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Idaho, the Gem State, ranks 17th in the most recent America’s Health Rankings. Overall the state ranks well, however, the state still fares poorly in several categories: low levels of immunization among children (45th); and, air pollution (49th). The number of deaths related to cancer has increased 6% since 1990. The state has over 1.6 million residents, with 11% of the population uninsured. The average cost of an inpatient hospital stay before insurance is $2,611 per day based on 2014 data, according to The Henry J. Kaiser Family Foundation. Idaho had healthcare expenditures totaling more than $8.7 billion in 2009. The state has 40 hospitals and 33 HMO groups with membership exceeding 119,000 individuals.