Main Line Health reported an operating profit of $8.7 million in the first half of fiscal 2026

Main Line Health had an $8.7 million operating profit in the six months that ended Dec. 31, the nonprofit health system reported to bond investors Wednesday.

Main Line’s swing from an $8.9 million loss in the same period of 2024 benefited from a change in accounting for depreciation that reduced expenses. Without that change, Main Line would have had another loss.

“We have been pleased with our continued improvement in fiscal performance year over year, which has been strong outside of the change in depreciation,” Main Line’s chief financial officer, Leigh Ehrlich, said in a statement.

Here are more details on Main Line’s results:

Revenue: Main Line reported $1.35 billion in patient revenue in the first six months of fiscal 2026, up 10.5% from $1.22 billion a year ago. Strong gains in hospital discharges, emergency department visits, and same-day surgeries contributed to the increase. Main Line’s Riddle Hospital near Media has seen a 36% increase in patients following the closure of Crozer Health’s hospitals last spring, contributing to revenue growth, Ehrlich said.

Expenses: Last year, Main Line changed how it accounts for investments in facilities and equipment, significantly reducing depreciation and amortization expenses. In the first two quarters of fiscal 2026, Main Line’s depreciation and amortization expense was $68.8 million, down from $84.5 million the year before. Excluding those expenses from both years, Main Line’s operating profit margin fell slightly, to 5.5% from 5.9%.

Notable: Main Line provides more detail that most systems on its patients’ health insurers. After just two years in Southeastern Pennsylvania, Pittsburgh insurance giant Highmark accounted for 12.5% for the business at Main Line Health. That is just 2 percentage points less than Aetna, which as been in the market for decades.