NHS Grampian is being given a Scottish government loan of more than £67m to tackle its overspend.
The funds come on top of an existing government loan for 2023/24, and will bring the total amount loaned to the health board to £92.2m.
In a statement NHS Grampian said there were "many factors" contributing to its financial position.
These included increased staff costs, increased running costs, the growing cost of providing healthcare, and a rise in the number of over-65s and those aged under 17.
The board said the overspend came despite "significant economies and efficiencies" that resulted in £46.2m of savings being delivered to February 2025.
It is understood the health board will receive increased investment of £170.4m from 2024-25, including additional funding for prior-year pay deals and support for frontline services.