As of the July, 2022, release via CMS

EASTERN IDAHO REGIONAL MEDICAL CENTE

CMS id: 130018
3100 CHANNING WAY, IDAHO FALLS ID 83403. County: BONNEVILLE
System: HCA
CBSA: Idaho Falls, ID

The 302-bed, acute-care hospital had $174,058,066 in net service to patients*, with a total profit margin of 45.48389% in fiscal year 2021, the latest year available.
It spent 4.35% of its operating expenses on uncompensated care and reported $7,520,760 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	176 118	160 118	147 119.5	173 118	172 119
Total beds Median	311 162	305 162	339 162	303 162	302 163.5
FTEs Median	1,067.26 788.06	1,076.11 793.42	1,118.61 806.03	1,105.39 787.61	1,151.75 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	294,773,540 150,932,746	304,458,809 158,950,878	345,994,452 168,696,998	343,481,403 163,454,693	373,172,381 186,589,412
Operating expenses Median	180,323,445 149,311,209	173,422,126 156,110,414	184,036,000 164,890,568	194,365,732 166,516,854	199,114,315 180,120,888
Net income from service 2 patients (NS2P) ? Median	114,450,095 -964,173	131,036,683 -643,601.5	161,958,452 -116,254	149,115,671 -5,025,862	174,058,066 -1,284,564
NS2P margin ? Median	38.83% -0.62	43.04% -0.29	46.81% 0.18	43.41% -5.07	46.64% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EASTERN IDAHO REGIONAL MEDICAL CENTE compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	1,400,857 5,089,215	1,289,078 4,572,541	1,889,876 5,268,134	2,408,762 13,092,619	3,237,027 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	471,867 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	470,376	464,569	0	354,467	416,638
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	2,002	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	28	33	0	282
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	800	4,200	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	9,788
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	925,640	821,938	1,416,328	2,050,095	2,810,319
Total income ? Median	115,850,952 6,586,430	132,325,761 6,767,106	163,848,328 8,419,950	151,524,433 8,094,175	177,295,093 15,162,888
Non-operating expenses Median	7,555 146,289.5	4,318 164,857	15,682 89,880.5	23,356 106,761	6,089,447 31,473.5
Net income Median	115,843,397 6,043,842	132,321,443 5,845,112	163,832,646 7,606,259	151,501,077 7,283,041	171,205,646 14,957,241
Net margin Median	39.11324% 4.62%	43.27796% 4.42%	47.09400% 5.16%	43.80034% 5.2%	45.48389% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for EASTERN IDAHO REGIONAL MEDICAL CENTE compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	48,459,635 23,241,334	47,098,145 23,709,545	51,598,010 24,248,380	55,111,610 22,858,541	57,739,827 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	42,879,438 21,577,146	41,361,972 22,041,594	45,494,265 22,722,063	48,693,642 21,570,441	51,855,949 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	1,299,287 1,845,420	1,712,211 1,757,392	1,123,012 1,738,842	1,027,467 1,510,463	1,112,844 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,097,698 3,535,627	4,023,962 3,746,588	4,980,733 3,782,288	5,390,501 3,865,578	4,771,034 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	183,212 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	19,409,963 11,160,864	20,579,538 11,987,345	20,282,712 12,926,866	18,621,098 11,884,480	18,835,919 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	19,409,963 10,918,923	20,579,538 11,706,976	20,282,712 12,615,917	18,621,098 11,458,116	18,835,919 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	203,792 3,250,551	1,493,324 3,386,837	2,852,582 3,360,806	4,441,503 3,508,953
Disproportionate-share hospital (DSH) Median	1,441,425 594,888	1,359,460 595,761	1,512,869 577,894	1,637,304 542,168	2,032,311 549,667
Outlier Median	1,959,065 582,572	1,573,787 538,116	565,222 212,434	630,385 126,559	621,989 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	728,778 3,662,910	173,993 3,730,911	355,250 4,081,319	5,451,706 4,643,908	7,520,760 4,389,147
Charity care Median	8,302,956 2,654,636	9,143,606 2,940,659	9,736,154 3,380,215	10,431,222 3,488,738	7,431,314 3,233,405
Uncompensated care (UCC) Median	10,644,055 5,147,790	11,966,641 5,337,617	11,960,129 5,711,082	12,175,496 5,923,418	8,667,850 5,508,107
UCC as a % of operating expenses Median	5.90% 3.24	6.90% 3.12	6.50% 3.21	6.26% 3.3	4.35% 2.86
Total shortfall/UCC Median	11,372,833 9,489,989	12,140,634 9,424,297	12,315,379 10,120,158	17,627,202 11,171,337	16,188,610 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	66,802,495 52,142,039	68,940,736 54,485,252	73,249,737 57,395,589	72,429,596 58,830,919	77,903,047 61,722,907
Salaries as a % of operating expenses Median	36.99 36.68	39.48 36.56	39.49 36.37	35.84 35.93	38.25 35.24
Intern, resident salaries* Median	0 2,598,592	183,560 2,686,824	739,838 2,753,773	1,275,857 2,937,156	2,028,999 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	4,879,366 1,449,244	3,962,748 1,475,986	4,249,202 1,563,078	3,268,416 1,721,954	5,012,947 2,991,828
Contract hours, direct-care Median	72,069.00 22,725	52,560.00 23,018.5	58,153.00 24,503.48	49,085.00 25,026.5	61,171.00 33,786
Contract wages, direct-care Median	67.70 64.67	75.39 64.53	73.07 65.06	66.59 68.97	81.95 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.