The company says students last year made an average of $6,100 each for the summer.
The company says the average cost to patients, including children, is $150,000 a year.
Many of the changes are expected to be small, and some could take years to put in place, the company says.
The companies did not say how much the project would cost.
The other companies said they had not made their decision.
More than 2,000 of these have already been cut, the company said.
The company said the final results would not be known for several weeks.
The company said the West did not have similar technology.
The problems will cost another $1 billion next year, the company said.
The companies said they expected the deal to close early next year.