For some value of "running at a loss", i.e. where you interpret that as "would run at a loss if it weren't for donations and bequests".

Given the nature of their business, donations and bequests do not strike me as an anomalous source of revenue. I do plan on asking for more information on the nature of these revenues before signing up.

However, this is an issue quite separate from the viability of the patient care trust, which is set up to keep suspendees as they are even in the case of a failure of the "main business".