DAYTON — Miami Valley Hospital recently cut 14 nursing, ancillary and support positions as part of ongoing adjustments at the region’s largest hospital.

All 14 people who lost their jobs received severance packages, hospital spokeswoman Nancy Thickel said. Some affected workers were offered other jobs but opted to take the severance instead, she said.

The duration of severance payments is based on years of service, with laid-off workers receiving health care benefits during the severance period.

Affected employees were notified the week of Oct. 12 in meetings with their managers, Thickel said.

Hospital executives do not anticipate additional layoffs this year, she said.

Thickel said the hospital’s last reduction in force was three years ago. Miami Valley employs about 5,600 full- and part-time employees.

Other hospitals in the region have trimmed jobs this year. Among them: the Children’s Medical Center of Dayton (50 jobs); Kettering Health Network hospitals (55 jobs, mostly through attrition); Wilson Memorial Hospital (23 jobs); and Upper Valley Medical Center (20 layoffs, plus 46 unfilled positions).

Many of the cuts have been made in response to ongoing shifts in the region’s “payer mix.” Hospitals are seeing a dwindling number of people covered by private, third-party health insurers — their most profitable patients — as the ranks of the self-insured, uninsured and those covered by Medicare and Medicaid swell.

Thickel said Miami Valley Hospital’s census remains strong.

“Despite the declining market in our area, our actual market share is increasing,” she said.

Contact this reporter at (937) 225-7457 or bsutherly@DaytonDailyNews.com.