Non-profit hospitals’ operating margins fell from a median of 2.8 percent in 2016 to 1.9 percent in 2017, according to Fitch Ratings.

Non-profit hospitals’ profitability also declined.

Despite this, Fitch finds that these hospitals have strong balance sheets, with cash on hand and cash-to-debt ratios rising in the past year.  It warns, though, that continuing declines in operating margins could eventually threaten those healthy balance sheets.

Learn more about Fitch’s analysis in this summary of its ratings report.