Recent reports indicate that large health systems are showing profits and improved margins post-pandemic, but misconceptions about their financial stability persist. Healthcare leaders like Dr. Craig Kent of UVA Health and Lyndon Edwards of Loma Linda University Medical Center highlight that despite overall sector growth, hospital margins remain thin due to rising supply, pharmaceutical, and labor costs. Much of the substantial healthcare spending goes to pharmaceutical companies and insurers rather than hospitals. Safety-net hospitals particularly struggle, often operating at negative margins, while financial disparity within the healthcare sector deepens. Ongoing financial challenges are amplified by increasing patient acuity and mental health needs, necessitating innovative financial support models to sustain healthcare delivery.