In a second layoff in three months, Sinai Hospital has given pink slips to about 20 management employees, including the vice presidents for marketing and human resources and four directors.
The new reductions, which have been rumored for the last week, were confirmed yesterday by Paul Umansky, the public and community affairs director for the city's third largest hospital.
Jan. 18 was the last day of work for some of the employees affected. Others are still working, but are expected to leave this Friday.
"We're restructuring the organization of the hospital's upper echelon," said Umansky. "The work that was done by those who have been laid off in many cases will be absorbed by others."
Umansky, a veteran Sinai employee, was recently returned to his former job as public and community relations director after his two immediate supervisors -- the vice president for marketing and director of media relations -- were dropped.
Since Nov. 7, the northwest Baltimore hospital has laid off 100 employees in a belt-tightening move designed to help it recover from the effects of an occupancy rate that dropped 12 1/2 percent last year.
"When there aren't as many people in the hospital, you no longer need a staff that was built around bigger numbers of patients," said Umansky. "There will be additional layoffs, but I can't tell you how many because I don't know. We are determined to run an efficient hospital."
Last October, the hospital's then-vice president for human resources said that as many as 200 of Sinai's 3,000 employees could lose their jobs before the belt-tightening would end.
In November, across-the-board cuts primarily hit 80 lower-level employees, sparing hospital administrators, physicians and nurses. Umansky said he did not know whether the cuts ultimately would affect doctors and nurses.
Although Umansky was reluctant to discuss the management cuts because he said he did not know the details, sources said the directors of admissions, volunteers and social services were among those most recently affected by the continuing paring of positions.
Last July, in a move to cut costs, all Maryland hospitals began to reduce their patients' lengths of stay -- the number of days patients are allowed to remain in hospitals, Umansky said.
Umansky stressed that Sinai, now in its 125th year, is not at present in "a bad financial situation" and that the steps now being taken are "to make sure we don't end up that way."
Meanwhile, Sinai also has launched a nationwide search for a new president.
Dr. B. Stanley Cohen, 68, is leaving the presidency after five years, but will remain in the hospital in clinical practice, Umansky said. Christopher Dadlez, the hospital's chief operating officer, is in charge of the day-to-day operation of the hospital.
"Dr. Cohen is tired of the presidency. He wants to do other things, but he has said he will remain in it until a new chief executive officer is found," Umansky said.