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Short-term acute care hospital · St. Louis, Missouri · 147 beds · CMS certification number 260210

St. Alexius Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2022, settled, stamped by CMS May 6, 2026. Twenty years on file, every one shown below.

Fiscal 2022 at a glance

Net patient revenue
$45.4M
$45,434,531 · G-3 line 3
Operating expenses
$63.1M
$63,101,192 · G-3 line 4
Result from patient care
−$17.7M
−$17,666,661 · G-3 line 5
Margin on patient care
−38.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $19.7M in its first year on file (2002) to $45.4M in 2022.
  • Its result from patient care: −$13.2M (2019), −$4.4M (2021), −$17.7M (2022).
  • 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 2022.
  • Medicaid paid for 32.0% of its inpatient days and Medicare for 24.5%.

Every statement is drawn from figures on this page; nothing is estimated.

Twenty years of filings

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

Net patient revenueOperating expenses
2002
reopened
$19.7M
$25.4M
2003
settled with audit
$47.8M
$47.9M
2004
reopened
$85.3M
$93.9M
2005
reopened
$95.8M
$96.4M
2006
reopened
$84.8M
$85.8M
2007
settled with audit
$78.2M
$79.9M
2008
settled
$72.7M
$73.4M
2009
settled with audit
$74.2M
$74.1M
2010
settled with audit
$84.1M
$82.5M
2011
settled with audit
$78.0M
$80.6M
2012
settled
$76.6M
$80.9M
2013
settled
$58.1M
$63.2M
2014
reopened
$53.7M
$54.4M
2015
settled
$51.8M
$58.5M
2016
settled
$52.5M
$62.8M
2017
settled
$49.4M
$60.3M
2018
reopened
$43.4M
$54.5M
2019
reopened
$38.1M
$51.2M
2021
settled
$52.2M
$56.6M
2022
settled
$45.4M
$63.1M

Beside its peers

Short-term acute care hospitals in Missouri with 100 to 199 beds, each on fiscal year 2022.

HospitalBedsNet patient revenueOperating expensesMargin
St. Alexius Hospital147$45,434,531$63,101,192−38.9%
Cox Medical Center Branson, Branson144$217,337,184$219,090,744−0.8%
Mercy Hospital Washington, Washington140$187,086,292$166,376,97111.1%
SSM Health St. Clare Hospital - Fenton, Fenton180$225,465,778$219,237,2552.8%
SSM Health St. Joseph Hospital - Lake Saint Louis, Lake St. Louis179$208,382,457$205,163,8231.5%
SSM Health St. Marys Hospital Jefferson City, Jefferson City167$137,100,440$177,094,750−29.2%

Patients and payers

Discharges
2,143
S-3 line 14, col 15
Inpatient days
10,284
S-3 line 14, col 8
Beds in use, on an average day
28.3
days ÷ days in year
Occupancy
19.2%
days ÷ bed days
Medicare share of days
24.5%
S-3 cols 6 ÷ 8
Medicaid share of days
32.0%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: proprietary, corporation.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2022.ZIP, form CMS-2552-10, filed under CMS certification number 260210. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2022.ZIP, read May 6, 2026.