Welcome to SA! I work for Santa Rosa at their Medical Center facility, and my daughter was treated at Santa Rosa Children's when she was a neonate with severe idiopathic jaundice (thought it might be Gilbert's syndrome, but thank God it resolved on its own). The Staff at Children's was top-notch, and I've been told that it's the best children's hospital in the region. Most of the attendings are on the faculty of the Medical School at the Health Science Center. Having said that, I was told by one of the RN's taking care of my kid that yes, it was the best children's hospital in the city, but (in her words) the main problem was it was "in the ghetto". Children's is downtown, non-profit, in the heart of the West side of San Antonio, a very economically depressed area. The clients are mostly indigent, on Medicare/Medicaid, predominantly Latino (like most of SA and myself as well) and mainly Spanish-speakers. There are a lot of health issues associated with that populace (high rates of type-I diabetes, juvenile obesity, lots of CP, child abuse, mother-to-child STDs, Down's, etc). Methodist Children's in on the North side of SA, in the Medical Center complex. It is high-dollar, for-profit, very modern. The care there (I've taken my kid there as well) is good. I also did my Peds rotation there when I was in nursing school
. As to which is better to work for, I'd first consider which is offering the better pay/benefits package. Then I would go with my heart...I joined Santa Rosa because it is a Christian (Catholic) hospital system that is still non-profit (Methodist and Baptist systems here are both for-profit; the churches are minority share-holders). I feel I am doing God's work here. Still, if you feel you can't deal with the types of patients you would predominantly see Downtown, then you've got to go with Methodist. A little long-winded, but I hope it helps. Feel free to ask any other questions...Good luck.
Transplant ICU RN