10 health systems and their debt levels

A number of healthcare and hospital systems detailed their levels of debt when reporting recent financial results. Here is a summary of some of those systems' reports in May, plus debt totals calculated by ratings agencies:

  1. Roseville, Calif.-based Adventist Health reported $2.4 billion of long-term debt as of Dec. 31. The 23-hospital system revealed a $241 million operating loss for 2022 on May 5.

  2. Cleveland Clinic said it had long-term debt totaling $5 billion when it reported first quarter operating income of $32.3 million. Overall income at the 20-hospital system totaled $335.5 million compared with a loss of $282.5 million in the first quarter of 2022.

  3. Danville, Pa.-based Geisinger Health had long-term debt of $1.7 billion as of March 31. The eighth-hospital system reported an operating loss of $36 million on revenue of $1.8 billion in the first quarter.

  4. Main Line Health had long-term debt of $626 million as of March 31. The Radnor Township, Pa.-based four-hospital system reported an operating loss of $114.4 million for the nine months ending March 31.

  5. Marshfield (Wis.) Clinic said its long-term debt rose $30.5 million as it reported a $32.6 million operating loss in the first quarter. The 11-hospital system is working with consultants to save an estimated $185 million a year.

  6. Rochester, Minn.-based Mayo Clinic said it had long-term debt totaling almost $4 billion as of March 31 when it reported an operating gain of $149 million on revenue of $4.3 billion in the first quarter.

  7. Providence had $7.8 billion of long-term debt as of March 31. The Renton, Wash.-based system reported a $345 million operating loss in the first quarter on revenue of $6.8 billion.

  8. Livonia, Mich.-based Trinity Health revealed long-term debt totaling $6.8 billion as of March 31, when the 88-hospital system reported an operating loss of $283.5 million May 26. Operating revenue totaled $15.9 billion for the nine months ending March 31.

  9. Louisville, Ky.-based UofL Health had $444 million of debt, S&P Global said May 24 when revising the system's outlook to negative. The six-hospital system had days of cash on hand totaling 42.8 as of March 31.

  10. Yale New Haven (Conn.) Health revealed $1.7 billion in outstanding debt as Moody's downgraded a series of bonds for the five-hospital system May 5. Such debt could increase from the system's agreement in October to acquire the assets of three hospitals and ancillary providers from Prospect Medical Holdings, Moody's said.

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