I recently flew to another state and interviewed at two hospitals in the same city. I was offered a position at each, and chose the one I thought would be better suited to me. The one I chose is public; the one I didn't choose was HCA and that factored into my decision a bit. Not sure how I feel about HCA and for-profit hospitals after reading about them here. I emailed HR and the managers at the HCA hospital and thanked them for the interviews, but let them know I had decided to decline the position. One of the managers wrote me a really nice response, saying he was disappointed but understood, and to let him know if anything changes. I felt really bad (I have never been in a position to decline a job before!). I really liked him and the other manager, and am wondering if it would be inappropriate to call them and ask to work per diem for them? It will be obvious to them that I took another position in the area, since I am relocating. I also said in my email that I thought that maybe the position wasn't the best fit, because I really didn't know what else to say and didn't want to say I chose another hospital. I just keep thinking that they were really nice people and I somehow wish I could do both. It has been a few weeks since the last contact with this hospital. Please give me your opinions on this. Thanks!