CCN 260176ST. LOUIS CountyProprietaryUrban (USDA RUCC)45 bedsLatest FY 2025
Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Operating margin: -4.3% in FY2024, the 31st percentile of 2,517 urban pps hospitals in the FY2024 pool. Days cash on hand: 82 days in FY2024, the 70th percentile of 2,445 urban pps hospitals in the FY2024 pool. Total operating revenue: $82.9M in FY2024, the 17th percentile of 2,558 urban pps hospitals in the FY2024 pool. Total margin (including nonoperating): -3.3% in FY2024, the 18th percentile of 2,517 urban pps hospitals in the FY2024 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY21, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in St Louis, MO. It ran an operating loss of 4.3% in FY24 on $82.9M of operating revenue. It held 82 days of cash on hand (70th percentile of 2,445 Urban PPS hospitals on liquidity, FY24 pool). Operating margin declined from -10.9% in FY21 to -29.0% in FY25. These figures come from filings spanning FY21–FY24: read each by its own year rather than as one current picture.
Operating margin · FY24
-4.3%
Astrelis calculation · as-filed inputs
▲ 10.2 pts vs FY23
vs Urban PPS hospitals31st pctl of 2,517 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY24
82d
all sources
Astrelis calculation · as-filed inputs
▲ 51 days vs FY23
vs Urban PPS hospitals70th pctl of 2,445 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$82.9M
Astrelis calculation · as-filed inputs
▲ $4.0M vs FY23
vs Urban PPS hospitals17th pctl of 2,558 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
-3.3%
Astrelis calculation · as-filed inputs
▲ 10.4 pts vs FY23
vs Urban PPS hospitals18th pctl of 2,517 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at ST LUKE'S DES PERES HOSPITAL is about $829K per year (1% of FY24 total operating revenue).
Where ST LUKE'S DES sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,517 of 2,652 filed
Each point is one Urban PPS hospital in the national FY24 distribution for Urban PPS hospitals, this hospital's comparison cohort, 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 FY24 median is +2.1%. Descriptive context only, not a ranking.
One urban pps hospitalST LUKE'SUrban 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
-40d (FY21) — outside expected range; computed from the filed statement and not ranked against peers
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25 · 395 days
Patient revenue
77,701
81,727
69,904
Other operating revenue
1,221
1,200
1,015
Total operating revenue
78,922
82,926
70,919
Total operating expenses
90,352
86,527
91,494
Operating income
(11,431)
(3,601)
(20,576)
Operating margin %
-14.5%
-4.3%
-29.0%
Other non-operating, net
542
834
214
Net income
(10,889)
(2,767)
(20,361)
Net income %
-13.7%
-3.3%
-28.6%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Net patient A/R: 12,880K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY24 · Net patient A/R: 13,343K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY23 · Net patient A/R: 13,110K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY22 · Net patient A/R: 13,515K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY21 · Net patient A/R: -8,184K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))
How it operates
quality & operational context · CMS public reporting
A 45-bed hospital running at 27% occupancy, where 75% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
26.5%
Reported value2025
HCRIS WS S-3
Average daily census
11.96
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
45
Reported value2025
HCRIS WS S-3
Annual discharges
1,437
Reported value2025
HCRIS WS S-3
Average length of stay
3 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$19,364
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$63,670
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
75.0%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
286.90
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.6%
Reported value2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.296
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.9
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.010604
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
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).
Illustrative advocacy scenario: what this hospital means to St. Louis County
Illustrative estimate · FY25 cost report
Direct annual spending
$91.5M
total operating expense · Reported value, not a local-capture estimate
Labor income
$31.4M
$26.4M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$210.4M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.1%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY24Astrelis calculation
Operating margin vs its peer pool: FY24 pool · n = 2,517.
Report coverage: Historical Facility Benchmark. 14 of 17 facility measures available from public sources. This CCN is terminated. The report benchmarks the record's final filed years against their own contemporaneous peer pools and says so on every exhibit; no current-year comparison is implied. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
The record's final filed years, benchmarked against the peer pools of their own era and labeled so on every exhibit.
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Cite this page
release 2321a4fc37a7 · 2026-10-22
Astrelis Atlas, "St Luke's Des Peres Hospital", https://astrelis.co/hospitals/260176, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/260176.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
