Mass General Brigham suffered a net loss of $948m in Q3, a huge contrast to Q3 last year, which saw an $870m net gain.

The recent loss, that brought their operating expenses total to $4.4bn, seems to be the result of a combination of incredibly high staff wage costs, up 11% (including temporary staff), and a 10% increase in Employee Benefits costs.

The loss is, however, in line with other larger non-profit providers, with Kaiser Permanente at $1.3bn net loss and Sutter Health at $457m net loss. 

The higher costs along with a challenging investment market make it a real challenge to balance the finances.