Ascension vs. Trinity vs. CommonSpirit: How the big 3 compare financially

St. Louis-based Ascension, Chicago-based CommonSpirit and Livonia, Mich.-based Trinity Health are the three largest Catholic nonprofit healthcare systems in the country, operating a total of 370 hospitals.

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All three systems recently reported their latest financial results, and all three were deep into the red regarding operating losses. Ascension (140 hospitals), Trinity Health (88 hospitals) and CommonSpirit (142 hospitals) all reported full-year results for the fiscal year ending June 30.

Here is a side-by-side comparison of some of their latest financial numbers by different categories:

Revenue

CommonSpirit: $34.5 billion ($33.9 billion 2022)

Ascension: $28.35 billion ($27.98 billion 2022)

Trinity: $21.6 billion ($19.9 billion 2022)

 

Operating loss

CommonSpirit: $1.39 billion ($1.29 billion 2022)

Ascension: $3 billion ($879.2 million 2022)

Trinity: $431.6 million ($206.3 million 2022)

 

Labor expenses (including benefits)

CommonSpirit: $18.3 billion ($18.2 billion 2022)

Ascension: $14.3 billion ($14.4 billion 2022)

Trinity: $11.99 billion ($11.1 billion 2022)

 

Net income

CommonSpirit: $259 million loss ($1.85 billion loss 2022)

Ascension: $2.5 billion loss ($1.9 billion loss 2022)

Trinity: $959.7 million ($1.4 billion loss 2022)

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