The hospital giant, one of the state's top employers, “is acting now” to close the $250 million budget gap over the next two years.

The layoffs were slated to stem projected financial shortfalls and are occurring as part of an ongoing consolidation of the state's largest health care system.

The parent company of Martha’s Vineyard Hospital has announced another round of layoffs across its hospital system, though details of how the Island institution has been impacted remain unclear.  CEO Anne Klibanski sent out a letter on Monday morning notifying staff of the second bout of layoffs,