Kaiser Permanente and Risant Health reported combined operating revenues of $127.7 billion for 2025, up from $115.8 billion in 2024. Operating income reached $1.4 billion, yielding a 1.1% operating margin, compared to $569 million and 0.5% the previous year. The organisations faced rising care delivery costs driven by high demand for complex care and expensive prescription medications. Net income totalled $9.3 billion in 2025, down from $12.9 billion in 2024, which included $6.8 billion from Risant Health's acquisitions of Geisinger and Cone Health. Combined membership stood at nearly 13.1 million as of 31 December 2025. Capital spending reached $4.8 billion, including investments in earthquake safety compliance and facility improvements. The organisations contributed $5.3 billion to community health programmes, including $192 million in grant funding.

Cone Health has been acquired by Risant Health, a nonprofit created by Kaiser Permanente in 2023. The Greensboro-based health system completed the transaction after receiving regulatory approvals. This acquisition, structured as a member substitution, makes Risant the sole owner of Cone Health. Cone Health CEO Dr. Mary Jo Cagle stated that this move will enhance their mission of providing better care at lower costs. Risant Health previously acquired Geisinger in the spring.