Astrelis
Urban PPS hospital · Saint Louis, MO

MERCY HOSPITAL ST LOUIS

CCN 260020ST. LOUIS CountyVoluntary non-profit - PrivateUrban (USDA RUCC)600 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Saint Louis, MO. It ran an operating surplus of 10.6% in FY25 on $1582.9M of operating revenue. It held 10 days of cash on hand (42nd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 17.5% in FY21 to 10.6% in FY25.

Operating margin · FY25
+10.6%
4.9 pts vs FY24
vs Urban PPS hospitals75th pctl of 1,475 (FY25)
Days cash on hand · FY25
10d
all sources
0.9 days vs FY24
vs Urban PPS hospitals42nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.58B
53.7 $M vs FY24
vs Urban PPS hospitals93rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+11.8%
4.8 pts vs FY24
vs Urban PPS hospitals68th pctl of 1,475 (FY25)
One point of operating margin at MERCY HOSPITAL ST LOUIS is about $15.8M per year (1% of FY25 total operating revenue).

Where MERCY HOSPITAL ST sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%MERCY HOSPITAL +10.637578613868893%-20%0%+20%Urban PPS hospital median +1.3311360264910879%MERCY HOSPITAL +10.637578613868893%
One urban pps hospitalMERCY HOSPITALUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+10.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+11.8% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
10d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
5.69× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
94% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
49d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue1,388,4661,524,7451,574,806
Other operating revenue31,0704,4038,089
Total operating revenue1,419,5361,529,1481,582,895
Total operating expenses1,201,5321,292,1641,414,513
Operating income218,004236,984168,382
Operating margin %+15.4%+15.5%+10.6%
Grants & contributions1,3461,1972,165
Investment income6,5356,2086,949
Other non-operating, net11,05713,00711,386
Net income236,942257,396188,882
Net income %+16.5%+16.6%+11.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 600-bed hospital at 71% occupancy 62% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
71.3%
Verified fact2025
HCRIS WS S-3
Average daily census
428.42
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
600
Verified fact2025
HCRIS WS S-3
Annual discharges
49,752
Verified fact2025
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
61.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
5,225
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.9%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.185
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.01
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.886643
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+17.5%+14.6%+15.4%+15.5%+10.6%FY21FY22FY23FY24FY25
Days cash on hand
10 days11 days11 days11 days10 daysFY21FY22FY23FY24FY25

The county this hospital serves

ST. LOUIS County, MO
Median household income
$81.3K
vs $82.1K US · $59.7K rural median
Poverty rate
9.6%
vs 12.5% US · 14.3% rural median
Uninsured
5.8%
vs 8.6% US · 8.4% rural median
Age 65+
18.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.7% of county personal income is Medicare/Medicaid medical benefits; 12.8% arrives as government transfers (BEA, 2022).

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