The health system that operates Nassau University Medical Center is projecting a $167.1 million deficit in its 2026 budget, according to documents posted online, in what new leadership has called a "conservative approach" to the new year.

The budget, adopted unanimously by the institution's board of directors Tuesday night, does not factor in funding from the state since it's unclear how much it would be. The projections follow years of financial decline and a vicious dispute between the county and state over the management of what is the only safety-net medical care center for the poor and uninsured in Nassau.

The losses are on par with an analysis by the global accounting firm Deloitte that forecast growing annual operating deficits of more than $213 million by 2029 without a turnaro

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