Dartmouth Health Cuts 124 Jobs, 303 Open Positions

Dartmouth Health, the eight-hospital system based in Lebanon, N.H., laid off 124 employees and canceled 303 open positions, the organization announced Sept. 15, according to Becker's Hospital Review. The cuts hit its flagship Dartmouth Hitchcock Medical Center in Lebanon and Dartmouth Hitchcock Clinics Southern Region, and include consolidating roles across the system.

The move fits a broader pattern. Academic medical centers and large health systems have been trimming staff and pausing hiring as they contend with high labor costs, thin margins, softening reimbursement, and uncertainty around federal funding. Eliminating open positions alongside active layoffs lets systems cut spending while limiting the number of workers directly affected.

For Dartmouth Health, the largest private employer in New Hampshire, the reductions signal continued financial strain even at well-regarded academic institutions. The consolidation of roles suggests leadership is restructuring operations rather than making isolated cuts, a sign that cost discipline is likely to persist into the coming budget cycles.