Astrelis
Urban PPS hospital · Chesterfield, MO

ST LUKES HOSPITAL

CCN 260179ST. LOUIS CountyVoluntary non-profit - PrivateUrban (USDA RUCC)356 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Chesterfield, MO. It ran an operating loss of 5.7% in FY25 on $583.3M of operating revenue. It held 239 days of cash on hand (87th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -13.8% in FY21 to -5.7% in FY25, though it fell 4.9 points in the most recent year. Including nonoperating items, the all-in result was positive at 8.3%.

Operating margin · FY25
-5.7%
4.9 pts vs FY24
vs Urban PPS hospitals30th pctl of 1,475 (FY25)
Days cash on hand · FY25
239d
all sources
8.4 days vs FY24
vs Urban PPS hospitals87th pctl of 1,386 (FY25)
Total operating revenue · FY25
$583.3M
0.0 $M vs FY24
vs Urban PPS hospitals75th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+8.3%
4.2 pts vs FY24
vs Urban PPS hospitals58th pctl of 1,475 (FY25)
One point of operating margin at ST LUKES HOSPITAL is about $5.8M per year (1% of FY25 total operating revenue).

Where ST LUKES HOSPITAL 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%ST LUKES -5.684202477285718%-20%0%+20%Urban PPS hospital median +1.3311360264910879%ST LUKES -5.684202477285718%
One urban pps hospitalST LUKESUrban 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
-5.7% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+8.3% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
239d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.00× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
74% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
57d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue573,743573,468573,468
Other operating revenue1,2509,8009,800
Total operating revenue574,993583,267583,267
Total operating expenses557,871588,120616,422
Operating income17,123(4,852)(33,154)
Operating margin %+3.0%-0.8%-5.7%
Grants & contributions1,7816,1276,127
Investment income35,88749,98849,988
Other non-operating, net29,54932,60132,601
Net income84,34083,86455,562
Net income %+13.1%+12.5%+8.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 356-bed hospital at 44% occupancy 65% 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
43.7%
Verified fact2025
HCRIS WS S-3
Average daily census
156.17
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
356
Verified fact2025
HCRIS WS S-3
Annual discharges
13,151
Verified fact2025
HCRIS WS S-3
Average length of stay
4.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
65.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,613
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.1%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.465
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
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)
0.93254
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-13.8%+2.3%+3.0%-0.8%-5.7%FY21FY22FY23FY24FY25
Days cash on hand
96 days253 days240 days248 days239 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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