In response to the HMA question, no this is not the type of organization you want to provide quality care for. I can only speak to the hospital in Florida where I had worked for 10 years before HMA moved in, but almost immediately the hospital declined. We were promised "no changes" in the first year; no one would lose their job, etc. In less than a month, HMA had fired everyone in our transcription department and replaced them with a subcontractor. Likewise, within 8 months, the same had happened to our housekeeping, food service, and biomedical engineering departments. The staffing ratio on our floor (medical/surgical/telemetry/stepdown) had gone from 5-1 to 9-1. Older nurses were harassed, giving us no choice but to resign, and newer cheaper nurses were hired. Money was spent hand over fist to "redecorate" our lobby which had just been redecorated 3 years ago, while patient care equipment continued to break and not be replaced. Basically, their philosophy is the same as many airlines- it's cheaper to pay out a lawsuit than to pay for staff, equipment, and safety. I'm glad I'm out, I found a much better job with a company that actually cares about their clients and employees, and I wish I had done that from day 1.