Insights

Insights for health-system leaders

Research, briefings, webinars and events from Elaria Agentic.

Flagship report · October 2026

The State of America’s Academic Medical Centers, 2026

Patient care, education and research run on one pool of dollars. This report looks at the margins, liquidity and ratings pressure behind America’s academic medical centers.

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221academic medical centers profiled across 45 states and DC
1.9%median operating margin among the 119 with reported financials
20%of those 119 posted a negative operating margin

Source: Elaria Agentic analysis of 221 academic medical centers, compiled October 2026.

Resources for executives
Links go to the publishing agency or vendor. Elaria Agentic is not affiliated with Amazon Web Services, HHS, CMS or NIST; a BAA with any vendor is executed by your organization, not by Elaria Agentic.
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