Early Friday morning a middle-aged financial couple in Manhattan jumped to their deaths, with the husband, 53, leaving behind a suicide note indicating their despair over their inability to pay their medical bills.

The New York Post reported that the wife, 50, also left a suicide note, according to law enforcement. The husband’s note, which was typewritten, began, “WE HAD A WONDERFUL LIFE,” adding “Patricia and I had everything in life.” But the husband segued to writing of the couple’s “financial spiral” and how “we can not live with” the “financial reality.” He added contained words to the effect: “’We both have medical issues, we just can’t afford the health care.’”

The wife wrote, in part, “In sum and substance, ‘Our kids are upstairs, please take care of them.’”

The couple leaped from the 9th-floor window of a 17-story corner office building on Madison Avenue at roughly 5:45 a.m. on 33rd Street between Park and Madison avenues, according to police.