Cleveland Clinic reports $18 billion in 2025 operating revenue as volumes and margins improve

Financial results presented with an emphasis on access, staffing pressure and systemwide investment

Cleveland Clinic’s operating revenue reached $18 billion in 2025, President and CEO Dr. Tomislav Mihaljevic said during the health system’s annual “State of the Clinic” address delivered on January 26, 2026. The organization also reported nearly 16 million patient encounters in 2025 and an operating margin exceeding 4%, signaling a markedly stronger year compared with 2024.

The 2025 figures follow a period in which many hospitals and health systems have faced persistent inflation, workforce shortages and reimbursement strain. In 2024, Cleveland Clinic generated nearly $16 billion in revenue and reported a 1.7% operating margin. The new results indicate both higher volumes and improved operating performance year over year.

What the numbers suggest about operating conditions

In the address, Mihaljevic framed the system’s performance in the context of pressures affecting healthcare delivery: limits on access, caregiver shortages and the need to provide care more efficiently. Cleveland Clinic’s 2025 results were presented as part of a broader strategy focused on patient care delivery, workforce support, digital transformation and growth.

Financial performance has been uneven across the year for many health systems, and Cleveland Clinic’s publicly discussed updates have reflected that dynamic. A financial update in late 2025 highlighted higher patient volumes and improved operating income during one quarter, while also noting rising expenses tied to labor and pharmaceuticals.

Expansion plans and near-term projects

Mihaljevic highlighted projects and planning that extend beyond Northeast Ohio, reflecting Cleveland Clinic’s multi-state footprint. Among the initiatives discussed were a new cancer center and medical office building planned to open in the second quarter of 2026 at Fairview Hospital, the start of fundraising toward a new hospital in West Palm Beach, Florida, and a planned expansion of the Richard E. Jacobs Campus in Avon, Ohio.

• New cancer center and medical office building at Fairview Hospital, opening targeted for Q2 2026
• Fundraising launched for a new hospital in West Palm Beach, Florida
• Planned expansion of the Richard E. Jacobs Campus in Avon, Ohio

Technology and operational priorities for 2026

The address also described a continuing push toward digital tools, including the use of artificial intelligence intended to connect and enhance care processes. Looking to 2026, Mihaljevic emphasized priorities centered on safety, quality and patient experience, including documentation, harm prevention and efforts aimed at strengthening trust.

“Powerful technologies, like artificial intelligence, will help deliver care more affordably to more people at a greater scale,” Mihaljevic said during the address.

Cleveland Clinic’s update arrives as hospital leaders nationally continue to balance cost growth, staffing constraints and patient demand. The 2025 results provide one indicator of how the system is positioning itself for that environment while pursuing expansion and operational changes across its network.