Hospital Year-to-Date Performance Reporting

Overview

Hospitals and the health systems to which they belong play an important role in the Massachusetts health care system and are critical to achieving the Commonwealth’s goals of controlling costs while improving the quality of care delivered. CHIA monitors and provides meaningful analysis on Massachusetts hospitals and hospital health systems through a variety of metrics and studies; search “financial metric” in the glossary for all metric definitions and formulas.

Starting with HFY 2025, the year-to-date financial dashboard has been expanded to include additional data on hospital health systems and interactive views of the graphics previously published in the quarterly PDF reports. In addition, the databook has been enhanced to include new features and more accessibility to filter and compare entities.

REPORT MATERIALS (September 2026)
Enhanced Databook (data through 6/30/2026) (Excel)
Data through June 2026

Key Findings

3.7%

median statewide acute hospital total margin

The median statewide acute hospital total margin (3.7%) increased from the prior fiscal year while the median operating margin (1.6%) was stable.

75%

of hospitals with positive total margins

Similar to the prior fiscal year, three-fourths of hospitals reported positive total margins and more than half reported positive operating margins as of June 30.

81%

of health systems with positive total margins

Among health systems, 17 (81%) reported positive total margins, similar to the prior fiscal year; 7 (33%) reported positive operating margins, lower than last fiscal year.

7.8%

increase in aggregate operating revenue

Aggregate total operating revenues and expenses both increased for acute hospitals statewide compared with the same period last year, rising 7.8% and 6.7%, respectively.

Interactive Dashboard

Data through 6/30/2026

Updated October 9, 2026

Archived Year-To-Date Reports

Recommended Links

Hospital/Health System Annual Performance

Review annual financial and operational performance data for Massachusetts hospitals and hospital health systems, including revenue, expenses, and utilization.

Read more

Hospital Profiles

View standardized performance profiles for Massachusetts acute and non-acute hospitals, including financial metrics, utilization data, and operational indicators by fiscal year.

Read more

Hospital and Health System Financial Performance Data Submissions

Find submission requirements and instructions for hospitals reporting financial performance data to CHIA, including quarterly and annual filing specifications.

Read more