CommonSpirit ‘focusing heavily’ on ambulatory development

Chicago-based CommonSpirit Health added eight ambulatory care sites across six states in the first quarter of 2025 (three months ended Sept. 30), CFO Dan Morissette said on the system’s Dec. 2 investor call. 

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Those additions come after the system added 56 ambulatory sites in fiscal 2024, which ended June 30.  

“We continue to work toward the reconfiguration of our care footprint, focusing heavily on ambulatory development, as well as investments in our markets where we are experiencing rapid growth,” Mr. Morissette said.  

CommonSpirit reported an operating loss of $331 million (-3.5% operating margin) in the first quarter of 2025, an improvement from a $402 million operating loss (-4.7% margin) during the same period last year. Mr. Morissette said that while the system has made many improvements, expenses are still growing at a faster rate than revenue. He said that the system has several value-capture initiatives in place that are expected to close the gap in the coming quarters. 

The system’s efforts to improve operating performance include volume growth, with an emphasis on expanding ambulatory services, improving network integrity, and capacity optimization for perioperative and imaging services. 

Another part of that plan is labor cost management through the deployment of standard department staffing models, as well as reduced contract labor expenses.    

“Q1 contract labor is 25% lower than last year’s average,” Mr. Morissette said. “The control procedures that we put around contract labor have paid off. We continue to monitor our contract labor so we can further reduce it.”

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