I wouldn't sweaat the tuition thing too much. tuition is only going up by $2,000 next year (about the same amount as most schools). and the dean has told students that next year's increase should be even lower than that. plus, they are boosting financial aid at the same time to cover the losses. as for the hospital's finances, prettty much all hospitals lose money (and lots of it). however, a hospital's mission is to care for patients and conduct research so making money is not their first priority. if they wanted to turn a profit they could, but instead they've chosen to invest their earnings into building new labs and caring for underserved patients.