
3,257
2,500
1,230
Investment income
(21,986)
12,256
9,825
Other non-operating, net
127,188
161,945
188,850
Net income
(41,936)
56,528
57,442
Net income %
-5.4%
+6.2%
+5.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 248-bed hospital at 63% occupancy 61% 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
62.5%
Verified fact2024
HCRIS WS S-3
Average daily census
155.52
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
248
Verified fact2024
HCRIS WS S-3
Annual discharges
18,146
Verified fact2024
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
61.3%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
3,513
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.1%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$29.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
The results are based on the hospital or facility's data submissions. CMS approved the hospital or facility's Extraordinary Circumstances Exception request suggesting that results may be impacted.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.21791
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
KOOTENAI County, ID
Median household income
$77.0K
vs $82.1K US · $59.7K rural median
Poverty rate
9.3%
vs 12.5% US · 14.3% rural median
Uninsured
9.6%
vs 8.6% US · 8.4% rural median
Age 65+
19.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.4% of county personal income is Medicare/Medicaid medical benefits; 19.8% arrives as government transfers (BEA, 2022).
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