CentraCare, one of Minnesota's largest health systems and the operator of the St. Cloud Hospital, is laying off 535 workers amid growing financial strain.

In an email Tuesday, CentraCare spokesperson Karna Fronden said the health system has made "difficult but necessary staffing adjustments" in order to "safeguard the organization's stability and to continue delivering high-quality care."

The reductions spans 44 locations and mostly affect administrative and support roles, though 30% of the positions eliminated are patient care roles, according to Fronden.

"CentraCare is responding to significant external pressures including rising costs and reimbursement rates that no longer cover the true cost of care," she wrote.

According to Fronden, the total number of affected team members will c

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