The Ledger

578 million dollars: that is what CommonSpirit Health lost from operations in a single quarter this year, the financial backdrop against which nurses at one of its Northern California hospitals picketed this week over plans to cut maternity and cancer-infusion staff. Registered nurses at Sierra Nevada Memorial Hospital in Grass Valley, California, held an informational picket the morning of August 6, 2026, after CommonSpirit Health sent notices in June proposing to eliminate five nursing positions from the hospital’s Family Birth Center and two from its Ambulatory Treatment Center, which delivers chemotherapy, immunotherapy, antibiotics and blood products, alongside cutting the treatment center’s hours, which currently extend past 5 p.m. on weekdays and cover weekends. The California Nurses Association and National Nurses Organizing Committee, which represents roughly 250 nurses at the hospital and more than 17,000 across 33 CommonSpirit facilities nationwide, said some nurses received texts asking them to pick up extra Family Birth Center shifts the same morning they picketed against cutting that unit’s staff. Dignity Health, CommonSpirit’s operating brand in California, said in a statement that hospital operations were not affected and that caregiver and patient safety remain its highest priority. The picket is the third wave of CommonSpirit workforce actions this newsletter has tracked since August 3, after 57 confirmed layoffs at Bakersfield Memorial Hospital and a proposed 82 more at California Hospital Medical Center in Los Angeles, as the nonprofit system works through an operating loss that reached 578 million dollars, a 5.8 percent margin, in its fiscal third quarter alone, pushing its nine-month operating loss to roughly 743 million dollars by trade press estimates. Confidence: High on the picket, staffing proposal and union figures, corroborated directly by the union’s own release and local reporting citing Dignity Health’s statement, and on the fiscal third quarter loss, which comes directly from CommonSpirit’s own release; Medium on the nine-month cumulative loss figure, which this run found only in trade press arithmetic on CommonSpirit’s reported quarterly figures rather than a company-stated total. Sources: Sierra Nevada Memorial Hospital nurses to protest CommonSpirit layoffs and reduction in services, National Nurses United, Sierra Nevada Memorial Hospital nurses protest CommonSpirit proposed layoffs and reduction in services, YubaNet, CommonSpirit Releases FY26 Third Quarter Financial Results, CommonSpirit Health, per reporting by Supply costs, payer challenges drag CommonSpirit Health to -5.8% operating margin in fiscal Q3, Fierce Healthcare.

73.4 million dollars: that is the adjusted EBITDA a healthcare staffing giant posted last quarter, up 26 percent, the clearest sign yet that the travel nurse market that cratered in 2024 has found a floor. FRONTIER SCAN. AMN Healthcare Services, the largest US healthcare staffing firm, reported second quarter 2026 results August 6, 2026: revenue of 673.2 million dollars, up 2 percent year over year, adjusted diluted earnings per share of 0.77 dollars, up 158 percent, and adjusted EBITDA of 73.4 million dollars, up 26 percent. The company’s Nurse and Allied Solutions segment, its largest, grew revenue 11 percent to 422 million dollars as travel nursing volume rose 10 percent and allied staffing volume rose 8 percent year over year, the second straight quarter of year over year volume growth after a two year slide; the average number of travelers on assignment climbed to 9,194 from 8,700 a year earlier. AMN guided to 640 to 655 million dollars in third quarter revenue, growth of 1 to 3 percent, far below the pandemic era boom years but the company’s clearest read yet that hospitals have finished cutting their reliance on travel labor and are stabilizing staffing budgets. Confidence: High. The figures come directly from AMN Healthcare’s own earnings release. Source: AMN Healthcare Announces Second Quarter 2026 Results, AMN Healthcare Investor Relations.

18 million dollars: that is the profit a Medicare focused primary care enabler posted last quarter, a swing of more than 120 million dollars from a year ago, even as the number of patients on its platform shrank by one in ten. agilon health, which partners with independent primary care groups to take on full financial risk for Medicare Advantage patients, reported second quarter 2026 revenue of 1.49 billion dollars, up 7 percent year over year, net income of 18 million dollars, reversing a 104 million dollar net loss in the second quarter of 2025, and adjusted EBITDA of 70 million dollars, up from negative 83 million dollars a year earlier; medical margin swung to positive 197 million dollars from negative 53 million dollars. Total platform membership fell 10 percent to 549,000 from 614,000 a year earlier, which the company attributed to “a disciplined approach to contracting focused on profitability, previously disclosed market exits, and a measured approach to growth” rather than lost accounts. agilon raised full year 2026 guidance to 5.775 to 5.86 billion dollars in revenue and 75 to 95 million dollars in adjusted EBITDA. Confidence: High. The figures come directly from the company’s own earnings release. Source: agilon health Reports Second Quarter 2026 Results, Business Wire.

25 million dollars: that is the new financing an AI powered remote care company just landed, aimed at chronic care monitoring programs already running inside 200 health systems including AdventHealth and Ascension. HealthSnap, a vendor of AI powered virtual and chronic care management software, secured a 25 million dollar senior secured growth financing facility led by Eastward Capital Partners, disclosed August 6, 2026; strategic investors in the round include health system partners Sentara Health, Tampa General Hospital and UnityPoint Health. The company says its platform now supports more than 80,000 active remote monitoring patient programs, projects more than 100,000 by year end, and has grown revenue more than fivefold over three years, with 40 percent year over year revenue growth and 47 percent year over year EBITDA improvement; proceeds will refinance existing debt and fund AI development and commercial expansion of its Advanced Primary Care Management platform. Confidence: High. The figures come directly from HealthSnap’s own release. Source: HealthSnap Secures $25 Million Growth Financing to Accelerate AI-Powered Virtual Care Management Leadership, PR Newswire.

THE DEAL SHEET

No other new healthcare transactions turned up in this run’s scan of PE Hub, Axios Pro Rata, FTC and DOJ merger actions, and state transaction-review dockets over the last 24 to 48 hours; weekend dealmaking is typically quiet and the docket should pick back up Monday.