In recent years, the hospital has revised the ability for people to apply for charity care, and much of that has been helped by the Affordable Care Act.
Hospital officials are seeing people who don't have enough insurance for a catastrophic event, and people who don't have insurance because of unemployment.
The jobs lost were in departments including finance, materials management, sterile processing, radiology and staff services. The administration has reduced its workforce about 15 percent in recent months.