Excela-Butler combined health system lays off 13 managers Julia Maruca Wednesday, March 15, 2023 9:38 p.m. | Wednesday, March 15, 2023 9:38 p.m. Go Ad-Free Today! Shane Dunlap | Tribune-Review The newly combined Excela and Butler health systems laid off a total of 13 manager-level staff members on Wednesday, according to spokesperson Tom Chakurda. Share this post: Facebook Twitter LinkedIn Reddit Email