Acute Hospital Profitability Decreased by 1.6 Percentage Points From Prior Year, CHIA’s Latest Report Finds

DATE: September 25, 2025

CHIA has released the annual Massachusetts Hospital and Health System Annual Financial Performance Report for hospital fiscal year (HFY) 2024. CHIA found that overall acute hospital profitability, as measured by median total margin, was 0.6 percent in HFY 2024—a decrease of 1.6 percentage points from 2023. The statewide acute hospital median operating margin was -2.0 percent in HFY 2024, decreasing by 2.2 percentage points from HFY 2023.

Along with profitability metrics, the report includes the liquidity and solvency of acute hospitals and their hospital health systems as well as the profitability of affiliated physician organizations. For the first time, this report also includes profitability data for non-acute hospitals, which comprise behavioral health, chronic care, rehabilitation, and specialty non-acute hospitals. Read More.....