UC San Diego Health is cutting 230 positions.
Officials say the cuts represent one-point-five percent of its staff of more than 14 thousand employees.
"The decision was made solely in response to mounting financial pressures caused by federal impacts to health care, regulatory uncertainty and rising costs of providing care combined with reimbursement rates from Medicare, Medicaid and insurers that fail to keep pace with the true cost of care," the statement read, in part.
UC San Diego Health isn't alone when it comes to cuts to medical staff. Reductions in personnel are being experienced by health care systems across the county.
A spokesperson for UCSD said "UC San Diego Health is proud of its long history of providing steady employment to tens of thousands of San Diegans. "