Vanderbilt University Medical Center has cut an unspecified number of jobs across departments at the academic medical center.
Vanderbilt spokesman John Howser told The Tennessean the cuts were not considered layoffs. Howser said Vanderbilt, one of the city's largest private employers, was taking steps to address workplace performance.
The cuts came as Vanderbilt began its new fiscal year July 1 under pressure from federal spending cuts and much uncertainty around the Affordable Care Act, including whether Tennessee will eventually approve Medicaid expansion.
Two months ago, Vanderbilt cited "unprecedented financial challenges" posed by the federal budget sequestration when it announced measures to help make up for a $20 million shortfall by its recent fiscal year end on June 30.