I took a job last summer and they asked me to return this spring. The company I was placed with last year was new to me and really didn't have anything to keep me with them. Besides I have been to the same winter place four out of the last 5 years and will probably continue for a couple more years with another company. Anyway, when I was thinking of returning to the hospital I called the manager and asked what companies they used and was considering changing or (trying to get my current company) in. Manager reported HR person said they had 600 to 800 agencies with Medefis. I Google searched and found that Medefis is a "Vendor Management" company. For some reason they have put yet another person between the payor (hospital) and Payee (Nurse). It seems that the only person suffering is the Nurse with someone else in their pocket taking money. I'm tempted to turn down the job because of that, but I really want to return. May have to look into independent contracting.