Ascension, CommonSpirit and Trinity see finances rebound

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The largest nonprofit health systems, Ascension, CommonSpirit Health and Trinity Health, saw their financial performance begin to bounce back in fiscal year 2021 after the COVID-19 pandemic hurt performance a year earlier. 

Ascension, a 146-hospital system based in St. Louis, reported net income of $5.7 billion on revenue of $27.2 billion in the fiscal year ended June 30. The health system posted a net loss of $1.04 billion on revenue of $25.3 billion a year earlier. Though Ascension ended the most recent fiscal year with higher revenue, operating income and net income, its stronger financial performance wasn't tied to higher patient volume. Hospital admissions, emergency room visits and urgent care visits declined year over year because of surges of COVID-19 and patient hesitation to seek care, the system said. 

Chicago-based CommonSpirit Health, which operates 140 hospitals, reported net income of $5.2 billion on revenue of $33.3 billion in fiscal year 2021. The health system posted a net loss of $551 million on revenue of $29.6 billion a year earlier. CommonSpirit said a one-time sale of joint venture shares and funds received through the Coronavirus Aid, Relief and Economic Security Act pushed the system's income higher in the most recent fiscal year.

Trinity Health, a 92-hospital system based in Livonia, Mich., reported net income of $3.9 billion on revenue of $20.2 billion in the most recent fiscal year. The health system posted a $75.5 million net loss on $18.8 billion in revenue a year earlier. The revenue growth was primarily attributed to a $1.3 billion year-over-year increase in net patient service revenue, which Trinity said was caused by payment rate increases and improvements in case mix.

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