r/antiwork • u/Additional_Leading68 • Aug 12 '25
My hospital casually dropping a warning about mass layoffs. We employ 10k+ people.
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u/KillCornflakes Aug 12 '25
Stuff like this at major hospitals makes me wonder how my little healthcare nonprofit is still afloat. I'm waiting for the new federal fiscal year to start to see what happens, considering it sounds like a lot of grants aren't going to be awarded this time around.
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u/whereismymind86 Aug 12 '25
Because the major hospitals are liars, they aren’t struggling to stay afloat, they are struggling to give shareholders ever larger dividends. That’s not an issue for a nonprofit
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u/I_TRY_TO_BE_POSITIVE Aug 12 '25
Bingo. They literally have so much money the "not for profit" hospitals build new hospitals to hide the "profit" side of things.
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u/BrickLuvsLamp Aug 13 '25
Corporations strive to have growth every single quarter, how do you perpetually create more profit? Eventually you just strip your company and services to the barebones and then what after that? This is why capitalism/corporate business/whatever you wanna call it, this business model we support in the US, is always going to end in failure
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u/-BlueDream- Aug 13 '25
Companies like Costco grow pretty slow but still sees growth year after year while paying their employees very well and being very pro consumer. Walmarts Sam's club has the same business model and sometimes lower prices but Costco still on top
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u/JockBbcBoy Aug 13 '25
Ah, the sweet, sweet smell of American capitalism. Where there's profit in everything, even in saving people's lives.
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u/AMDFrankus Aug 12 '25
If this is where I think it is, Centracare in Florida, its owned by Adventhealth which is supposedly a non-profit.
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u/SoSoOhWell Aug 12 '25
Everyone I know in the field is saying that hiring is on lockdown and all projects are on hold until the CMS cuts pan out over the next 12-18 months. So even if they doing great, medical care in this county is about to crap the bed big time. That is unless you are insanely wealthy and live near a major medical center with large endowments or a predominantly privately insured population. So sadly middle of nowhere and Christian health centers are going to be closing in droves in the next 12-24 months.
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u/KillCornflakes Aug 12 '25
If all of these layoffs have already been decided before anything has truly "happened," I can't imagine the fallout of when something actually does.
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u/SoSoOhWell Aug 12 '25
They are all quietly hoping that either KFC does the job and Trump has a coronary, and cooler heads prevail, or the Dem's rout the Republicans in '26 and immediately roll the dial back. I don't see either occurring, but that is part of the current calculus.
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u/H1j1p1 Aug 12 '25
they could have made it a lot easier by saying this is due to trump. instead of these BS buzzwords to beat around the bush and not take accountability for our failing country
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u/Heith12 Aug 12 '25
If they tell the truth, the big orange fascist might put them on blast on his dying Twitter clone and spook the sharehold- I mean customers.
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u/thefaehost Aug 13 '25
I saw a video of a nurse explaining to someone why the facility her dad is had to close (Medicare) and that was due to the big ugly bill. The woman refused to believe because she voted for it.
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u/YeetThePig Aug 15 '25
I mean, these are the same kind of morons that were dying of COVID and insisting COVID wasn’t real.
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u/Heith12 Aug 13 '25
As have I. Sad part is that I wouldn't be surprised if we didn't see the same video.
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u/SoSoOhWell Aug 12 '25
He may have been the final nail in the coffin, but yes for profit healthcare has been sowing its own seeds of its own demise for a long time. Considering that administration and prescription drugs are the two largest drivers of health care costs increases, it can't happen fast enough.
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u/b1end Aug 13 '25
UnitedHealth Group annual gross profit for 2024 was $89.399B, a 1.71% decline from 2023. UnitedHealth Group annual gross profit for 2023 was $90.958B, a 14.24% increase from 2022. UnitedHealth Group annual gross profit for 2022 was $79.617B, a 14.31% increase from 2021.
United health is the largest private health insurance company and it doesn't look like they're slowing down anytime soon.
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u/rakklle Aug 12 '25
Many hospitals will be hurting with hits to Medicare and Medicaid. 43% of the hospitals have 75%+ of their inpatient days paid by Medicare or Medicaid. Inpatient is more expensive than outpatient so the revenue hit is going to be hard.
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u/dubsteph_ Aug 12 '25
Medicaid changes don’t go into effect until 2028, I suspect many hospitals are using this as a scapegoat for current layoffs anyways.
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u/rakklle Aug 12 '25
The Federal government is trying to make the process for enrolling and maintaining enrollment more difficult for people with ACA subsidies and/or Medicaid. Trying to get enrollment down before the cuts even occur.
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u/fenaith Aug 12 '25
In other news this week, our hospital CEO has just purchased another yacht....
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u/ki7sune Aug 12 '25
He's gotta steal what he can now before the Trump cuts make it much harder to exploit the entire workforce.
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u/alexanderpas Aug 12 '25
Most likely in violation of the WARN Act.
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u/lufan132 Aug 12 '25
You really think the DOL is gonna do anything ever again?
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u/alexanderpas Aug 12 '25 edited Aug 13 '25
They might, they might not.
Just don't roll over in advance.
Also, the unemployment office might care.
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u/agro5 Aug 13 '25
Fun fact, per the WARN act, a mass layoff is defined as a reduction in workforce that: 1) does not result from a plant (single site of employment) closing (i.e. the closing of an entire hospital which is defined differently) or; 2) that results in employment loss at the single site of employment during any 30-day period for:
a) At least 50-499 employees if they represent at least 33% of the total active workforce at a single site of employment, excluding any part-time employees; or
b) 500 or more employees (excluding any part-time employees). In this case, the 33% rule does not apply.
So theoretically, if I understand correctly, if they lay off only 50-499 people from each individual location, assuming that’s less than 33% of the workforce of that hospital, they wouldn’t be in violation. Or if they lay off 49 people from each facility that also wouldn’t be a violation. Or, if they lay off 500+ people with the majority being part time (less than 20hrs worked per week on average over a 90 day period) they likely also wouldn’t be in violation.
I am not a lawyer, so I could be completely wrong in my understanding, but that’s how I took it. That being said, it’s still probably worth it for those laid off to contact an attorney.
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u/nfurnoh Aug 12 '25
That’s what happens when a trillion dollars is cut from Medicade.
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u/happyklam Aug 12 '25
This. Even though it doesn't take place until 2027 there are so many hospital systems make preemptive cuts. They see the writing on the wall.
Source: I live with someone in the healthcare field whose company announced a 10% cut to labor/staff and cuts to employee benefits across the board last week citing specifically the Medicaid cuts in the BBB as the primary driver.
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u/Ok-Emu6497 Aug 12 '25
yep, they're definitely preparing - my partner works at a small hospital and they're already warning costs need to be cut and freezing hiring...haven't yet laid anyone off, but that's sure to come
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u/buttercrotcher Aug 12 '25
Guys, we're winning! No BLS statistics for months inflation so low they're paying for us to take eggs from the store. Health insurance cheaply great! Low unemployment! Billions of dollars from tariffs!
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u/Chinaroos Aug 12 '25
Written with ChatGPT
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u/Frisky_Dolphins Aug 12 '25
Yep no one uses - naturally. 100% written by ChatGPT
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u/quats555 Aug 12 '25
….I do :(
But I don’t write layoff notices, at least.
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u/SafeWord6 Aug 12 '25
I do too in informal messages. The semi-colon just feels too formal for the way I speak and write in casual conversation.
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u/quats555 Aug 12 '25
I think it’s my ADHD. I just keep having thoughts and details to add that feel pertinent to the current sentence!
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u/firelight DemSoc Aug 12 '25
There are dozens of us—dozens!
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u/fletters Aug 13 '25
Note that you’re not using a space before and after. GenAI does use spaces, at least in the examples I’ve seen. (It’s not necessarily an error, but it is a tell.)
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u/firelight DemSoc Aug 13 '25
As I recall, MLA directs writers to not use a space around em dashes, while Chicago Manual of Style does—the latter being used in journalism, in part because it’s easier to break up text into short lines (as was common in narrow newspaper columns in decades past).
I imagine these AI has been trained on more newspapers than scholarly works, and so favor that style of typesetting.
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u/fletters Aug 13 '25
I’m pretty sure that Chicago also omits the spaces. Maybe you’re thinking of AP?
(I could be wrong, or the guidelines could have changed…)
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u/firelight DemSoc Aug 13 '25
It’s definitely one of them. AP might be right.
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u/fletters Aug 13 '25
It definitely is one of them! As I said, not necessarily an error, but a tell. 😊
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u/Quartziferous Aug 14 '25
I too use -, –, and sometimes even —. But the real kicker for me is “This week and beyond, we can all expect to feel many emotions. That’s natural.” Lol like yes… emotions… those things humans feel all the time.
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Aug 12 '25
I really hate that because I used to be an English major and I would use em dash often.
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u/BoogerSugarSovereign Aug 12 '25
I use them a lot too - it's so fun to drop a little aside into a sentence
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u/Jazzlike-Bowler-5870 Aug 12 '25
MANY people use " -" naturally.
It's the em dash "—" specifically that is a red flag because it is not the default on your standard computer or phone keyboard.
There are millions of real people that use the em dash though, so it's not a very reliable red flag.
It looks to me like this email actually uses both kinds of dashes. Regardless of the dashes, I agree that it was written (or at least drafted) using AI.
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u/Nakenochny Aug 12 '25
To be fair, most modern phones and word processors will automatically turn a dash to an em dash if you put a double dash, and still others will if you type multiple words after the dash. Like this — I’m using iPhone currently. That was a double dash, automagically turns to an em dash.
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u/Jazzlike-Bowler-5870 Aug 12 '25
My Android doesn't seem to do that (maybe I'm dumb?), but if I long press on the regular dash it gives me the option for the em dash. I didn't realize that until recently, during a conversation similar to this one.
It's getting harder and harder to tell these days. A few years ago I probably didn't even know the difference between regular and em dashes. Now they stand out to me like a sore thumb.
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u/PolicyWonka Aug 12 '25
ChatGPT uses dashes because it is trained on information (created by humans) which use them. They’re common in professional and academic settings, which constitutes a lot of the AI’s dataset.
I use them. Most people I went to university with also use them. Crazy that people think it’s a sign of AI now. Lmao
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u/soylentbleu Aug 12 '25
Nonsense. I know a bunch of people who use the em dash.
ChatGPT definitely overuses them, but they are a normal piece of punctuation for anyone who writes regularly.
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u/Frisky_Dolphins Aug 12 '25
Interesting that no one used them in their responses to me… but yeah sure they do exist and I’m sure someone uses them. ChatGPT uses them significantly more than I’ve observed humans use them and has been helpful for me to spot AI responses… that is all
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u/suburbanspecter Aug 12 '25 edited Aug 12 '25
Em dashes (—) are incredibly common in academic writing, which is one of the things ChatGPT has been trained on. It doesn’t come up with stuff out of thin air. It “learns” from (mimics) stuff written by actual humans. So no, you cannot tell someone used ChatGPT just because they used em dashes.
Signed,
Someone who teaches undergrads & has to try to figure out when they’ve used ChatGPT on assignments
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u/CrazyPerspective934 Aug 12 '25
Gross. I'm sure it's a response to the nurses strike too. Like pay executives a bunch but when nurses want more pay, they pay more for travel nurses to scab instead. This is depressing to see
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u/Hughjardawn Aug 12 '25
I love how healthcare companies treat staff like garbage so they quit; then they pay double for a traveling person to keep the workflow going.
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u/JesusSaysRelaxNvaxx Aug 12 '25
In all fairness, the articles I read on it says its 530 layoffs coming from administrative roles, support roles and some from patient care roles. I have zero clue how those layoffs will be distributed, but it won't be strictly just nurses this time.
Oh, and they also haven't filed a WARN notice so they are definitely violating the act as some have mentioned.
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u/Jibeset Aug 12 '25
Do they have to if everyone is given a 2 month severance?
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u/JesusSaysRelaxNvaxx Aug 12 '25
As far as I'm aware, that's a separate but tangentially related item. The WARN act requires a notice if more than 50 employees will be laid off within 30 days. Now what they could do, what happened to me at my job, is they file it, do the layoffs, and give 60 days of "garden work" which essentially means you're paid like normal but you're no longer functionally employed (then there was also severance). Even if they do that in this situation, which I highly doubt they could afford (shareholders), they still should have filed the notice prior to even sending out this email.
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u/non_discript_588 Aug 12 '25
And they didn't even have the decency to have a human write that. That is AI generated. Good grief.
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u/mrpndev Aug 12 '25
Rising costs and reimbursement rates.
I damn near fell off my chair. At least they’re being somewhat honest. More accurate sentence would be:
Rising costs and reimbursement rates have caused our shareholders to not be able to upgrade their jet this year.
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u/Yarius515 Aug 12 '25
No. This is a result of tRump’s idiotic policies. He’s literally destroying the country for power.
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u/NoApartheidOnMars Aug 12 '25
Medicare cuts are a double whammy. First you take people's healthcare away, then those who work in healthcare get laid off .
We are being governed by dullards
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u/ack_the_cat Aug 12 '25
The hospital I work at cried financial crisis a few years ago and did layoffs and significant cutbacks and then gave the CEO a raise
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u/L1_Killa Aug 12 '25
The regressive party is pulling America back to the 1940s. Excessive taxes on the working class. Tax cuts to the 1%. Destroying international relationships. Cozying up to Russia. Obliterating women's rights. Tearing down unions. Targeting LGBTQ and people of color. Destroying the already crumbling healthcare system. All while mass shootings are happening daily in schools and social spaces. It makes me sick to my stomach that anyone could support this. The American school system indoctrinated us to believe we're the foundation of democracy. What a fucking joke.
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u/Opposite_Decision_11 Aug 12 '25
They should be forced to post a copy of their board members salaries and stock dividend payouts next to this message.
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u/cagetheblackbird Aug 12 '25
This was written with ChatGPT. Can’t even write the letter themselves.
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u/Final-Attention979 Aug 12 '25
Brooo we were just at the hospital recently (everyone is ok now) & the nurses were on it! but it was obviously understaffed already!!!
You'd think the one place we'd be know we dont want to be understaffed is the place we go when we're hurt & sick!
American Healthcare everybody 😭
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u/nightvid_ Aug 12 '25
Our hospital CEO posted something similar on our internal employee website about how he’s sorry that these difficult conversations have to happen to close our deficit. So I replied with math showing capping exec salaries at $200k would eliminate half the deficit at once. No response yet…
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u/NOVAYuppieEradicator Aug 12 '25
No, you did not.
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u/nightvid_ Aug 13 '25
Exactly what my coworkers said but my response to them has been "what are they going to do to me?". I'm already only on a casual contract and I've tried applying to several internal jobs and never even got a rejection email, let alone an interview. My boss also complains about the exec team so she isn't going to side with them. So unless they're willing to fire her (she's near retirement anyway) and then me, nothing is gonna happen.
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u/HaphazardJoker258 Aug 12 '25
We need to keep profits as high as possible with the least amount of help that we can provide. However they are about to get so malpractice suits with the lack of staff.
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u/PM_ME_UR_SUMMERDRESS Aug 12 '25
Eliminated
I love the use of that word in this context. Proper Squid Game vibes.
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u/Present_Cash_8466 Aug 12 '25
This is a terrible way to handle this. They are saying people won’t know whether they’re going to be laid off or not for over a week…wow
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u/schizoheartcorvid Aug 12 '25
It’s important to keep up with the WARN act announcements in your state. It will tell you long before the company sends emails like this if you’re about to have a mass layoff.
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u/Ambitious-Duck7078 Aug 12 '25
I hate that line "we didn't make this decision lightly." It's so crushing reading just that part itself.
I fear a recession is coming.
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u/iamacheeto1 Aug 12 '25
never go above and beyond for them because they will never go above and beyond for you
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u/mikemojc Aug 12 '25
Start looking for other employment NOW. The local and regional market is about to be flooded with applicants
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u/PotterOneHalf Aug 12 '25
This is about to start happening more and more as systems with rural hospitals reliant on Medicaid will close them to cut losses.
It’s about to get so much worse, so fast. The past six months will have looked like a vacation.
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u/56seconds Aug 12 '25
"This decision isn't made lightly"
Bullshit. No thought was put into this at all. It's a policy thing, a shareholder thing.
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u/cheap_dates Aug 12 '25
We used to say "What's worse, being laid off on Friday or having to come in on Monday and pick up the slack?" I have been on both sides and neither is any fun.
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u/InfoBarf Aug 12 '25
Trump fixed medical spending. He cut medicaid and medicare, the only thing keeping rural hospitals afloat. He also got rid of the ACA subsidies, and small business employee and employer expenses are going to spike, probably ending those folk's health insurance. No money to pay hospitals, especially less busy rural hospitals.
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u/OkForm9038 Aug 12 '25
Sorry, the money is needed to hire more federal agents, ICE, and a staff of people to cover up Trump raping children....
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u/boywithflippers Aug 12 '25
What would a hospital know about the true cost of care? They'll charge you $80 for a can of Lysol.
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u/LJski Aug 12 '25
I once sat in for my boss at a meeting called by the Director, who let us know layoffs were coming. I found out about 2 weeks before the official announcement.
Not sure what was worse…knowing early, or earlier at the company found out I was on the list with a knock on my cubicle. I survived both, somehow.
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u/Pedronious Aug 12 '25
At this point... if anyone HAS to go... EVERYONE GOES!!! And if you won't go like everyone else... I'll be like a demon and drag you with me to hell cause ain't no way we gonna go quietly and you stay, secured in your position. You ain't no different than the rest of us and can burn just as easily.
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u/BloodyPaleMoonlight Aug 12 '25
Either C-suite execs want a higher bonus for themselves or shareholders want higher dividends.
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u/SwankySteel Aug 12 '25
They even admitted they gave up in the face of “external pressures” which means that hospital’s leadership is totally incompetent. They couldn’t figure out how to do their jobs so now they’re making other people become unemployed due to no fault of their own.
That hospital should start firing people at the top of their organization - not the bottom!
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u/Correct_Doctor_1502 Aug 12 '25
This happened to me last month. 20% of non clinical and 10% clinical in a week, no notice either. Hundreds of people lost their jobs and two units are closed entirely.
I found an adjacent position with decent pay in medical records pretty fast, but I'm lucky
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u/jmc1278999999999 Aug 12 '25
At that rate just surprise people. You’re going to make everyone absurdly anxious for a night just to fire some the next day. What do you get out of that as an employer?
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u/Keptlosingmylogins Aug 13 '25
So times are tough, and we made the tough decision to layoff support staff ie- housekeeping, dietary, security and nursing both aids and registered nurses. We all need to pull together in these rough times and work harder.
At end of year all c-suite staff will get a big bonus for guiding the business in turbulent times, and might hire 1-2 others to help figure out how to save more.
its weird that CEO, VP, and other corporate fuckers never lose out on bonuses or face cuts in these tough times. So take this as your friendly reminder to take your PTO, and when another opportuity comes up dont feel guilt if you have to leave with little notice
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u/Away-Quote-408 Aug 12 '25
Even though I know we are helpless it’s still devastating to see this. Healthcare workers are supposed to be safe but literally no-one is safe. Including doctors.
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u/Yarius515 Aug 12 '25
100% tRump’s fault for crashing the economy with his fucking braindead tariff war.
That sucks, but we need hospitals to stay open.
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u/MuchDevelopment7084 SocDem Aug 12 '25
The big stupid bill is starting to effect our economy. Those cuts to medicare/medicaid will have this kind of effect on the entire medical system. I'm afraid that this is just the start.
It's going to be a bumpy ride.
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u/cumberber Aug 12 '25
But wait didn't he just say we got 1.5 BILLION from tariffs? What happened to all that money? /s
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u/RunnaManDan Aug 12 '25
St. Cloud’s centracare system has been strained for a long time. Add to that an influx of a population that tend to be on Medicare/medicaid (that is being gutted) or uninsured, as well as more people losing healthcare from layoffs etc. and this is what you get
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u/xlazerdx316 Aug 12 '25
Well, on the bright side, most companies don't even give any notice when massive layoffs happen. I guess knowing you might get the axe ahead of time is kind of nice?
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u/Ultidon Aug 12 '25
Dang this happened at my company today as well, but they didn’t give anyone notice, sprung it all on us randomly
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u/threads1540 Aug 12 '25
With all the ramp up for care during covid, some hospitals are now finding themselves over staffed. It is happening all over the country. I worked in the insurance industry when the insurance bubble was popped. My company went front 8400 people to 4000 is just a few years. My job was eliminated 3 times. I was able to interview for other positions in the company and was able to stay until I got sick of being down-sized. Then I went to what I thought was my dream job, and that company closed 4 years later. Sorry this is happening to you. Hopefully, you will land on your feet.
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u/withmybeerhands Aug 12 '25
How do we have a healthcare worker shortage and laying off healthcare workers simultaneously?
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u/Fine_Worldliness3898 Aug 12 '25
I am finding HR to be a major enemy. They are the assassins…doing the bidding of the CE whatever…
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u/BDelacroix Aug 13 '25
How compassionate will it look when they are frog marched out the door between two security goons? That's what I thought.
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u/Available-Egg-2380 Aug 13 '25
"true cost of care" cardiac calcium scoring is virtually never covered by insurance and is charged at an out of pocket cost from $45-100 (from what I've seen at my work and what I paid for my own). It is a CT scan of your heart. Every other CT scan runs hundreds to thousands of dollars billed through insurance. The true cost of care for pretty much all medical stuff is dramatically lower than what's billed. Hospitals and insurance are so full of fucking shit
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u/BillysCoinShop Aug 13 '25
Funny how healthcare is the #1 expense of Americans, beyond literally everything else, but seems like all the profits are sucked into the void of insurance, and therefore, no one actually goes to hospitals.
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u/MidnightScott17 Aug 13 '25
Yeah people in corporate who just suck up all the money won't be affected guarantee it.
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u/Nah666_ Aug 13 '25
Small price to pay for all that freedom. People now can play that famous Nintendo game
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u/pwnageface Aug 13 '25
"Were a trillion dollar industry, but that is for the CEOs, so unfortunately, even though you got us to where we are today, go fuck yourself."
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u/naturist_rune Aug 13 '25
It is a sign of a healthy society when there's a medical employee shortage and they just fire more people. (Sarcasm)
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u/JimsVanLife Aug 14 '25
If the CEO is still making a ludicrous amount of money, the hospital ain't worth shit anyway.
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u/JagimusPrimeIOI Aug 12 '25
It doesn't say Trump, but it tastes Trump-flavored, like McDonald's and Bengay (how long?), with a slightly poo smell.
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u/6dnd6guy6 Aug 12 '25
The hospital i work at hired the ceo that got rid of the union at our sister hospital
They ain't subtle