The gap is widening in 2025.
Scale and geography are deciding winners—and straining the rest.
Key takeaways from this month’s data:
• Operating margins are up 4% YTD vs. 2024 overall, but results are uneven.
Healthcare Dive
• By region: South +21%, Midwest +15%, West +9% vs. Northeast/Mid-Atlantic −6% and Great Plains −7%.
Becker’s Hospital Review
• By size: 300–499 beds +31%, 500+ +23%, 100–199 +28%—while 0–25 beds −1.7%.
Becker’s Hospital Review
➡️ Credit: Becker’s Hospital Review summary of Kaufman Hall’s latest National Hospital Flash Report.
Becker’s Hospital Review
What this means for hospital leaders
If you’re a smaller facility or in a tougher region, you’re battling structural headwinds—non-labor costs, drug inflation, and payer mix—while larger systems are leveraging scale to out-execute.
How Bileddo Associates helps you outperform
We specialize in leadership that moves margins in 6–12 months:
• Revenue & Payer Strategy: Managed care / rev-cycle leaders with proven net-rate wins to “mind the gap.”
• Quality, Safety & Compliance: Directors who reduce penalties, length of stay, and premium labor.
• Operations Turnaround: Periop, ED, and inpatient leaders who stabilize throughput and case mix.
• Right-fit for your footprint: We tailor shortlists by region and bed size—what works for a 400-bed flagship won’t cut it for a 50-bed rural hospital.
Why clients choose us
• Curated, on-spec slates in days—not weeks.
• Track record placing leaders who deliver measurable EBITDA lift.
• Confidential, white-glove process aligned to your board-level goals.
DM “FLASH” and we’ll share 2–3 leaders who’ve delivered these results for hospitals like yours—plus a quick plan to hit your next margin target.
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