Livonia, Mich.-primarily based Trinity Overall health, a single of the biggest nonprofit wellness systems in the nation, reported an operating loss of $283.five million for the initially nine months of its fiscal year up to March 31.

The loss, which integrated a reduction of $137.two million from pandemic-connected provider relief funds compared with the very same period in 2022, also compared with an operating achieve of $139.7 million in 2022.

Operating revenues and costs elevated year more than year with acquisitions through the period accounting for significantly of that, Trinity Overall health stated. Operating income totaled $15.9 billion for the nine months when costs totaled $16.two billion.

The 88-acute-care-hospital program continues to face challenges connected to staffing and provide charges.

“Downward stress on fiscal year 2023 margins was additional driven by controlled expense development that is nevertheless outpacing income development, mainly premium labor prices and inflation with important price tag increases impacting supplies,” management stated in the filing.

Salaries, wages and employee advantage charges, excluding the effect of acquisitions and the Dec. 21 sale of St. Francis Healthcare Center, rose $171.two million, or two.two %, the program stated. Such acquisitions through the period integrated the acquire of Davenport, Iowa-primarily based Genesis Overall health Technique on March 1 and of Des Moines, Iowa-primarily based MercyOne on Sept. 1.

General earnings totaled $912.five million compared to $99.three million in the very same period ending March 31, 2022, driven mainly by significantly enhanced investment returns, totaling $457.three million in the period.

Days of money on hand totaled 180 as of March 31, 2023, versus 237 a single year earlier, and the system’s extended-term debt totaled $six.eight billion.