USATODAY: A job engine sputters as hospitals cut staff.

Total private hospital employment is still up by 36,000 over the past 12 months, but it’s down by 8,000 since April and more staff reductions are expected into next year.

This month, Indiana University Health laid off about 900 workers as part of a move to trim its budget by $1 billion over five years. Vanderbilt plans to eliminate 1,000 jobs by year-end to help shave operating costs 8% a year. And the Cleveland Clinic is offering buyouts to 3,000 employees as it shaves its annual operating costs by $330 million.