The past few weeks have been difficult for Franciscan Hospital for Children's chief executive officer Paul DellaRocco. First, he asked all of the Massachusetts-based hospital's employees to take a pay cut of 2% to 3%. Then he delivered another blow, laying off 40 people. Franciscan has operated largely in the shadow of larger institutions like Boston Children's Hospital or the Floating Hospital for Children at Tufts. Located in Brighton, the small hospital is now operating with $16 million less in funding this year due to state budget cuts.