From Daniel McHale, Senior Vice President, Healthcare Finance & Policy

“While CHIA’s latest annual report shows most hospital systems were operating on thin or negative margins in FY25, providers are now bracing for a historically challenging road ahead. Major increases in uncompensated care, restrictions on fundamental financing supports, and growing administrative demands will collectively present the most disruptive wave of pressures hospitals have experienced. They come with alarming implications for not just provider organizations, but for patient access and affordability.

“CHIA’s FY25 results reflect critical state investments and the rigorous work hospitals have undertaken to prepare – but billions still hang in the balance in the immediate years ahead. Massachusetts has the power to soften at least some of these impacts through bold and collaborative policy action. Those are the solutions at the forefront of our hospitals’ advocacy today, with the wellbeing of their patients and caregivers at the center.”