Velarion Records

Critical access hospital · Cottonwood, Idaho · 25 beds · CMS certification number 131321

St. Mary's Health

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS July 14, 2026. 23 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$29.6M
$29,617,749 · G-3 line 3
Operating expenses
$31.6M
$31,627,811 · G-3 line 4
Result from patient care
−$2.0M
−$2,010,062 · G-3 line 5
Margin on patient care
−6.8%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $4.4M in its first year on file (2003) to $29.6M in 2025.
  • Its result from patient care: $228K (2023), $435K (2024), −$2.0M (2025).
  • 2 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 7.9% of its inpatient days and Medicare for 56.7%.
  • KOOTENAI HEALTH, INC. holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

23 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2003
reopened
$4.4M
$4.3M
2004
reopened
$10.9M
$10.7M
2005
reopened
$12.4M
$11.8M
2006
reopened
$13.9M
$13.7M
2007
reopened
$15.0M
$14.8M
2008
reopened
$17.3M
$16.5M
2009
settled with audit
$17.1M
$16.9M
2010
settled with audit
$17.9M
$17.4M
2011
settled
$18.8M
$18.7M
2012
settled
$18.5M
$18.2M
2013
settled
$19.0M
$18.5M
2014
settled
$19.7M
$19.5M
2015
reopened
$19.2M
$20.5M
2016
reopened
$19.8M
$20.6M
2017
settled
$21.3M
$21.9M
2018
settled with audit
$20.9M
$22.1M
2019
settled
$20.5M
$21.3M
2020
settled
$18.9M
$21.9M
2021
as submitted
$23.9M
$23.6M
2022
as submitted
$24.0M
$25.3M
2023
as submitted
$25.2M
$25.0M
2024
as submitted
$28.1M
$27.7M
2025
as submitted
$29.6M
$31.6M

Beside its peers

Critical access hospitals in Idaho with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
St. Mary's Health25$29,617,749$31,627,811−6.8%
Bingham Memorial Hospital, Blackfoot25$181,308,468$200,111,954−10.4%
Caribou Medical Center, Soda Springs25$43,501,151$42,327,1982.7%
Intermountain Health Cassia Regional Hospital, Burley25$70,165,071$69,924,1360.3%
Shoshone Medical Center, Kellogg25$19,106,493$21,701,009−13.6%
St. Lukes Wood River Medical Center, Ketchum25$107,216,402$101,260,7575.5%

Patients and payers

Discharges
204
S-3 line 14, col 15
Inpatient days
660
S-3 line 14, col 8
Beds in use, on an average day
1.8
days ÷ days in year
Occupancy
7.2%
days ÷ bed days
Medicare share of days
56.7%
S-3 cols 6 ÷ 8
Medicaid share of days
7.9%
S-3 cols 7 ÷ 8

Who owns it

  • KOOTENAI HEALTH, INC.100%

Related organizations on its own cost report: KOOTENAI HEALTH, home office.

Other hospitals with the same owner: Clearwater Valley Hospital & Clinics (ID), Northern Idaho Advanced Care Hospital (ID), Rehabilitation Hospital of the Northwest (ID).

Type of control on its cost report: voluntary nonprofit, church.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by ST MARY'S HOSPITAL INC (employer identification number 820226453) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$3,055,768IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$19,012IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$1,271,513IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$1,290,525IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$1,765,243IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.121IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202402539349300915. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by ST MARY'S HOSPITAL INC (employer identification number 820226453) for tax year 2023. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
CHRISTINA ULMERSECRETARYTrustee/director, Officer$0$0$0
CHRISTOPHER RIGGERSDIRECTORTrustee/director$0$0$0
CINDY O'BRIENCHAIRTrustee/director, Officer$0$0$0
JACK BRUNER IIPHYSICIANHighest-compensated employee$380,054$0$21,696
JEREMY EVANSDIRECTORTrustee/director$0$0$0
JOHN TRUEBLOODPHYSICIANHighest-compensated employee$270,105$0$19,315
JUSTIN JONESPHYSICIANHighest-compensated employee$434,684$0$21,925
JYL RULANDCFOOfficer$0$161,779$15,867
KELLY MCGRATHDIRECTOR/CMOTrustee/director$0$328,919$21,637
KIM INGRAMVICE CHAIRTrustee/director, Officer$0$0$0
LENNE BONNERCEOOfficer$0$281,018$23,757
MARK IMUSDIRECTORTrustee/director$0$0$0
MATT SARTINIDIRECTORTrustee/director$0$0$0
PAUL NUSSERDIRECTORTrustee/director$0$0$0
RENE FORSMANDIRECTORTrustee/director$0$0$0
SISTER BARBARA JEAN GLODOWSKIDIRECTORTrustee/director$0$0$0
SISTER LISA MAURERDIRECTORTrustee/director$0$0$0
TEMA JESSUPPHYSICIANHighest-compensated employee$382,833$0$21,251
THOMAS WONDERLICHPHYSICIANHighest-compensated employee$435,341$0$16,170

E-file object id 202402539349300915. The IRS archive it was read from.

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More critical access hospitals in Idaho

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 131321. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read July 14, 2026.