Hospitals across the United States continued their long recovery from the financial disturbance of the early 2020s, with April data with the “National Hospital Flash Report” of the Cofman Hall with an “National Hospital Flash Report” mixed but cautiously optimistic approach.
Depending on data from more than 1,300 hospitals collected by Stratea Decision Technology, the report shows that the year-on-year operating margin is 63% above 2022, the performance of the month slipped and the margin has dropped from year to year, highlighting the delicate of recent benefits. Operating Ebitda Margin followed a similar pattern, falling 2% month and 4% year year on a month.
Regional trends tell the story of uneven speed. The areas of South and Great Plains posted the strongest operating margin improvement year till date-with long-term benefits from 8% and 11% -2022 or more than 60%. In contrast, the Northeast/Mid-Atlantic hospitals saw a 16% decline a month despite showing a healthy improvement year. The western region stood for an increase in 7% operating margin in April, the strongest monthly advantage in all regions, although its year-on-year performance still lagged behind in 2024.
The size of the hospital also played an important role in financial flexibility. The most important year-by-margin growth occurred in large hospitals, where the operating margin increased from 18% to 117% in the early 2024 and 2022 respectively.
However, these similar institutions experienced a decline of sharp margin from March, especially in the 300–499-bed range, where the operating margin fell 16% in just one month. Small hospitals remained under pressure, with a month-month performance and year-on-year decline, underlining financial stress on rural and independent facilities.
Here is complete data:
operating margin
Month with month: -1%
Year year: -3%
Year to date vs 2024: 6%
Date vs 2022: 63%
Operations ebitda margin
Month with month: -2%
Year on Year: -4%
Year to date vs 2024: 2%
Date vs 2022: 36%
Western
operating margin
Month on month: 7%
Year year: -7%
Year to date vs 2024: -7%
Year to date vs 2022: 62%
Operations ebitda margin
Month month: 2%
Year year: -10%
Year to date vs 2024: -6%
Year to date vs 2022: 45%
Midwest
operating margin
Month month: 3%
Year year: -7%
Year to date vs 2024: 2%
Date vs 2022: 51%
Operations ebitda margin
Month with month: 1%
Year year: -11%
Year to date vs 2024: -2%
Year to date vs 2022: 27%
South
operating margin
Month with month: -7%
Year year: 2%
Year to date vs 2024: 8%
Year to date vs 2022: 89%
Operations ebitda margin
Month with month: -6%
Year year: -1%
Year to date vs 2024: 6%
Date vs 2022: 52%
Northeast / Middle Article
operating margin
Month with month: -16%
Year year: -11%
Year to date vs 2024: 8%
Date vs 2022: 57%
Operations ebitda margin
Month with month: -9%
Year on Year: -5%
Year to date vs 2024: 5%
Year to date vs 2022: 20%
great Plains
operating margin
Month month: 12%
Year on Year: -6%
Year to date vs 2024: 11%
Date vs 2022: 64%
Operations ebitda margin
Month with month: 1%
Year on Year: -4%
Year to date vs 2024: 8%
Date vs 2022: 25%
25-99 beds
operating margin
Month month: 0%
Year on Year: -6%
Year to date vs 2024: -6%
Year to date vs 2022: 58%
Operations ebitda margin
Month month: 0%
Year year: -10%
Year to date vs 2024: -1%
Year to date vs 2022: 49%
100-199 beds
operating margin
Month month: 0%
Year year: -2%
Year to date vs 2024: 2%
Year to date vs 2022: 47%
Operations ebitda margin
Month with month: -4%
Year year: -3%
Year to date vs 2024: 3%
Year to date vs 2022: 43%
200-299 beds
operating margin
Month with month: 1%
Year year: 3%
Year to date vs 2024: 8%
Date vs 2022: 55%
Operations ebitda margin
Month month: 2%
Year year: 3%
Year to date vs 2024: 3%
Date vs 2022: 34%
300-499 beds
operating margin
Month with month: -16%
Year year: 3%
Year to date vs 2024: 18%
Year to date vs 2022: 97%
Operations ebitda margin
Month with month: -12%
Year year: 1%
Year to date vs 2024: 12%
Date vs 2022: 56%
500+ beds
operating margin
Month on month: 4%
Year year: -3%
Year to date vs 2024: 2%
Date vs 2022: 117%
Operations ebitda margin
Month month: 2%
Year year: -3%
Year to date vs 2024: -6%
Date vs 2022: 117%
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