Louisville, Ky.-based UofL Health reported a $9.5 million operating loss ( -0.3% margin) in fiscal 2026, ending June 30, a sharp improvement from an operating loss of $60.8 million (-2.2% margin) last fiscal year, according to a Nov. 4 audit report shared with Becker’s.
Five things to know:
1. As of June 30, UofL Health’s long-term debt totaled $399.8 million and net assets were $692.5 million.
2. The system reported $2.94 billion in operating revenue in fiscal 2026, up 7.7% from last year.
3. Effective July 1, 2025, the University of Louisville, UofL Hospital, UofL Health — Louisville and Shelbyville, Ky. — and UofL Physicians entered into a new master affiliation agreement, restructuring and restating each party’s existing agreements. The MAA’s initial term is five years and may be renegotiated June 30, 2030.
4. Operating expenses increased 5.7% to $2.95 billion, up from $2.79 billion in fiscal 2025. The largest increase came from expenses under the new affiliation agreement, which rose to $111.8 million from $7.5 million.
5. UofL Health ended the year with roughly $2.2 billion in total assets and approximately $378.7 million in cash and unrestricted investments. Days cash on hand increased to about 47.8 days from about 39.5 days in 2025.
