Earlier quoted context omitted.
So 40% of employees aren't paid by the university system's academic arm, but by the healthcare section. 30% are academic staff, and 30% are support staff.
Even with the cost of medicine going through the roof, college kids don't incur a whole lot of medical costs on average. So it's surprising the university would need to spend so much there.
These are typically regular (teaching) hospitals, they serve the community not just the university.