Oregon Health & Science University (OHSU), the state's only academic medical center, is turning a profit after years of losses. After losing over $130 million last fiscal year, the university has posted a $65 million operating gain over the past nine months, putting the university at roughly $103 million ahead of budget. The turnaround is driven by a surge in more lucrative complex cases, patients with serious conditions who need highly specialized care. The university's strategy involves expanding services that bring in more money like cancer care, negotiating higher payments from insurers, slowing hiring, and keeping costs in check. However, some workers have argued that this strategy may shift priorities towards more profitable treatments at the expense of research and access. The hospital has also seen increased bone marrow transplants and major surgeries, with cancer services up 32% from last year and expects more patients to attend.