Labor costs and volume disruptions drove declines in operating margins for nonprofit hospitals and health systems in fiscal 2022, Moody’s Investors Service reported yesterday based on preliminary medians data from 132 health systems. Cash balances also declined, in part due to investment losses and repayment of federal Medicare loans, while covenant violations and near-violations escalated. 

“Given this distribution and the continued difficulties in the healthcare operating environment, we expect our final 2022 medians results to worsen,” the report notes.

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