Short-term acute care hospital · Granite City, Illinois · 288 beds · CMS certification number 140125
Gateway Regional Medical Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 22, 2026. 30 years on file, every one shown below.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $66.9M in its first year on file (1996) to $77.7M in 2025.
- Its result from patient care: −$72.7M (2023), −$46.3M (2024), −$21.0M (2025).
- 2 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 0.4% of its inpatient days and Medicare for 9.8%.
- AMERICAN HEALTHCARE SYSTEMS CORP INC holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
30 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Short-term acute care hospitals in Illinois with 200 to 399 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Gateway Regional Medical Center | 288 | $77,735,748 | $98,698,297 | −27.0% |
| Advocate Good Samaritan Hospital, Downers Grove | 293 | $554,503,787 | $492,544,191 | 11.2% |
| Alexian Brothers Medical Center, Elk Grove Village | 282 | $464,964,075 | $516,108,178 | −11.0% |
| Blessing Hospital, Quincy | 311 | $666,351,471 | $755,789,520 | −13.4% |
| Memorial Hospital, Belleville | 300 | $579,195,047 | $570,580,792 | 1.5% |
| Saint Mary of Nazareth Hospital, Chicago | 283 | $317,488,953 | $294,306,915 | 7.3% |
Patients and payers
- Discharges
- 2,924S-3 line 14, col 15
- Inpatient days
- 12,149S-3 line 14, col 8
- Beds in use, on an average day
- 33.4days ÷ days in year
- Occupancy
- 11.6%days ÷ bed days
- Medicare share of days
- 9.8%S-3 cols 6 ÷ 8
- Medicaid share of days
- 0.4%S-3 cols 7 ÷ 8
Who owns it
- AMERICAN HEALTHCARE SYSTEMS CORP INC100%
- MIKE M SARIAN51%
Other hospitals with the same owner: Vista Medical Center East (IL), Randolph Health (NC), Ahs Sherman Medical Center (TX).
Type of control on its cost report: proprietary, corporation.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 140125. 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 June 22, 2026.