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Hospitals’ operating margins improved from March to April but generally remain under siege as expenses rise and shifts in coverage, per Kaufman Hall’s latest monthly benchmark data. | “Mixed performance on key volume indicators, staffing challenges and expense growth” are hammering operations in 2026, and are accompanied by an eroding payer mix, per advisory firm Kaufman Hall.
Hospital margins hit 3.4% in April, yet YTD at 2.5%—30% below 2025's 3.6%; bad debt up 22%, non-labor expenses up 8%. Payer mix erosion and coverage shifts squeeze IT budgets, pushing CIOs to defer innovation and focus on operational cost control.
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