Mercy to lay off up to 350

Chesterfield-based Mercy Health says it is planning to lay off between 300 and 350 workers, starting next week.

The health-care system says the reductions will take place at Mercy facilities in four states, including Missouri, but officials did not specify the exact locations. The majority of the positions that are eliminated will be "leadership roles." Mercy has 40,000 total employees. About 2,500 are in leadership positions.

The company says issues related to the Affordable Care Act and the lack of Medicaid expansion in Missouri —and other states — are some of the key reasons for the layoffs.

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