NASHVILLE, Tenn. - Vanderbilt University Medical Center is expected to cut several hundred more jobs this week as part of a plan to eliminate more than 1,000 positions by the end of the year.

According to The Tennessean, the latest round of layoffs is part of the medical center's plan to cut $250 million from its $3.3 billion operating budget over the next two fiscal years.

About 300 people were laid off earlier this summer, but that round of cuts did not count toward the final tally of cut jobs, which Vanderbilt has reported will be 1,033.

Jeffrey Balser is head the medical center. He says factors for the job cuts include a lack of Medicaid expansion in Tennessee and a reduction in National Institutes of Health grant funding.