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charset=utf-8" /> <meta property="og:title" content="Health system operating margins declined in August" /> <meta property="og:description" content="It's the second consecutive month in which operating margins tightened, Strata's data shows." /> <meta property="og:image" content="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/doc_hospital_generic_Cavan%20Images_Getty%20Images_17_15.jpg" /> <meta property="og:url" content="https://www.healthcarefinancenews.com/news/health-system-operating-margins-declined-august" /> <meta property="og:site_name" content="Healthcare Finance News" /> <meta name="twitter:card" content="summary_large_image"> <meta name="twitter:site" content="@HC_Finance"> <meta name="twitter:title" content="Health system operating margins declined in August" /> <meta name="twitter:description" content="It's the second consecutive month in which operating margins tightened, Strata's data shows." /> <meta name="twitter:image:src" content="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/doc_hospital_generic_Cavan%20Images_Getty%20Images_17_15.jpg" /> <script language="JavaScript" type="text/javascript" src="//sadmin.brightcove.com/js/BrightcoveExperiences.js"></script><script src="https://munchkin.marketo.net/munchkin.js" type="text/javascript"> </script> <script>mktoMunchkin("922-ZLW-292"); 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Health systems nationwide saw operating margins narrow again for the month. The median year-to-date (YTD) health system operating margin dropped from 2.1% in July to 1.9% in August. 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Scripts, Caremark, OptumRx fight back in lawsuit against FTC聽"> <img class="top_story_thumbnail" typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/top_stories/public/FTCbuilding.RiverNorthPhotography.jpg?itok=bMzoExlT" width="120" height="72" alt="Express Scripts, Caremark, OptumRx fight back in lawsuit against FTC聽" /><span class="story-title">Express Scripts, Caremark, OptumRx sue FTC聽</span> </a> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="stickyParent system-main"> <section class="col-sm-8 col-xs-12"> <a id="main-content"></a> <div class="region region-content"> <div id="block-system-main" class="block block-system block-system-main clearfix" > <div class="content"> <article id="node-145387" class="node node-news clearfix col-md-12 col-sm-12 col-xs-12" about="/news/health-system-operating-margins-declined-august" typeof="sioc:Item foaf:Document" node="145387"> <header> <div class="created-topic"> <span class="submitted">Oct 02</span> <span class="topic">More on <a href="/resource-topic/budgeting">Budgeting</a></span> </div> <h1 class="node-title">Health system operating margins declined in August</h1> <h2 class="sub-header"> It's the second consecutive month in which operating margins tightened, Strata's data shows. </h2> <div class="author col-md-12 col-sm-12 col-xs-12"> <div class="author-item col-md-12 col-sm-12 col-xs-12"> <div class="editor col-sm-8 col-xs-12"> <div class="author-inline "> <div class="avatar" style="background: url(https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/avatar/public/Screen%20Shot%202015-11-24%20at%2011.54.19%20AM.png?itok=4riS_ibZ) center 0;"> <a href="/news/author/90301"><img src="/sites/healthcarefinancenews.com/themes/hfn/images/circle-over.png"></a> </div> <span class="author-name"><a href="/news/author/90301">Jeff Lagasse</a></span><span class="job-title"><strong>,</strong> Editor</span> </div> </div> <div class="social-media col-sm-4 col-xs-12"> <script type="text/javascript"> var addthis_share = { // ... other options url_transforms : { shorten: { twitter: "bitly" } }, shorteners : { bitly : {} }, passthrough : { twitter: { via: "HC_Finance" } } } </script> <script type="text/javascript">var addthis_config = {"data_track_addressbar":false};</script>  <script type="text/javascript" src="//s7.addthis.com/js/300/addthis_widget.js#pubid=ra-536be1326a353683" async="async"></script>  <div class="addthis_sharing_toolbox" data-url="https://www.healthcarefinancenews.com/news/health-system-operating-margins-declined-august"></div> </div> </div></div> </header> <div class="content" > <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><div class="companion_image companion_top"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/companion_top/public/doc_hospital_generic_Cavan%20Images_Getty%20Images_17_15.jpg?itok=MH3-uxsn" width="635" height="353" alt="" /><div class="image-field-credits"><p>Photo: Cavan Images/Getty Images</p> </div></div><p>Performance metrics were mixed for many healthcare organizations in August, with patient demand stalling as expenses continued to rise, according to <a href="https://www.stratadecision.com/monthly-healthcare-industry-financial-benchmarks/" target="_blank">new data</a> from Strata Decision Technology.</p> <p>Health systems nationwide saw operating margins narrow again for the month. The median year-to-date (YTD) health system operating margin dropped from 2.1% in July to 1.9% in August. At the same time, the median YTD operating margin for hospitals rose slightly from 4.8% in July to 4.9%.</p> <p>"This is the second consecutive month that we've seen operating margins tighten for the nation's health systems," <a href="https://www.stratadecision.com/article/health-system-operating-margins-decline-and-hospital-patient-demand-lags-in-august-according-to-new-strata-data/" target="_blank">said</a> Steve Wasson, chief data and intelligence officer at Strata Decision Technology. "As our largest healthcare organizations, these entities already struggle with thin operating margins and feel expense pressures on a magnified scale. While it's encouraging to see expense increases slow somewhat compared to the concerning spikes in July, they remain on the rise with no signs of stopping."</p> <p><strong>WHAT'S THE IMPACT?</strong></p> <p>Hospital operating margins saw minimal change compared to the prior year, with the median change in hospital operating margin rising just 0.9 percentage points from August 2023 to August 2024.聽</p> <p>Margin changes varied by region, with hospitals in the Northeast/Mid-Atlantic seeing the biggest decrease, at 1.1 percentage-point year-over-year (YOY), and hospitals in the South seeing the biggest increase, at 1.9 percentage points.</p> <p>Patient volumes dropped across most key metrics for the month, representing a return to declines seen in June after a rise in patient demand in July. Outpatient visits decreased 0.5%, observation visits were down 4.2% and emergency visits decreased 4.9% YOY.</p> <p>Inpatient admissions increased for the month at 3.5% YOY. From July to August 2024, inpatient admissions decreased 0.7%, but outpatient visits rose slightly, up 0.4%.</p> <p>Looking at patient volumes across different service lines, infectious disease had the biggest YOY increase, at 20.5%, due in part to recent increases in cases of pertussis, COVID-19 and other infectious diseases reported by the <a class="directory-item-link" href="/directory/centers-disease-control" target="_blank">Centers for Disease Control</a> and Prevention.</p> <p>Hospital expense increases eased somewhat compared to double-digit increases in July. Nonlabor expenses rose faster than labor expenses for the month, with total nonlabor expense up 6.2% YOY and total labor expense up 5.4% YOY. Total expense increased 6.2% from August 2023 to August 2024.</p> <p>Looking at specific nonlabor expenses, supply expense was up 5.5% compared to a 16.4% YOY increase in July. Drugs expense increased 4.6% YOY in August, versus 17.3% the prior month, and purchased service expense rose 12%, the same level as in July.</p> <p>Hospital revenues continued to rise across most metrics. Gross operating revenue and inpatient revenue both increased 6.1% while outpatient revenue was up 5.6% YOY. By region, increases in gross operating revenue ranged from 4.6% for hospitals in the Northeast/Mid-Atlantic to 7% for those in the Midwest.</p> <p><strong>THE LARGER TREND</strong></p> <p>Eighty four percent of health systems cited lower <a class="directory-item-link" href="/directory/reimbursement" target="_blank">reimbursement</a> from payers as a <a href="https://www.healthcarefinancenews.com/news/lower-reimbursement-linked-sagging-margins-healthcare-cfos-say" target="_blank">top cause of low operating margins</a>, according to a report published by <a class="directory-item-link" href="/directory/hfma" target="_blank">HFMA</a>.</p> <p>Higher labor costs are the biggest drivers of margin pressure according to 96% of health system CFOs, with 99% indicating that nursing is the top driver of labor shortages. Other roles such as lab technicians and radiology technicians are also experiencing shortages.</p> <p>Research from the Urban Institute <a href="https://www.healthcarefinancenews.com/news/hospitals-face-rocky-recovery-financial-health-aha-says" target="_blank">released in 2023</a> examined the financial vulnerability of hospitals and health systems throughout the pandemic. The study found that operating margins plummeted to negative 40% in April of 2020, underscoring how important federal support was for hospitals to remain financially viable during the pandemic.</p> <p>Last year many hospitals faced cash shortages brought on in part by labor costs and inflation, <a href="https://www.healthcarefinancenews.com/news/cash-shortages-plague-hospitals" target="_blank">according to</a> Plante Moran's Duane <a class="directory-item-link" href="/directory/fitch-ratings" target="_blank">Fitch</a>. Plante Moran works with hospitals on creating Centers of Excellence in one or two service lines to make sure they are optimizing performance in those lines.</p> <div style="position: relative; display: block; max-width: 100%;"> <div style="padding-top: 56.25%;"> <iframe allow="encrypted-media" allowfullscreen="" src="https://players.brightcove.net/1824526989001/default_default/index.html?videoId=6362330763112" style="position: absolute; top: 0px; right: 0px; bottom: 0px; left: 0px; width: 100%; height: 100%;"></iframe></div> </div> <p><em>Jeff Lagasse</em>聽<i>is聽editor of Healthcare Finance聽News.</i><br /><i>Email:聽<a href="mailto:jlagasse@himss.org" target="_blank">jlagasse@himss.org</a></i><br /><i>Healthcare Finance聽News is a聽<a href="https://www.healthcarefinancenews.com/directory/healthcare-information-management-and-systems-society" target="_blank">HIMSS</a>聽Media publication.</i></p> </div></div></div> </div>  <script type="text/javascript"> window.next_post_layout = 'default'; </script> <div class="related-content clear" class="col-md-12 col-sm-12 col-xs-12"> <div class="block webinars-block"> <div class="block-title">News</div> <div class="sliders"><div class="slide col-md-12 col-sm-12 col-xs-12" > <a target="" href="/news/healthcare-organizations-ask-hhs-delay-quality-measure-reporting-acos" title="Healthcare organizations ask HHS to delay quality measure reporting for ACOs"> <img class="thumbnail_300x134" typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/thumbnail_300x134/public/QualityReportingJoseLuisPelaez.jpg?itok=cAwVos3P" width="300" height="134" alt="Healthcare organizations ask HHS to delay quality measure reporting for ACOs" /> <span class="title">Healthcare organizations ask HHS to delay quality measure reporting for ACOs</span> </a> <span class="webinar-teaser">The American Hospital Association and American Medical Association are among the 11 organizations signing the letter.</span> </div><div class="slide col-md-12 col-sm-12 col-xs-12" style="display: none;"> <a target="" href="/news/ending-racism-healthcare-often-begins-medical-education-and-target-new-national-project" title="Ending racism in healthcare often begins with medical education - and is the target of a new national project"> <img class="thumbnail_300x134" typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/thumbnail_300x134/public/black_patient_doc_vaccine_FG%20Trade_Getty%20Images.jpg?itok=hUCNSPlz" width="300" height="134" alt="Ending racism in healthcare often begins with medical education - and is the target of a new national project" /> <span class="title">Ending racism in healthcare often begins with medical education - and is the target of a new national project</span> </a> <span class="webinar-teaser">Inequities can be found in every facet of the industry, but targeting medical students and residents can help stem the tide.</span> </div> </div> </div><div class="clear"></div></div> </article>  </div> </div> </div> </section> <aside class="col-xs-12 col-sm-4 col-md-4" role="complementary"> <div class="stickySpacer"> <div class="region region-sidebar-second"> <div id="block-multiblock-47" class="block block-multiblock block-enterprise-ads block-enterprise-ads-ads_box_right1-instance block-multiblock-47 clearfix" > <div class="block-title"><none></div> <div class="content"> <div id="ads_box_right1" class="enterprise-ads enterprise-ads-box" data-slot="box" data-pos="right1"></div> </div> </div><div id="block-multiblock-49" class="block block-multiblock block-enterprise-ads block-enterprise-ads-ads_box_mobile_mobi_box2-instance block-multiblock-49 clearfix" > <div class="block-title"><none></div> <div class="content"> <div id="ads_box_mobile_mobi_box2" class="enterprise-ads enterprise-ads-box-mobile" data-slot="box_mobile" data-pos="mobi-box2"></div> </div> </div><div id="block-multiblock-48" class="block block-multiblock block-enterprise-ads block-enterprise-ads-ads_box_right2-instance block-multiblock-48 clearfix" > <div class="block-title"><none></div> <div class="content"> <div id="ads_box_right2" class="enterprise-ads enterprise-ads-box" data-slot="box" data-pos="right2"></div> </div> </div><div id="block-multiblock-16" class="block block-multiblock block-block block-block-36-instance block-multiblock-16 clearfix" > <div class="content"> <div class="subscribe-block"> <h3>Breaking News. 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