Providence’s latest round of layoffs will leave a mark at two of the region’s largest hospitals. 

The multistate hospital operator and health care provider will lay off 57 workers, according to a letter to the state’s Employment Security Department, a requirement of the Worker Adjustment Retraining Notification, or WARN, Act. The letter did not indicate what was driving Providence to shed workers. 

The layoffs are expected to be permanent and will take effect Jan. 20. Two management-level positions based in the Corrado Medical Building at Kadlec Regional Medical Center are among the cuts, as well as two at St. Mary Medical Center in Walla Walla. 

Job reductions include managers such as a chief nursing officer and executive directors, administrative workers such as secretaries and administrative coordinators and those with direct patient care responsibilities such as dietitians and nurse practitioners. Pharmacy services had staff reductions at multiple locations as did finance office staff. 

Other layoffs occurred in Aberdeen, Centralia, Everett, Liberty Lake, Monroe, Olympia, Renton, Seattle, Spokane and Vancouver. One remote worker in Washington state was also let go. Affected employees are eligible to apply for open positions at Providence facilities.  

In mid-October, Kadlec laid off the full-time equivalent of 5.5 staff working in physical, speech and occupational therapy at the Kadlec Healthplex. That followed Providence cutting 60 positions from its operations in and around Spokane in August.  

Providence officials have said those cuts were necessary amid financial pressures, particularly the cuts to Medicaid and loss of federal subsidies for Affordable Care Act marketplace insurance plans coming to an end.