In a state where nearly 1 in 2 residents struggles to afford care, New York’s largest hospital systems are quietly stacking billions in reserves and expansions.
“New York’s nonprofit hospitals collectively reported operating margins of over $2.5 billion in 2021—at the same time that medical debt lawsuits surged and patient costs soared.”
— Community Service Society of NYLet’s be clear:
– These are tax-exempt nonprofits
– That are suing low-income patients
– While reporting record surplusesMeanwhile, employers and union plans keep getting hit with 300–800% markups… and no visibility into where the money goes.
It’s not just broken. It’s backwards.
This is Post 7 of 10 in our daily series breaking down what’s wrong with NY healthcare — and how providers, purchasers, and patients can drive real change.
Full CSS Report: directcarenyc.com/wp-content/uploads/2025/04/012925_NYS_Overview_Brief_V7.pdf
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