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. The layoffs will be "focused on non-clinical and non-patient facing roles,

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.

Wentworth-Douglass Hospital was not spared from layoffs by Mass General Brigham as it cited an anticipated "budget gap" of $250 million.

Mass General Brigham plans to lay off hundreds of employees over the next two months as part of a broader restructuring effort to address a significant budget deficit. In a statement released Monday,

Mass General Brigham announced layoffs for hundreds of administrative and management employees on Monday in anticipation of a $250 million budget gap, an unprecedented decision for Massachusetts’ largest private employer.

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,