Penn Highland Elk Regional Health Center in central Pennsylvania is cutting 43 jobs and reducing hours for 25 other workers.
Officials tell The Bradford Era that 28 workers are being laid off and 15 other jobs are being cut through attrition.
The cuts are supposed to save $2 million a year.
The cuts come after years of falling revenues at the hospital in St. Marys, about 100 miles northeast of Pittsburgh.
Penn Highlands Healthcare CEO Raymond Graeca says lower patient volumes and falling reimbursements from insurance companies drove the move. He also says regulatory issues, and other costs associated with President Barack Obama's Affordable Care Act reforms are hurting the hospital's bottom line.
The hospital had previously instituted a hiring freeze and efforts to limit overtime and discretionary spending to save money.
