While there might not have been sufficient financial pressure for the sprawling 12-hospital system to overcome the hurdles of integration before, there certainly is now.

At the second largest Massachusetts hospital system, Beth Israel Lahey, president and CEO Kevin Tabb saw a reported 25% pay decrease between 2020 and 2022, according to tax documents reported through GuideStar. Though his compensation dropped to $2.8 million in 2022, it briefly spiked to $5.3 million in 2021.

BOSTON - Mass General Brigham, the largest health care system in Massachusetts, announced layoffs Monday that will affect hundreds of workers, citing a $250 million projected budget gap.

Its flagship academic medical centers in Boston, Massachusetts General Hospital and Brigham and Women’s Hospital, anchor a health care hub that is arguably the best in the country, if not the world. Reimbursement rates from insurers are growing more slowly than expenses.

Mass General Brigham attributed the layoffs to an expected budget shortfall of $250 billion over the next two years.

Mass General Brigham announces layoffs to address a $250 million budget deficit, focusing on non-clinical roles, aiming for efficiency and a resilient future.

The layoffs could potentially impact employees at 12 hospitals under the MGB umbrella: While executives say the sweeping cuts are aimed at management and administrative-level employees with no impact on front-line workers, Boston University School of Public Health’s David Rosenbloom suspects the changes could reach patients.

Mass General Brigham announced mass layoffs aimed to bridge a $250 million budget gap projected over the next two years in a letter to employees Monday — meaning potentially hundreds of

Nonprofit giant Mass General Brigham will be laying off numerous nonclinical employees to close major budget shortfalls. | The major nonprofit system declined to put a number on the cuts and consolidations,

Out gay former Secretary of Transportation Pete Buttigieg and out lesbian Michigan Attorney General Dana Nessel are Michigan's leading candidates in an early U.S. Senate primary poll. The Kansas City Chiefs probably didn't expect to get clobbered by the Philadelphia Eagles during Sunday night's Super Bowl in New Orleans.