Four years of deficits are on the horizon for the Whanganui District Health Board.
The DHB, which has had a history of financial challenges, has released its fiscal forecasts in its statement of intent.
They show the DHB is facing annual deficits of between $2.9 million and almost $3.6 million over the next four years.
The DHB says its operating costs, exacerbated by an ageing and highly deprived population, are increasing beyond inflation adjustments to its funding.
It acknowledges the current path of deficit funding isn't sustainable and says its aim is to become financially sustainable over the next three years.