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Short-term acute care hospital · St. Louis, Missouri · 391 beds · CMS certification number 260105

SSM Health Saint Louis University Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 4, 2026. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$963.5M
$963,512,370 · G-3 line 3
Operating expenses
$1.0B
$1,021,145,102 · G-3 line 4
Result from patient care
−$57.6M
−$57,632,732 · G-3 line 5
Margin on patient care
−6.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $187.0M in its first year on file (1997) to $963.5M in 2025.
  • Its result from patient care: −$67.8M (2023), −$58.9M (2024), −$57.6M (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 8.1% of its inpatient days and Medicare for 17.0%.
  • 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.

29 years of filings

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

Net patient revenueOperating expenses
1997
reopened
$187.0M
$271.4M
1998
reopened
$44.1M
$54.5M
1999
reopened
$180.0M
$191.4M
2000
reopened
$194.2M
$200.5M
2001
reopened
$211.2M
$212.2M
2002
reopened
$238.1M
$245.2M
2003
reopened
$290.0M
$234.7M
2004
reopened
$248.3M
$293.7M
2005
reopened
$267.9M
$308.2M
2006
reopened
$279.3M
$311.9M
2007
reopened
$309.1M
$321.4M
2008
reopened
$320.8M
$330.7M
2009
reopened
$317.9M
$332.7M
2010
reopened
$336.5M
$339.5M
2011
reopened
$334.7M
$352.5M
2012
reopened
$305.7M
$366.4M
2013
reopened
$345.5M
$375.9M
2014
reopened
$351.0M
$391.9M
2015
reopened
$398.3M
$424.7M
2016
reopened
$507.3M
$488.3M
2017
reopened
$496.2M
$547.1M
2018
settled with audit
$525.1M
$575.2M
2019
settled
$576.3M
$605.9M
2020
settled
$600.8M
$658.3M
2021
settled
$693.5M
$743.3M
2022
settled
$772.2M
$821.5M
2023
settled
$803.2M
$871.0M
2024
as submitted
$861.8M
$920.7M
2025
as submitted
$963.5M
$1.0B

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 Saint Louis University Hospital391$963,512,370$1,021,145,102−6.0%
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 St. Joseph Hospital - St. Charles, St. Charles399$358,942,618$421,941,683−17.5%
St. Lukes Hospital, Chesterfield390$573,467,814$616,421,469−7.5%

Patients and payers

Discharges
19,909
S-3 line 14, col 15
Inpatient days
130,144
S-3 line 14, col 8
Beds in use, on an average day
357.5
days ÷ days in year
Occupancy
90.9%
days ÷ bed days
Medicare share of days
17.0%
S-3 cols 6 ÷ 8
Medicaid share of days
8.1%
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 (100%), home office.

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 St. Mary's Hospital - St. Louis (MO), SSM Health Depaul Hospital - St. Louis (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 260105. 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 4, 2026.