Many schools, hospitals and libraries are struggling to accommodate rising need.
Some hospitals are struggling to come up with the money for these investments.
A continuing surge in the number of Hispanic laborers with no health insurance is one reason the hospitals are struggling.
The city's seven hospitals were also struggling to cope with a flood of injured people.
Crumbling public hospitals are struggling to treat patients who often face long waits.
While Tenet's competitors have not had as bad a year, the for-profit hospitals are struggling.
Many hospitals are struggling with a nursing shortage that began in the late 90's, administrators said.
In 1995, the hospital was struggling with losses that resulted in layoffs.
Officially the property of the King from that point in history, the hospital struggled to survive and eventually closed in 1548.
After operating for half a year, the hospital is now struggling to surmount heavy costs and health care problems.