An eastern North Carolina health system says a budget shortfall is causing them to layoff nearly 200 workers. News sources report Vidant Health CEO Dr. Michael Waldrum said in an email that the first steps to eliminate the $18 million budget shortfall during the first quarter of fiscal year 2020 was to reduce costs, implement operational efficiencies and to discontinue recruitment. Waldrum said the 191 positions to be cut will be on the business and administration side of the health care system. Of the total, 82 jobs will be cut at the corporate level.