Lifers with Christina Farr Niyum Gandhi, CFO of Mass General Brigham & Mike Desjadon, CEO of Anomaly: Why hospitals are increasingly falling into the red
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Feb 3, 2026 Niyum Gandhi, CFO of Mass General Brigham — healthcare finance leader steering strategy for a major system. Mike Desjadon, CEO of Anomaly — longtime operator who helps health systems adopt innovation. They dig into why hospitals are running in the red, rising expenses vs. revenue, how AI and productivity might help, and what health systems look for when evaluating startups.
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Relationship Began By Fixing A Mess
- Mike and Niyum met while repairing a relationship between Mount Sinai and an advisory firm.
- Their rapport began when Mike admitted mistakes and focused on fixing the partnership, not selling more services.
From Consultant To Health System CFO
- Niyum moved from consulting into operations after a CEO told him, 'I hate consultants' but wanted him for a population health role.
- He accepted a CFO role later despite no accounting classes, emphasizing strategy over technical accounting.
Structural Gap Between Costs And Revenue
- The expense trend for health systems is rising faster than revenue due to policy choices and labor-driven inflation.
- That structural gap explains why many hospitals moved into the red starting in 2022 and 2023.
