Evanston, Ill.-based Endeavor Health recorded an operating loss of $33.9 million (-0.5% operating margin) in 2025, an improvement from a $494.3 million loss (-8.3% margin) in 2024, driven by a significant reduction in legal settlement costs.
In 2025, Endeavor incurred $62.3 million in legal settlement costs, compared to $457.2 million in 2024, according to the system’s April 20 financial report. The system’s 2024 legal settlement costs included $453 million in settlements related to sexual abuse claims against a former physician.
Endeavor’s operating income before legal settlement costs was $28.5 million (0.4% margin), compared to an operating loss of $37.1 million (-0.6% margin) in 2024.
The system reported total revenue of $6.4 billion for the 12 months ended Dec. 31, up from $5.9 billion during the same period in 2024. Patient service revenue was $5.7 billion, up from $5.4 billion. Premium revenue was $189.8 million, up from $160.3 million.
Total operating expenses were $6.4 billion in 2025, up from $6 billion in 2024. Salaries and benefits totaled $3.4 billion, up from $3.2 billion. Supplies, services and other costs totaled $2.22 billion, up from $2.17 billion.
Endeavor reported a net income of $663.3 million in 2025, up from a net loss of $296.3 million in 2024.
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