SSM Health care, a parent company of St. Mary's Hospital and Dean, announced Thursday they will be making a 1 percent reduction in positions across the state.
A total of 146 positions have been eliminated but 108 of the positions were already vacant and will not be filled, officials said. That means 38 employees will be directly impacted.
SSM is cutting 586 jobs in four states, including 206 in the St. Louis region.
With the changing health care environment, officials said they found opportunities to improve services provided to patients by standardizing and consolidating some administrative areas and plan to organize departments more efficiently.
“While difficult, this new structure will allow SSM to be better prepared for upcoming changes in the health care industry, while continuing our focus on making the patient experience the best it can possibly be,” officials said in the release.
Officials said the changes and challenges they are facing include a shift of patients from the inpatient setting to the outpatient setting, reduced reimbursements from federal payors, increased bad debt and charity care as well as financial impacts from sequestration.
SSM employs more than 30,000 workers in Missouri, Illinois, Oklahoma and Wisconsin. More than 12,000 of those jobs are in the St. Louis area.
The SSM system includes 18 hospitals, two nursing homes, more than 150 outpatient sites and other units.