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Short-term acute care hospital · St. Charles, Missouri · 399 beds · CMS certification number 260005

SSM Health St. Joseph Hospital - St. Charles

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 8, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$358.9M
$358,942,618 · G-3 line 3
Operating expenses
$421.9M
$421,941,683 · G-3 line 4
Result from patient care
−$63.0M
−$62,999,065 · G-3 line 5
Margin on patient care
−17.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $83.9M in its first year on file (1996) to $358.9M in 2025.
  • Its result from patient care: −$340.8M (2023), −$35.0M (2024), −$63.0M (2025).
  • 4 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 7.5% of its inpatient days and Medicare for 16.5%.
  • SSM HEALTH CARE ST LOUIS 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.

Net patient revenueOperating expenses
1996
reopened
$83.9M
$83.0M
1997
reopened
$85.5M
$84.5M
1998
reopened
$87.4M
$89.7M
1999
settled
$95.4M
$96.7M
2000
reopened
$97.8M
$99.3M
2001
reopened
$113.3M
$111.1M
2002
reopened
$128.5M
$125.2M
2003
reopened
$140.8M
$136.1M
2004
reopened
$135.0M
$134.1M
2005
reopened
$141.3M
$157.1M
2006
reopened
$184.2M
$185.4M
2007
reopened
$182.6M
$182.1M
2008
reopened
$202.1M
$209.2M
2009
reopened
$203.5M
$206.4M
2010
reopened
$204.3M
$206.1M
2011
reopened
$202.8M
$201.4M
2012
reopened
$191.5M
$197.7M
2013
reopened
$192.1M
$205.8M
2014
reopened
$206.2M
$209.5M
2015
settled
$227.9M
$227.3M
2016
settled
$230.9M
$238.0M
2017
settled
$231.4M
$252.6M
2018
settled
$232.6M
$250.9M
2019
settled
$228.7M
$256.1M
2020
settled
$204.5M
$259.5M
2021
settled
not filed
$259.4M
2022
settled
$223.0M
$272.2M
2023
settled
−$1
$340.8M
2024
settled
$320.9M
$355.9M
2025
as submitted
$358.9M
$421.9M

Beside its peers

Short-term acute care hospitals in Missouri with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
SSM Health St. Joseph Hospital - St. Charles399$358,942,618$421,941,683−17.5%
Freeman Health System, Joplin347$613,768,158$631,432,174−2.9%
Mosaic Life Care at St. Joseph Medical Center, St. Joseph330$782,205,647$802,581,558−2.6%
NKC Health, North Kansas City385$695,685,993$654,748,3875.9%
SSM Health Saint Louis University Hospital, St. Louis391$963,512,370$1,021,145,102−6.0%
St. Lukes Hospital, Chesterfield390$573,467,814$616,421,469−7.5%

Patients and payers

Discharges
10,194
S-3 line 14, col 15
Inpatient days
49,951
S-3 line 14, col 8
Beds in use, on an average day
137.2
days ÷ days in year
Occupancy
34.3%
days ÷ bed days
Medicare share of days
16.5%
S-3 cols 6 ÷ 8
Medicaid share of days
7.5%
S-3 cols 7 ÷ 8

Who owns it

  • SSM HEALTH CARE ST LOUIS100%
  • SSM HEALTH CARE CORPORATION85%
  • ST LOUIS UNIVERSITY15%

Related organizations on its own cost report: SSM HEALTH CARE (100%), home office; SSMHC ST LOUIS (100%), stl network; SSMHC INFO CTR (100%), data services.

Other hospitals with the same owner: SSM Health St. Mary's Hospital - Centralia (IL), SSM Health Good Samaritan Hospital - Mt. Vernon (IL), SSM Health St. Marys Hospital Jefferson City (MO), SSM Health St. Clare Hospital - Fenton (MO), SSM Health St. Mary's Hospital - St. Louis (MO), SSM Health Depaul Hospital - St. Louis (MO), SSM Health Saint Louis University Hospital (MO), SSM Health St. Joseph Hospital - Lake Saint Louis (MO), SSM Health Rehabilitation Hospital (MO).

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).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 260005. 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 8, 2026.