The health care provider that owns and operates Kadlec Regional Medical Center has laid off workers at four of its facilities outside the Mid-Columbia area ostensibly due to several financial pressures. 

Providence’s Inland Northwest division will close DominiCare, its home care service, and the orthopedic physical therapy clinic at St. Joseph’s Hospital in Chewelah. It will also close the orthopedic physical therapy clinics at Spokane’s St. Luke’s Rehabilitation Medical Center and Spokane Valley’s Providence Medical Park. All told, Providence will cut 60 jobs at those locations, with last days of service in early October. 

“Like other health systems, Providence is responding to multiple pressures facing health care, including state and federal cuts to Medicare and Medicaid, added costs resulting from state legislative policies, ongoing denials and delayed payments from commercial insurers, higher labor costs, and higher costs for pharmaceuticals and supplies due to inflation and tariffs,” Providence said in a statement. “These headwinds will only intensify when the cuts to vital safety-net programs that were included in the recently passed HR1, also known as the One Beautiful Bill Act, go into effect.” 

A Worker Adjustment and Retraining Notification, or WARN, notice from the state Employment Security Department, indicated additional layoffs in Colville and Seattle brought the total job losses to 126. 

The latest round of cuts comes on the heels of reports of 600 jobs laid off across the Providence system earlier this summer in tandem with moves such as hiring freezes.