The Los Angeles County Board of Supervisors has approved a plan to keep open troubled Martin Luther King Jr./Drew Medical Center by merging its management with the stronger Harbor-UCLA Medical Center.

By March, King/Drew will become a smaller non-teaching acute care community hospital, to be called Harbor-MLK, and offer urgent care, emergency and expanded outpatient services. Certain specialties, such as pediatrics and neurosurgery, will relocate to the Harbor-UCLA campus starting Nov. 30.

The hospital currently has 180 beds and the plan calls for that number to drop to 42 initially and later climb to a 114 maximum. Officials would reassign surplus King/Drew staff members who have competent or better performance evaluations.

“These changes are complex and won’t happen overnight, but it’s a singular opportunity to redesign a better, more focused, more integrated health system,” said Los Angeles County Department of Health Services director and chief medical officer Bruce Chernof, in a statement.

The U.S. Centers for Medicare and Medicaid Services informed King/Drew and county officials last month that the hospital had failed a crucial inspection this summer and would lose $200 million a year in federal funding about half of its budget. The county plans to ask CMS to provide the $200 million for another year while the restructuring plan is implemented and add $50 million to help pay for it.