OK...here's the result of all my research:
After Clinton's incorporation of managed care many hospitals started losing money - especially teaching hospitals. Of the approx. 125 medical schools, over 50 of them had to sell their hospitals to private no profit organizations or HMO type companies. These schools include, but are not limited to, Tulane, Penn, San Diego, GW, and Georgetown. Currently, both UCSF and Stanford are going under with their hospitals and have recently merged together in ownership of their hospitals - they're still losing money.
The reason G-town is cited as a prime example is because they not only let theirs get out of hand (250mill) but also breached tenure contracts with a majority of their professors by instituting a new law that stated a prof. had to bring in 50% of their income in research grants or they wouldn't be eligible for renewal of their contracts the following year. To top things off, after they sold their hospital to MedStar, the company laid off a number of tenured faculty and replaced them with clinicians of their own. G-towns debt is currently around 37mill and is on course to eliminate it. However, the school still faces a 15mill debt/year in research areas that it is trying to overcome.
Because of the breach of tenure contracts many faculty either left because they felt that the school lost sight of its original purpose (teaching) or went off to places where they felt free to pursue their research interests no matter the income it brought in. Also, many faculty have just up and left. I read one article that stated in 2000 G-town was ranked second in the nation's hospitals for cardiothoracic surgery survival rates and now ranks low on the list because their main physician (death rate less than 1%) was replaced by another physician with a higher death rate (4%, I think).
To top things off, the new President of the University, John J. DeGioia, recently appointed Dr. Sam Wiesel to the newly created position of Senior Vice President of the Medical Center and Dean of Clinical Affairs. He did this despite resounding faculty disapproval (170 to 0 vote against him) simply because Dr. Wiesel has connections with MedStar and the President thought this would best further the recent merger. Dr. Wiesel is currently being paid my MedStar and is making important decisions for the medical school which many feel is a conflict of interest.
In the end, it seems as if G-town has or is on it's way to securing the financial problems...but the problem with faculty leaving and now having a Dean that they aren't confident in is apparently creating a great deal of strife within the school of medicine.
As a student who is currently accepted to G-town I am, of course, interested in what the long term outcomes of this will be, and I have to take all of this into consideration when deciding which school to attend. However, we also need to take into perspective what we're talking about here. Georgetown is a ranked school that many feel get a unfair shake at USNews. Residency directors rank the school highly and, after all, it IS still Georgetown. If it falls from the ranks because of things like this, we need to realize that it is falling from the around the top. It's going to remain a great institution...and perhaps even come out stronger. Most of us would be fortunate and lucky to attend a school like G-town...after all, most of us are ending up at schools that don't even spark recognition or can't reach the (disputable) ranks of US News. Hope this helps.