Ascension today announced its financial results for the fourth quarter and full fiscal year ended June 30, 2025 (Q4 FY25 and FY25), reporting net income of $918 million. These results reflect the organization’s continued progress in advancing operational performance, expanding access to care, and strengthening its ability to serve communities in alignment with its Mission.
During FY25, Ascension reported a recurring operating loss of $410 million, with a Q4 recurring operating loss of $29 million, a $1.4 billion improvement compared to Q4 FY24. Total operating loss for the year was $491 million, significantly improved from the $1.8 billion operating loss reported in FY24.
Recurring operating EBIDA reached $837 million for the fiscal year, representing an EBIDA margin of 3.3%. Additionally, the organization's days cash on hand increased to 228, up 34 days from 194 at the end of FY24, further reinforcing financial stability and resilience.
Ascension’s focus on expanding access and improving patient outcomes is reflected in rising volumes across its acute care facilities. Same-facility daily volumes have increased 5-7% since Q4 FY24, driven by strategic investments in ambulatory services, service line development, and community-based care. A 2.3% improvement in same-facility length of stay despite a 1.6% increase in acuity highlights more efficient, timely care delivery, helping patients return home sooner while maintaining quality outcomes. The organization also continues to enhance the patient experience through digital transformation and streamlined operations, making healthcare more accessible and easier to navigate. Patient satisfaction and trust remain strong, reflected in an all-time high Net Promoter Score (NPS) that held at record levels throughout the year.
“Our FY25 results reflect the disciplined execution of our strategy and the progress we have made across the organization,” said Eduardo Conrado, President of Ascension. “That discipline is driving efficiency, strengthening operations, and positioning Ascension for sustained growth. Strategic initiatives, from expanding ambulatory and specialty services to investing in digital capabilities, are helping us meet patients where they are while elevating our overall performance. This progress gives us the momentum to deliver on our Mission in new and better ways and to continue providing high-quality care to more people, in more places.”
In FY25, Ascension delivered a total of $3.4 billion of community benefit: $1.7 billion in care for persons living in poverty and other community benefit programs and an additional $1.8 billion of unreimbursed support for Medicare patients as Ascension aims to bring health, healing and hope to all.
Delivering on its Mission, the organization advanced major growth initiatives to expand access and specialty services. In June, Ascension agreed to acquire AMSURG, adding more than 250 ambulatory surgery centers in 34 states to increase outpatient care in gastroenterology, ophthalmology, and orthopedics. The Lucas Family Brain and Spine Hospital opened in Indianapolis, offering advanced stroke and neurovascular treatment. In Tulsa, Ascension St. John became the city’s first Level 1 Trauma Center, and in Florida, the Dispensary of Hope expanded to Pensacola to provide uninsured patients with free medications for chronic conditions and to reduce preventable hospital visits.
Ascension also implemented new programs in 2025 that combined innovation with direct community impact. A new digital nudge campaign uses text messages to prompt patients to address preventive care needs before primary care visits, helping close gaps, improve follow-through, and make clinician conversations more productive. The newly launched Clinical Innovation Institute is developing and implementing technology solutions to improve outcomes, streamline workflows, and expand access to research.
As part of its ongoing commitment to meeting community needs, Ascension advanced initiatives to reduce barriers to health. In Nashville, Ascension Saint Thomas hosted the Medical Mission at Home, where more than 950 volunteers provided free medical, dental, vision, behavioral health, and pharmacy services to 860 uninsured and underinsured residents in a single day—part of a program that has served more than 25,000 Tennesseans since 2008. In June, Ascension Illinois partnered with the Greater Chicago Food Depository’s mobile produce program to deliver fresh fruits and vegetables directly to neighborhoods, increasing access for residents facing food insecurity.
The dedication of Ascension’s associates continues to drive the organization forward. Rising retention reflects a workplace that values professional growth and supports associates, creating a stable, mission-focused workforce. This consistency strengthens patient relationships and delivers care from experienced teams who know their communities.
“The $1.3 billion year-over-year improvement in operating results was driven by stronger patient volumes, improved labor productivity, and careful management of non-labor expenses,” said Saurabh Tripathi, Executive Vice President and Chief Financial Officer of Ascension. “We have been intentional in directing resources toward initiatives that generate measurable impact, from service line growth to process redesign, while also ensuring both stewardship and sustainability. This combination of operational discipline and strategic investment increases our flexibility to expand access, enhance services, and ensure the commitment to our Mission.”
Ascension ends FY25 with momentum, a strong financial position, and a clear path forward. Strategic investments in ambulatory expansion, specialty services, digital innovation, and community partnerships are broadening access to care and elevating the patient experience. Coupled with record associate retention, these strengths position the organization to sustain high-quality, compassionate care while continuing to adapt and grow to meet the evolving needs of the communities it serves.
