Mass General Brigham, the state's largest health care system, remained on solid financial ground in 2024, a news release Wednesday showed, running counter to a drumbeat of concern that the state's hospitals are all in financial jeopardy. In all, the MGB system found itself $2 billion richer in the year ending in September, almost doubling the $1.2 billion net margin the system reported the year prior. Nearly all of the profit came from the system's investment portfolio, gains that largely exist on paper, whereas its core operations operated at nearly break-even. From just its core operations, the health system reported a $46 million operating margin.