GREENSBORO, N.C. (AP) — Cone Health announced Wednesday that it's laying off 150 workers to help cut $30 million from its budget.

President and chief operating officer Terry Akin said the health care provider will eliminate a total of 300 jobs over the next three months. Of those jobs, 150 are vacant, he said.

"This has impacted types of positions that cut across the organization at all levels," Akin said, "and we've done our very best to minimize impact on patient care."

Officials blame President Barack Obama's health care reform policies, sequestration and the N.C. General Assembly's decision not to expand Medicaid.

"We're literally backed into a corner," said Akin, who also said the medical center found $11 million it could cut by consolidating programs or changing work processes. That still left $19 million in cuts to be made.

"We had nowhere else to turn than with staffing," Akin said.

According to its website, Cone Health provides service to Guilford, Forsyth, Rockingham, Alamance and Randolph counties. It has more than 10,650 professionals, 1,000 physicians and 700 volunteers.