Novant Healthcare announced they will be laying off roughly 300 employees with 150 of those cuts coming to Winston-Salem. The primary losses will be at Forsyth Medical Center in “non-clinical” positions while around 20% will be in positions that directly interact with patients.� Novant cited a drop in healthcare use during the recession as well as declines in reimbursement for services provided. Overall Novant has seen a dramatic cut in it’s income of $45 million in the past year.