key words: financial trouble, MSSM, mount sinai
excerpts for posterity's sake:
"Barely a year after taking office on a pledge to restore the Mount Sinai Medical Center to economic health, its chief executive, Dr. Kenneth I. Berns, is leaving his post, and up to 500 health care workers will be laid off in a hospitalwide shake-up, administrators said yesterday."
"The job cuts, which will take effect within the next few weeks, come on top of the loss of about 430 positions already cut over the last year, as the hospital ? long one of the nation's premier teaching hospitals and an imposing presence on Manhattan's Upper East Side ? has struggled with problems in its finances, its administration and its medical reputation.
"Mount Sinai has more than 11,000 employees."
"Administrators said the leadership change and the job cuts reflected two deep but very different problems at Mount Sinai."
"Reducing the staff, the administrators said, is part of a yearlong reorganization process to help stem steep financial losses, which are partly the result of rising costs from insurance, drugs and emergency preparedness, especially after the terrorism attacks of Sept. 11, 2001.
"The change in administration, they said, addresses the core nature of the institution. In many ways it represents the final refutation of the merger with N.Y.U. Medical Center in 1998, which is widely regarded within the hospital industry, and within Mount Sinai, as a failure.
"The merger separated the medical school and the hospital, a change that also separated the functions of research and patient care. Under Dr. Davis, they will once again be reunited under one head, as they were for most of Mount Sinai's history.
"This will really bring the medical school and hospital into a unified position, where we were before the merger," Dr. Rosenberg said. "After the merger they were separately administered, and that didn't work."
Mount Sinai is certainly not alone among New York hospitals in facing money troubles. Industry experts say those problems are likely to deepen this year as the fiscal crisis in Albany ripples out, especially through proposed cuts in reimbursement under the Medicaid system, which helps hospitals care for the poor.
For Mount Sinai, though, the struggle has been harder and longer. The death early last year of a partial-liver donor from an infection, partly because of what investigators said was inadequate medical supervision, led the state to order the hospital to suspend transplants for six months. At the same time, the hospital began closing clinics, laying off workers and imposing new cost controls in hopes of containing its financial losses.
Hospital industry experts said the job cuts announced yesterday, while partly reflecting Mount Sinai's specific situation, could very likely be echoed at other hospitals in the months ahead as losses continue across the industry.
"This is evidence that the concern about the financial stress being felt by New York City hospitals is real," said James R. Tallon Jr., the president of the United Hospital Fund, a research and philanthropic group based in Manhattan. "It certainly demonstrates that in the hospitals, we're dealing with both smoke and fire."

ok that was almost the entire article, but i think its pretty important for folks in the future (i.e. tomorrow when you wont have access to this article) to be able understand whats going on with MSSM financially, its relationship with NYU and future concerns for the financial health of hospitals.