The BJC Hospital group is laying off 160 employees from it's 13 hospitals.
BJC officals say the lay-offs necessary because of a decline in in-patient care. The problem, they say, is that people are delaying treatments, some for lack of insurance, others because of high co-pays.
Layoff notifications started going out Wednesday.
Most of those affected work in administrative and management positions. BJC says those laid off will receive severance pay based on years of service.
The St. Louis Business Journal reports that BJC HealthCare wants to demolish four buildings near Forest Park to add one million square feet of office space. The work is set to begin sometime in late-summer and should be complete by the middle of 2014. Employees will start to move in by 2017.
Local contractors have been awarded the contract to complete the work of the next ten years.