MetroHealth’s operating margin swings from -1.4% to 5.5% in H1

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Cleveland-based MetroHealth System recorded operating income of $63 million (5.5% operating margin) in the first half of 2026, up from an operating loss of $13.9 million (-1.4% margin) during the same period last year, according to its financial report for the six months ended June 30. 

Four things to know: 

1. MetroHealth reported total operating revenue of $1.2 billion for the first half of 2026, a 12.6% increase year over year. Net patient service revenue rose 16.6% year over year to $824.5 million. Other revenue increased 3.6% to $327.7 million.

2. Total operating expenses were $1.1 billion for the six-month period, a 5% increase year over year. Salaries and wages totaled $473.5 million, a 3% increase year over year, while employee benefits rose 7% to $138.7 million. Pharmaceutical expenses increased 10.4% to $185.9 million, and other expenses rose 46.3% to $60.8 million. Purchased services expenses declined 12.7% to $69.2 million.

3. Discharges at the medical center increased 4.9% year over year to 13,573, while patient days declined 2.3% to 75,462. Average length of stay fell to 5.6 days from 6 days a year earlier. Systemwide, emergency visits declined 5.3% to 74,022, and total outpatient visits fell 1.7% to 702,248.

4. MetroHealth reported net income of $65.6 million in the first half of 2026, compared with a net loss of $11 million during the same period last year.

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