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Short-term acute care hospital · St. Louis, Missouri · 488 beds · CMS certification number 260091

SSM Health St. Mary's Hospital - St. Louis

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. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$872.9M
$872,888,182 · G-3 line 3
Operating expenses
$992.4M
$992,387,039 · G-3 line 4
Result from patient care
−$119.5M
−$119,498,857 · G-3 line 5
Margin on patient care
−13.7%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $140.3M in its first year on file (1996) to $872.9M in 2025.
  • Its result from patient care: −$45.2M (2023), −$72.3M (2024), −$119.5M (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 8.6% of its inpatient days and Medicare for 7.7%.
  • 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
settled with audit
$140.3M
$138.9M
1997
reopened
$134.7M
$136.6M
1998
reopened
$202.9M
$202.3M
1999
settled
$238.1M
$248.3M
2000
reopened
$263.9M
$260.6M
2001
reopened
$282.6M
$282.3M
2002
reopened
$309.1M
$298.7M
2003
reopened
$337.4M
$325.4M
2004
reopened
$354.9M
$344.6M
2005
reopened
$430.0M
$411.3M
2006
reopened
$466.6M
$454.7M
2007
reopened
$473.0M
$417.7M
2008
reopened
$500.4M
$487.3M
2009
reopened
$512.3M
$503.2M
2010
reopened
$527.6M
$526.8M
2011
reopened
$556.2M
$566.3M
2012
reopened
$575.8M
$575.2M
2013
reopened
$578.0M
$585.1M
2014
reopened
$604.9M
$594.3M
2015
reopened
$671.7M
$648.9M
2016
reopened
$701.7M
$698.6M
2017
reopened
$676.4M
$723.9M
2018
reopened
$679.9M
$722.6M
2019
reopened
$696.2M
$742.4M
2020
settled with audit
$823.6M
$753.3M
2021
settled
$749.1M
$780.5M
2022
settled with audit
$792.8M
$792.9M
2023
amended
$822.5M
$867.7M
2024
as submitted
$842.5M
$914.8M
2025
as submitted
$872.9M
$992.4M

Beside its peers

Short-term acute care hospitals in Missouri with 400 and over beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
SSM Health St. Mary's Hospital - St. Louis488$872,888,182$992,387,039−13.7%
Mercy Hospital South, Saint Louis748$658,639,494$633,817,3123.8%
Mercy Hospital Springfield, Springfield621$1,372,051,750$1,223,349,34510.8%
St. Lukes Hospital of Kansas City, Kansas City452$1,113,304,260$1,181,142,011−6.1%
SSM Health Depaul Hospital - St. Louis, Bridgeton463$592,795,899$662,821,104−11.8%
University of Missouri Health Care, Columbia657$1,861,752,622$1,842,475,7981.0%

Patients and payers

Discharges
19,864
S-3 line 14, col 15
Inpatient days
110,167
S-3 line 14, col 8
Beds in use, on an average day
302.7
days ÷ days in year
Occupancy
61.9%
days ÷ bed days
Medicare share of days
7.7%
S-3 cols 6 ÷ 8
Medicaid share of days
8.6%
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; SSM HEALTH CARE (100%), st louis network; SSM INFO CENTER (100%), data processing 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. Joseph Hospital - St. Charles (MO), SSM Health St. Marys Hospital Jefferson City (MO), SSM Health St. Clare Hospital - Fenton (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 260091. 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.