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Children's hospital · St. Louis, Missouri · 467 beds · CMS certification number 263301

St. Louis Childrens Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 2, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$1.1B
$1,050,594,948 · G-3 line 3
Operating expenses
$916.3M
$916,259,647 · G-3 line 4
Result from patient care
$134.3M
$134,335,301 · G-3 line 5
Margin on patient care
12.8%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $141.0M in its first year on file (1996) to $1.1B in 2025.
  • Its result from patient care: $119.8M (2023), $80.2M (2024), $134.3M (2025).
  • 3 of the 5 children's hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 7.9% of its inpatient days and Medicare for 0.4%.

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

30 years of filings

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

Net patient revenueOperating expenses
1996
settled
$141.0M
$146.7M
1997
settled
$142.7M
$153.5M
1998
reopened
$158.7M
$166.7M
1999
settled
$179.9M
$186.5M
2000
settled
$186.7M
$198.2M
2001
settled with audit
$211.2M
$216.7M
2002
settled
$235.2M
$239.8M
2003
reopened
$245.4M
$250.3M
2004
reopened
$266.0M
$261.0M
2005
settled
$251.5M
$271.1M
2006
settled
$313.8M
$293.5M
2007
settled
$326.6M
$306.2M
2008
settled
$360.6M
$337.2M
2009
reopened
$399.1M
$371.3M
2010
settled
$412.8M
$390.1M
2011
settled
$421.7M
$402.9M
2012
settled
$436.4M
$419.7M
2013
settled
$482.5M
$457.9M
2014
settled
$513.2M
$503.5M
2015
reopened
$527.5M
$499.2M
2016
reopened
$563.8M
$529.3M
2017
settled
$609.6M
$573.1M
2018
settled
$668.9M
$625.5M
2019
settled
$756.8M
$674.2M
2020
settled
$779.9M
$714.3M
2021
settled
$830.5M
$772.0M
2022
settled
$886.1M
$829.5M
2023
as submitted
$1.1B
$939.2M
2024
as submitted
$1.0B
$965.0M
2025
as submitted
$1.1B
$916.3M

Beside its peers

Hospitals of the same type (children's hospital), nearest in size, from Missouri first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
St. Louis Childrens Hospital467$1,050,594,948$916,259,64712.8%
Arthur M. Blank Hospital, Atlanta (GA)446$1,485,394,884$967,827,86434.8%
Children's Hospital Colorado, Aurora (CO)486$1,812,066,823$1,876,657,094−3.6%
Boston Childrens Hospital, Boston (MA)473$2,321,231,420$2,851,848,579−22.9%
Children's Mercy Hospital, Kansas City329$1,572,516,769$1,075,770,39031.6%
Cook Children's Medical Center, Fort Worth (TX)452$2,088,394,363$1,746,063,31416.4%

Patients and payers

Discharges
12,305
S-3 line 14, col 15
Inpatient days
107,345
S-3 line 14, col 8
Beds in use, on an average day
294.9
days ÷ days in year
Occupancy
63.0%
days ÷ bed days
Medicare share of days
0.4%
S-3 cols 6 ÷ 8
Medicaid share of days
7.9%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: BJC HEALTHCARE (0%), home office; JOINT VENTURE (0%), communications.

Type of control on its cost report: voluntary nonprofit, other.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 263301. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 2, 2026.