The Yukon-Kuskokwim Health Corporation started handing out pink slips on Monday.YKHC officials announced the layoffs in May.Download AudioOfficials said the reduction was necessary due to an $11.7 million budget shortfall. They say the shortfall is due to several factors: sequester cuts to Indian Health Service funding, not meeting revenue collection goals and hefty investments in a new elders home and a new medical records system.It’s the second round of cuts in less than a year. Last fall around 50 positions were cut.110 employees will be let go across departments and 50 more vacant positions will not be filled. Officials say village clinics will be impacted, but no doctors will be cut.YKHC consists of a regional hospital in Bethel, nine regional facilities and 47 village clinics. The corporation employs around 1,500 people and has an annual payroll of $70 million.Officials say the layoffs will continue this week and they’ll release more information Friday.