COLUMBUS — A new statewide survey by the Ohio Hospital Association found 18 percent of responding hospitals plan to lay off additional employees.

The survey also found that of the 75 responding hospitals:

• about half plan to leave future vacancies unfilled;

• 39 percent plan to reduce or eliminate services;

• 49 percent plan to cancel or delay expansion or renovation projects;

• 64 percent will take more cost-cutting steps.

The survey also found that:

• 48 percent of the responding hospitals have already enacted layoffs;

• 67 percent have not filled vacancies;

• 37 percent have reduced or eliminated services;

• 12 percent have canceled or delayed expansion or renovation projects;

• 81 percent have taken other cost-cutting measures such as reducing community benefit spending, reducing employee benefits or freezing wages.

OHA released the survey on the eve of the deadline for hospitals to pay the first installment of a new hospital tax. It said that 51 percent of its members responded to the survey.