Could health charities on the Island find themselves in trouble this year under Manx Care's new operating plan?
The document is due to be debated by Tynwald along with the Manx Care mandate later this month.
In the report, it says organisations including key charities could face financial problems because the cash isn't there to fully support them.
Manx Care says less money means less care - and could lead to needs not being met and providers facing financial sustainability issues.
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