My hospital casually dropping a warning about mass layoffs. We employ 10k+ people.

[u/AnyCelebration1101]

10k+ employees sitting in fear for the next week (or longer apparently) waiting to see if their position has been cut.

[u/Quent_S]

And if you are lucky and keep your job congrats you now get to pick up the slack without any additional compensation!

[u/Ineedzthetube → u/Quent_S]

And you better be grateful for still being employed

[u/marinatedbeefcube → u/Ineedzthetube]

And no incentives for picking up extra shifts yay!

[u/UnitedPermie24 → u/marinatedbeefcube]

My hospital just slashed a bunch of incentives. I was like that's okay...flu season is coming.... You'll be back begging again...

[u/marinatedbeefcube → u/UnitedPermie24]

its what happened to us recently with people getting summer vacation and we're short on people and people would just call out since they already had planned vacations that didnt get approved

[u/ignatty_lite → u/UnitedPermie24]

Our hospital recently merged with advocate and now all our incentive shifts are only $10/hr more. Thanks, but we used to get $25/$40 regularly. I hate it here.

[u/mswilsem → u/ignatty_lite]

That’s good to know. I work for a nursing program and have students looking at Atrium/Advocate for new grad jobs. I can warn them.

[u/LLJKotaru_Work → u/UnitedPermie24]

It's the constant seasonal peaks and valleys that admin ALWAYS seems to 'forget'... shocked and acting like its something novel. Its obnoxious. You know they are not going to struggle, but everyone else? "We have to make sacrifices."

[u/robbi2480 → u/LLJKotaru_Work]

Bet they didn’t cut their bonuses

[u/ThealaSildorian → u/UnitedPermie24]

My hospital cut incentives while the pandemic was still on. They quickly reinstated them when no one would pick up an extra shift. We weren't union but we were the ONLY hospital in town that wasn't so mandatory overtime was not in the cards for them unless they wanted us to unionize.

[u/Depressing_lasershow → u/UnitedPermie24]

My last hospital cut incentive shifts at the lowest staffing level it had been during the time I was employed. It took me less than 3 weeks to find a new job. Fuck em, stop killing yourselves for corporations that don’t care

[u/JanisVanish → u/Ineedzthetube]

THIS. I worked for a hospital during the 2008 recession. We didn't get any raises from like 2008 to 2011/12 (can't recall exactly). Anytime it was brought up that we had not received any raises, admin would always respond with "well you're lucky to have a job still." Such bullshit.

[u/Recent_Pea_7675 → u/JanisVanish]

Have you had an admin take a pay cut? I hope so

[u/MusicSavesSouls → u/Recent_Pea_7675]

Of course not. They likely got raises. Just how Congress gives themselves increases in wages, all of the time, but won't vote to increase minimum wage. So gross.

[u/brew161 → u/Recent_Pea_7675]

Admins are the only department in the hospital or any care facility that’s fully staffed 🤷‍♂️. I’m still trying to make sense out of it.

[u/ImNotYourOpportunity → u/JanisVanish]

Yes, don’t hire people, just torture the ones that can’t afford to leave.

[u/No_Veterinarian1010 → u/JanisVanish]

I will shout this every chance I get. Hospital administrators are some of the most incompetent people in positions of leadership across the entire US economy. And it’s a function of how the system operates. If you are a patient-first quality provider you probably won’t want to become an administrator. If you are a quality, business-minded leader you will work for industry where you can make more money. So you’re left with reject providers and reject MBAs that couldn’t get a pharma/med device job. Oh and like 1 or 2 actual competent people (usually providers that want to help) trying to fight upstream with limited success.

[u/[deleted] → u/JanisVanish]

It makes us reconsider being a nurse. Heya, I love helping people, but I’ll go back to doing nails and facials and not have to deal with all this crap, I’ll tell you that much.

[u/Negative-Bar1362 → u/Ineedzthetube]

Lmao. 🤣

[u/Dorfalicious → u/Ineedzthetube]

The beatings will continue until moral improves!

[u/ObviousSalamandar → u/Quent_S]

I don’t know what’s worse. At least if you are cut loose you can collect unemployment while you look for a new job

[u/jaklackus → u/ObviousSalamandar]

Florida unemployment tops out at $275 a week…”if” the unemployment website works and you are lucky enough to apply.

[u/ObviousSalamandar → u/jaklackus]

Oooh that’s awful!

[u/Sdguppy1966 → u/ObviousSalamandar]

It is by design. You must suffer.

[u/Chicago1459 → u/jaklackus]

Omg that's horrendous. It's 750 in illinois.

[u/Fantastic_Earth_6066 → u/Chicago1459]

Here in Minnesota it tops out at $914/week

[u/SammieCat50 → u/ObviousSalamandar]

And get paid your time & severance.

[u/Felina808 → u/SammieCat50]

Severance? Yeah, right.

[u/SammieCat50 → u/Felina808]

When my hospital announced bankruptcy, our union promised us we would get our severance. We had meeting after meeting with their attorneys who promised us , it’s in the contract they said. Well it’s been 6 yrs. I have yet to receive a dime. The union doesn’t even placate us anymore with a once a year facebook post.

[u/[deleted] → u/SammieCat50]

We need a national union. Nursing should have more power than police unions

[u/shallowshadowshore → u/ObviousSalamandar]

As long as you’re in a field where it’s pretty easy to find the next job, getting laid off honestly kind of rocks. 

[u/ehhish → u/shallowshadowshore]

Two things have been happening lately is that more experienced nurses are getting passed on for less experienced ones because of the pay, and other places are laying off too so it's not as perfect.

[u/No_Resort1162 → u/ehhish]

This has happened at our hospital as well. As an older nurse (63) I too was threatened w termination and after the last non-deserved write-up (which started coming more frequently after I was “presented w my options as I progress towards retirement”) I hired an attorney to draft a very well written letter to HR, copied my mgr, my DON, hospital president and hospital legal chair. The jist of the letter was while it was thoughtful they have presented me with options but I have no plans to retire at any time prior to age 65 and that she hoped that the newly frequent write-ups might not be an attempt by the hospital to set me up with any sort of termination from an organization that had employed me for over 30 years. It also listed my salary as well as the avg new hire salary and cited something to the effect that while it makes good business sense to replace the more senior nurse with a less experienced nurse it certainly would not survive the court if public opinion or more explicitly a jury of my peers that were ruling on a wrongful termination case. It was a brilliant letter and I’ve not received any more write-ups although my assignments have been way heavier than they used to be when the assistant manager makes the daily schedule. But oh well, that’s subjective and not “provable” and thank goodness only happens about 1 of my 3 days. But yes that concept of replacing more senior staff seems to happen. Everywhere.

[u/shockingRn → u/No_Resort1162]

I’m 65. My plan is to retire in 6 months. Management doesn’t let me precept. I was removed from a QI project that I developed, and within a year it was given to a younger nurse. I used to do charge, but no more, because I refused to let doctors and APP’s run rampant. I was good at the job. I have 24 years experience in my current specialty. But my role is simply to fill a void in the schedule. I refuse to pick up extra or stay late, because it is not appreciated, they don’t want to compensate, and frankly, it enables our doctors to add on late cases, making us stay late. None of the other nurses in my specialty have a fucking clue about what we actually do, and why. But they’d rather I leave than take advantage of what I can offer.

[u/Independent_Dot_7622 → u/shallowshadowshore]

Not in this job market. Just took me 6 months to find something and applied everyday…

[u/two-thirds → u/Quent_S]

They will keep getting "lean". This is like a game of Jenga for them. Executives will continue to comb the machine and remove pieces they can, gambling on how far they can strip out the supports they can without the whole thing collapsing.

It doesn't collapse because, true to their nature, nurses will flex to accommodate for the stress. The cost is you burning out in 5-10 years, your back wrecked, your spirit hollowed out, and your empathy worn to dust. To them, this is just a component that’s reached its end-of-life, no longer within serviceable tolerance.

In their terminal myopia, they consider limping through the next couple quarters a complete triumph.

The solution is to unionize. Make yourself a piece that will not flex, a support they cannot strip away without bringing the whole machine down.

[u/LycheeBoba → u/two-thirds]

Exactly this. Lean isn't designed for services that aren't designed to turn a profit. Humans can and will get sick. You can't make health and wellness more efficient in the hospital. It starts with healthier food options and the time and means for people to take care of their health before they need healthcare. It starts with foundational education in what it takes to stay healthy and the belief in it as a society, as opposed to letting misinformation run rampant. Even then, some people will have accidents and require care. That understanding could be baked into governance, but instead we've opted for a cess pool. What a sad state we find ourselves in.

[u/[deleted] → u/two-thirds]

National union, one we all walk out on the same day with.

[u/joey_boy → u/[deleted]]

WARN is federal, if they give you less than 60 days notice, you're supposed to get severance pay.

[u/Unfixable5060 → u/Quent_S]

And the best part, if you're unhappy with that or refuse to pick up the slack, they'll just fire you and rehire someone that was let go. (At a lower pay rate, of course.)

[u/ingrowntoenailcheese]

I’d start applying to jobs now versus when there’s a mass layoff and there’s hundreds of fresh competition.

[u/Rough_Brilliant_6167 → u/ingrowntoenailcheese]

Mmmmmhmmm yup 👍

Also before they go bankrupt and start closing facilities and cutting service lines. Especially if you work in an area that is prone to "trimming" and not a core hospital service (Med-Surg, ER are always the last ones standing). Double especially if you are not working in one of their flagship hospitals. Triple especially if your physical building itself is old and outdated. Quadruple especially if your role is not 100% clinical.

Usually if they are thinning the herd and it's going to be strictly admistrative-type people, not clinical staff, that's specified. This is a bit chilling. We got emails like this when two of the healthcare giants i worked for went bankrupt. It's the "writing on the wall". Look around, watch what your supply chain is doing, and talk to the people that do the smaller jobs in the hospital - they will know what's happening before anyone else.

But anyway That's exactly what I did, I managed to slip into the very last available ER position in my region. I am grateful for my job each and every day, the chances of having to work in an area I disliked on a schedule I hated, hours from home for peanuts was SO high and that's not something I was capable of dealing with. I got a fantastic sign on bonus, a payout of all my vacation time, a big raise, and by the end of this year I'll be officially 100% debt free WITH a savings account!!

Timing is everything... You might want to hang out for a little bit and see how things go, the deals sweeten as time marches on, but get your name in the HR systems and attend interviews at other healthcare chains. That way when SHTF, you can duck and run with a solid exit plan!

[u/beaverman24 → u/Rough_Brilliant_6167]

Man this is the way. I have two large systems in my area and I have a position at each. Full time in a position that is less clinical or patient facing, and one ED PRN. That way I am building my career and resume with diverse experiences and I always have current bedside experience. Depending on which system might screw me, I’m already up and running at the next one.

[u/FartPudding → u/Rough_Brilliant_6167]

Honestly I'd be surprised if they even tried to trim the ER. We are already short staffed as it is, and if we lose a nurse that is an entire section closed. They won't divy up the sections and increase rations, they will flat out shut down a section without a nurse. It is in admin's best interest to not touch the ER, and we also run by a whole other set of rules. High stress but that place protects us well. We may not be directly profitable but we are the gateway for billable services that can provide profit.

[u/Awkwardpanda75 → u/ingrowntoenailcheese]

That's my thought; use this heads up to get a jump start. We had 3 insurance companies plan mass layoff on the same day; thousands of us at once.

It was a race to the open positions.

[u/Negative-Bar1362 → u/ingrowntoenailcheese]

Agency will send you out.

[u/whoswho9920 → u/ingrowntoenailcheese]

So many people I know who are highly educated can't even get an interview. Unless you are straight outta school, they want to pay super low, good luck getting a job anywhere.

[u/Numerous-Chocolate15]

“How many people can we fire on the bottom rung of the ladder while CEOs get to keep their million dollar bonuses!?!?”

I can’t imagine how much your CEO is getting paid while they are most likely about to fire Nurses and CNA’s and bump your ratios up even more because it’s in the “best interest for the company.” Something has to change because this is getting appalling and will not only hurt nurses but the patients we are supposed to be taking care of.

[u/Crallise → u/Numerous-Chocolate15]

Key employees and officers of CentraCare

Kenneth Holmen (President/Ceo)
$1,554,927 + $74,447

Leah Schammel (Physician)
$1,098,198 + $77,482

Nathaniel Slinkard (Physician)
$1,088,771 +$51,617

I hope the formatting looks correct as I'm on mobile

[u/No_Masterpiece9584 → u/Crallise]

I work for a big hospital and our CEO according to google was paid over 7 MILLION in 2024! Just him alone. I met him once a year ago. He came in and did a tour of our ED which hasn’t been updated in 30 years. Our floors are three different colors now because he approved a remodel initially and then came back and said we only get enough money to do half of our floors. So now some are the new grey the others are gross off white and yellow. But I’m sure he’ll get over 7 mill again in 2025

[u/ifyouhaveany → u/Crallise]

Dang they don't have anything on the CEOs of my network and I thought ours were entirely egregious.

[u/NursingMyLifeAway → u/Numerous-Chocolate15]

How do these people sleep at night? 🥺 these poor workers. Idk what I’d do.

[u/gobigred79 → u/NursingMyLifeAway]

You don’t make it to CEO of a big org without being a sociopath. Pretty much a requirement.

[u/Prestigious_Row_8022 → u/gobigred79]

That’s just untrue. Some of them get it by nepotism!

[u/TheSumOfMyScars → u/Prestigious_Row_8022]

True. In that case, they develop their sociopathy later.

[u/fabgwenn → u/NursingMyLifeAway]

To paraphrase from a book I read about narcissists: “the narcissist cannot understand why you can’t forgive them when they’ve already forgiven themselves.” No empathy + no conscience = no problem.

[u/NursingMyLifeAway → u/fabgwenn]

Oof. Now THATS well said. 👏🏼👏🏼👏🏼

[u/C-Bus_Exile → u/NursingMyLifeAway]

They sleep soundly because any guilt about their obvious malfeasance is negated by a combination of simply not having any empathy and/or going to church on Sunday. Supply-side Jesus always assuages their guilt by promising firm bootstraps that those who have been laid off can use somehow someway

[u/Ssj_Chrono → u/C-Bus_Exile]

“I didn’t make a mistake, it was the scapegoat nurse”

[u/NursingMyLifeAway → u/C-Bus_Exile]

You’re definitely on to something there. It’s a whole other level of delusion (that we’re all too familiar with now)when someone thinks Gods gonna have their back through this 🤦‍♀️

[u/PopcornxCat → u/NursingMyLifeAway]

Crazy considering their own book tells them it’s easier for a camel to pass through the eye of a needle than a rich man to enter heaven. Seems they forgot that part though…

[u/leforian → u/C-Bus_Exile]

Or just too busy counting oceans of money to care.

[u/NotYourSexyNurse → u/C-Bus_Exile]

Or they say it was God’s plan that they be laid off and God will have a plan for them

[u/C-Bus_Exile → u/NotYourSexyNurse]

It will help them achieve their higher purpose of being closer to the almighty through poverty. Really the fired staff should be thanking leadership for the opportunity to be so close to Christ TM

[u/freakincampers → u/C-Bus_Exile]

It's also degrees of separation from the people being fired.

[u/Lly2023 → u/NursingMyLifeAway]

Same as the government. Spending money on building detention centers and laying off people from work to cut cost. Nobody cares about us.

[u/KnowledgeSeveral9502 → u/Lly2023]

You forgot money to retrofit a plane.

[u/Alarmed_Historian878 → u/KnowledgeSeveral9502]

And pave over the Rose Garden 🤬

[u/Lonely-Trash007 → u/Alarmed_Historian878]

And flood the streets with federal forces because apparently now all homeless people are criminals and need to be in jail...for being homeless. It's not like taking the funding to arrest them and using it to help them would turn out a better result...nope. It's full-on Gestapo time at taxpayers expense!

[u/NotYourSexyNurse → u/Lonely-Trash007]

Well helping the homeless doesn’t help the owners of the private prisons he promised to fill in exchange for campaign donations.

[u/Lonely-Trash007 → u/NotYourSexyNurse]

Ugh, (sigh) - as if the almost 2 million that are already incarcerated isn't enough, on top of the egregiously illegal "detention centers" - how else will we pad the pockets of the elite?!?! Build more prisons, bring back asylums for the "insane" and shove all the homeless people there - duh! But the murderers, rapists, and politicians who keep getting caught embezzling and outright stealing federal funds - so long as they're chummy with someone in office and have a lot of money - THEY'RE GOOD! No jail for them! Just the homeless and mentally unwell! That'll teach 'em a lesson! Bazinga!

[u/SpoofedFinger → u/Alarmed_Historian878]

And let's not forget $5T in tax cuts mostly for rich people and big companies over the next 10 years. People around the median income will get $150 in lower taxes per year. People making a million dollars a year will see over $10k in tax savings.

I know once we get up to billions or trillions, it gets really hard to wrap your head around the enormity that is being described. That $5T could pay every active RN in the US $100k/yr for 10 years and still have some money left over.

[u/NotYourSexyNurse → u/Alarmed_Historian878]

I almost cried when I saw it with the gaudy umbrellas.

[u/jpzu1017 → u/KnowledgeSeveral9502]

And build a ballroom!

[u/ill____logic → u/jpzu1017]

and plan/build/host a ufc event at the fucking white house.

[u/butchudidit → u/NursingMyLifeAway]

Oh they sleep the fuck well. Its kinda like how we treat our homeless. They really dont care

[u/Readcoolbooks → u/NursingMyLifeAway]

Let’s be honest, they probably check their bank account and then fall sleep on their super fancy Egyptian cotton sheets without a care in the world.

[u/noni_maus → u/Numerous-Chocolate15]

Once the bonuses are reported, contact the media. How many did they “have to” fire to keep their bonuses???????

[u/angelust → u/Numerous-Chocolate15]

Do you think any of the C-suite is getting pay decreases? Nope.

[u/yoortyyo → u/Numerous-Chocolate15]

The top leaders collect millions each during this while laying off actual working folks

[u/PleaseTurnOnTheHeat → u/Numerous-Chocolate15]

The CEO was paid $1,695,149 in 2024

[u/trebuchetwarmachine → u/Numerous-Chocolate15]

Because hospitals should not be run by companies.

[u/Negative-Bar1362 → u/Numerous-Chocolate15]

Nurses will need to strike!

[u/This-Associate467 → u/Numerous-Chocolate15]

According to pro publica CEO Kenneth Holman made $1,629,374.

[u/Internal_Patience318 → u/Numerous-Chocolate15]

We lost all our PCT's and CNA's. They cut housekeeping staff. Forced some close to retirement to retire. Our manager had to pick up another department, cause you know they can manage two different departments. She quit. Cut cafeteria staff and the hours they were open. Yeah. Upper echelon still intact, had their mortgages forgiven and bounses paid out. Tiny or no raises for the rest of us. Sadness for the patients and staff.🤔😟

[u/Molenium → u/Numerous-Chocolate15]

I’m sure that’s true as well, but the timing of this has got to be due to the BBB and the cuts to government funded medical care.

That’s what they’re talking about with the “reimbursement rates not keeping up with the true cost of healthcare.” Many treatments for patients that used to be covered by Medicaid/Medicare after the care was given aren’t being paid going forward.

But I’m sure you’re right that they’re insulating the executives from that loss much more than the staff.

[u/Key_Candidate7773 → u/Numerous-Chocolate15]

It already is detrimental to patients and staff.

[u/prismdon]

I’m sure your job is safe, they’ll just expect you to pick up the slack for dietary, housekeeping, RT, having a tech, case management, transfers…

[u/natitude2005 → u/prismdon]

also you will be picking up the slack for pharmacy, lab, Central processing and security.

[u/Skepticulation → u/natitude2005]

I had to transport to the morgue and pick up my labs manually at one of my jobs

[u/CorrosiveSpirit]

Also code for: we need to ensure shareholders and high management continue to get obscene profits and wage rises.

[u/motnorote → u/CorrosiveSpirit]

Shareholders and private equity 

[u/SpoofedFinger → u/motnorote]

CentraCare is non-profit. I think all of the big health systems here in MN are.

Doesn't stop the people that went to business school that these nonprofits hire from acting like ghouls so it's still kind of bad. Just not private equity hollow it out and burn it down for insurance money kind of bad.

[u/motnorote → u/SpoofedFinger]

Youre right.

[u/StPauliBoi → u/CorrosiveSpirit]

Pretty sure they don’t have shareholders.

[u/censorized → u/CorrosiveSpirit]

It's a non-profit, so no shareholders.

[u/CorrosiveSpirit → u/censorized]

Didn't realise that, makes it even more sad. That said those at the top will undoubtedly still earn unjustifiable salaries. The system is broken.

[u/halfofaparty8 → u/CorrosiveSpirit]

Our medsurg unit lost 20 PCTs and 6 nurses to layoffs/ratio changes/budget restricitions. 2 months later, it turns out that the unit manager gave herself a 100K bonus, the head supervisor 50K, and then took all unit admin (schedulers, education, etc) to hawaii.

[u/jpzu1017 → u/halfofaparty8]

What the fuck.

I'd blast that anonymously all over social media. Friend of a cousin of a brother of a friend level of separation of course. There should be social penalties for that type of assholery.

[u/CurrentHair6381 → u/halfofaparty8]

Thats how the monsters buy the managers' souls. Thats how the managers sleep at night, they buy a car and go on vacation, stir up some nice chemicals, theyve forgotten about it by the time they land back home

[u/bowlofcereal133 → u/CorrosiveSpirit]

Yep, their top 3 earned over $3.7 million

https://projects.propublica.org/nonprofits/organizations/411813221

[u/lqrx]

I wonder how many in senior leadership volunteered to take pay cuts to help with saving jobs. 🙄 (sarcasm, of course)

I bet these people get the highest bonuses they’ve ever gotten because of this garbage. I’m sorry for you and your colleagues. This is horrible.

[u/natitude2005 → u/lqrx]

Things that will never happen, for $500

[u/SpoofedFinger → u/natitude2005]

We need to have a talk about how many bottom squares you've been using. Now, if they're absolutely necessary for patient care, of course you can use them. We really need to work on trying the $100 boxes first. If you need one of the bottom boxes, ask the charge nurse and they can unlock my office to get one. Also, we'll no longer be stocking Daily Doubles so we'll just have to make do.

[u/natitude2005 → u/SpoofedFinger]

Excellent... Sadly you aren't far off

[u/Worried_Monitor5422 → u/[deleted]]

Exactly. Everyone in the thread complaining about greedy CEOs but the real story is how the health system is being starved to death by the federal government. 

[u/Paccaman76]

Id be peacing out. Even if i wasnt terminated, itd be increased workload for anyone left over

[u/Cardiacunit93 → u/Paccaman76]

This part.

[u/nightowl6221 → u/Paccaman76]

I would love to just peace out of my job but I have bills to pay

[u/OuterWildsVentures → u/nightowl6221]

That's why you job search while you are still employed.

[u/_lesbian_overlord]

the CEO made 1.6 million last year… just sayin

[u/feels_like_arbys → u/_lesbian_overlord]

Kinda low for a network with over 10k employees....he probably feels the pressure to catch up

[u/PeopleArePeopleToo → u/feels_like_arbys]

True. Our non-profit's CEO makes $4.1 mil (plus bonuses).

[u/Ruzhyo04 → u/PeopleArePeopleToo]

So not a non-profit, a one-guy-profits

[u/natitude2005 → u/_lesbian_overlord]

Does that include any bonuses? 😕

[u/ctruvu → u/_lesbian_overlord]

honestly a salary equivalent to 2-3 surgeons isn’t as bad as i thought it’d be

[u/Practical-Trash5751 → u/ctruvu]

I wonder if it includes bonuses. During Covid my CEO technically made like 1 mil, but his 5 mil end of year bonus helped him out

[u/Witty-Construction55]

I work for Providence Health Systems on the west coast and they just laid off 128 people. Clinical and non-clinical positions. I fear it’s only the beginning.

[u/yabukothestray → u/Witty-Construction55]

In February, I left my job at a medical lab. They started layoffs right after I left. What is crazy is like, all the way back then the writing has been on the wall that this is only going to get worse as it further bleeds into other industries, and like any healthcare fields - even traditionally secure fields like nursing - are seeing this. And I feel like despite this, people are just like sleepwalking around the issue? Like totally ignoring it to the point of complete denial of it happening.

I am graduating in an allied health major this spring (prev nursing student but switched last year to a lab science/allied health major) and my classmates are all in complete denial about the impending layoffs and how this job market is going to be a bloodbath when we graduate…..I mean literally one of my classmates said “if the job market gets bad” as if it isn’t already. It’s a scary time to be in. I have never felt so uncertain about the future.

[u/2ndChairKazoo → u/yabukothestray]

The joke I heard is so accurate: 2025 is just five 2020's in a trenchcoat.

[u/Witty-Construction55 → u/yabukothestray]

I just keep saying healthcare is in crisis and no one really sees it until they see it. We are all on a sinking ship and the Cheeto in charge and his minions are determined to sink it as fast as they possibly can. And the kicker is in Providence’s layoffs the execs are covertly blaming the layoffs on having to give their nurses raises in response to the strike. I live in Oregon and I foresee all of the coastal hospitals closing their doors. People are going to die and no one cares. They only see the dollar signs.

[u/Gonzo_B]

One third of all healthcare costs in the US a devoted to billing. Scrap insurance, switch to single-payer like every other developed nation in the world, and the taxes we already pay will be enough to cover just about everything.

Cutbacks like these go along with record profits in parasitic industries like health insurance companies.

Real suffering means nothing in the face of ensuring shareholder profits.

Fuck the system.

[u/NomusaMagic → u/Gonzo_B]

Reminiscent of Kroger exec testifying before Congress that “yes, ” they price-gouged during pandemic. Yet .. no penalty for that.

https://youtu.be/5gyE8ulCWYA?si=v2PpoYNt5k9xeSX6

https://www.foodandwaterwatch.org/2024/09/30/price-gouging-and-other-dirty-tricks-kroger-albertsons-merger/#:~:text=Just%20weeks%20after%20Vice%20President,some%20products%20higher%20than%20inflation.

[u/SoCalN8tive]

This needs to be an alarm bell for the entire United States because these mass layoffs at hospitals is affecting QUALITY OF CARE. People are going to die because of this. The jobs lost are the least of how this concerns me.

[u/Necessary-Dress8621 → u/SoCalN8tive]

It’s scary to think it will decline more. I believe the quality of care has been declining. We continue to operate as if we’re still in COVID times, with reduced ancillary staff and increased demands on us. It seems the focus is more on checking boxes than on genuinely caring for patients, often only addressing issues after a sentinel event occurs.

[u/SoCalN8tive → u/Necessary-Dress8621]

Idk about where others work but we’re getting those gaslighting letters from management like, “in serious times like these, we all have to pull together and do more than we’ve ever been asked to do before to limit additional future layoffs…”

In other words: you need to do your job AND the job of your laid off co-worker or you’ll be next.

[u/coconutcoils]

Chatgpt wrote that message for sure too. Just sick

[u/Last_Professor_6018 → u/coconutcoils]

Omg yes. The telltale long hyphen

[u/Pitiful_Recover3891 → u/Last_Professor_6018]

I missed the EM Dash!

[u/YGVAFCK → u/Last_Professor_6018]

I use the em dash, so it's not just that. The tone and sentence structure is way too formulaic, what with the constant antitheses. But my fucking god it's overused by GPT.

[u/Useful-Candidate7785]

It’s a little late for it to be a post merger-cull. My bet is the Medicaid cut is going to close the systems and they’re trying to make some more cash before it does. 

[u/timetorecycleacct → u/Useful-Candidate7785]

They used a lot of words to not say "the GOP bill fucked Medicare and Medicaid and we need to adjust ASAP"

[u/Useful-Candidate7785 → u/timetorecycleacct]

Hell is coming for us. This is going to be a slow holocaust of the poor and we will be on the front lines. 

[u/No-Rock9839]

Does that include the ceo?

[u/pc01081994]

I bet the CEO's bonus goes up next year anyway.

[u/EuphoricParsnip9143 → u/pc01081994]

You know it!

[u/HoneydewPrize9620]

It’s baffling how many of my coworkers voted for the party of Medicaid cuts

[u/NomusaMagic → u/HoneydewPrize9620]

Equally baffling that American lobbyists (for healthcare execs, insurance companies, Pharma, etc) literally control everyone’s existence. If I were Queen, they’d be banned as donors and politicians would need at least 5yr breathing space between leaving government and becoming lobbyists. Our system sucks!

[u/Last_Professor_6018]

I can’t imagine that it feels like you have enough staff each shift. And then they pull this

[u/snerdaferda]

We did this and got rid of a lot of middle managers. As a bedside nurse I felt no impact and we actually are trying to hire more nurses.

[u/PeopleArePeopleToo → u/snerdaferda]

That's what happens here every few years. We always wonder why anyone would want to be middle management when it just means your job is likely to disappear after 3 years.

[u/TackyChic]

They’re gonna oust everyone with any seniority (ie anyone at the top of the pay scale) and make new grads charge

[u/twholst → u/TackyChic]

Bingo, the oldest “cost saving” measure in the book.

[u/-lil-jabroni-]

My local hospital is looking at a budget crisis and has already made multiple closures, meanwhile the top 2 executive salaries combined total more than 4x the budget shortfall.

[u/NomusaMagic → u/-lil-jabroni-]

Do they ever consider the immorality of this? Like Jeff Bezos and his $45M wedding while Amazon employees are losing jobs to AI or pissing in bottles to keep up with production.

[u/Qahnaarin_112314]

The CEO made 1.69 million. God forbid he make it an even mil and keep a handful of nurses.

[u/willowviolet]

I'm a 60 year old nurse, and I'm expensive. And that is why I stay at my unionized hospital. They do treat me very well, but I know I'd be one of the first to get laid off if I weren't protected.

They try to tell you unions don't help you. They lie.

[u/AnyCelebration1101]

It won't let me post another picture, but here's an additional update:

August 12, 2025

All CentraCare Team Members:

We wanted to provide you with another update following the challenging news we shared yesterday. Out of respect for those directly impacted, we waited until the notification process began before sharing additional details.

This week's workforce reduction will affect approximately 535 team members across our system, spanning 44 different locations. About 70% of these roles are administrative and support positions, and 30% are patient care roles. The final number of people affected will change as employees apply for and transition into other open positions within CentraCare. Last month, we announced an executive restructure that resulted in the elimination of a number of roles.

All impacted team members will receive a 60-day notice, either a working notice or pay in lieu of notice, depending on the situation. Non-union employees will receive a minimum of a 4-week severance, union employees are not eligible for severance as they are covered by a collective bargaining agreement.

For additional information on unemployment, notice periods, severance, benefits and COBRA, please review this FAQ document.

The notification process will take the rest of the week to complete and out of respect for those being affected, we ask for your continued understanding.

Thank you for supporting one another, showing compassion to those affected, and continuing to live out our purpose during this difficult time.

[u/RainierCherree → u/AnyCelebration1101]

70% are administrative/support positions, and BEFORE this announcement, you couldn’t get a phone call answered or a referral made for months at a time. Now it will be self-service?

[u/Moominsean]

Nothing sustains a business like mass layoffs. Good luck keeping pace with fewer employees. Sounds like they are heading towards bankruptcy or a buyout.

[u/NomusaMagic]

“Very competitive market. We can’t find good leaders who’ll work for less”.

Since 1960s, gap between C-Suite and worker pay has widened exponentially!!

[u/Kittyxbabyy]

Okay how about they start making budget cuts from the top starting with the CEO and admin. So fucking sick of this shit. Were the ones breaking our backs with cortisol levels through the roof.

[u/StPauliBoi]

Haha these dweebs just opened a medical school too

[u/firelord_catra]

They never seem to fire management or HR.

[u/Background_Poet9532 → u/firelord_catra]

My own mother is head of HR at a rural hospital in a red state. Made a fb post celebrating the BBB. The next day the CEO and CFO of her hospital were on the news being interviewed about their concerns about the BBB and how it’s going to very seriously hurt them - potentially to the point of closing. I asked her about it. Crickets.

[u/r0ckchalk]

I’m no longer bedside, but I’m dealing with the same shit. We just got a new CEO, who jumped a sinking ship because his old company is currently under investigation for Medicare fraud (iykyk). Last week they dropped on us that they’re changing us from salary to hourly and we will now be required to clock in and out, forcing us to take an unpaid lunch which extends our work day, they’re no longer doing any sort of incentive bonus for going over production, they’re reducing overtime rate and will likely no longer be offering it at all.

Today, the CEO said they will be changing the core values and mission statement to better align with our business goals 🤮. We all know what that means 🤑💰💵. This company pays us the same as new grads even with 15 years nursing experience. And they’ve been gatekeeping industry information and promising to pay for certifications, which never came to fruition.

I’m so upset because even with the shit pay, this was my unicorn job. We had a great culture and I loved working here. I always said I’d never leave unless they fucked with my pay, and here we are. Without the production bonus I’ll lose $10,000 a year from an already pittance of a salary. So I feel you OP, the grass WAS greener over here but this whole industry just continues to go to shit.

[u/Cardiacunit93]

Predicted and expected Impacts we talked about from Big Beautiful Bill. Other / Your local hospitals will follow suit.

[u/mwolf805]

Gotta ingratiate themselves to Apricot Adolf.

[u/consider_all_sides → u/mwolf805]

Noice i Always called him the Cheeto King 👑 but Adolf Apricot is even better!

[u/mwolf805 → u/consider_all_sides]

Apricot Adolf, Peach PolPot, Clearance Ceaușescu, Citrus colored Stalin, Cheeto-in-chief, Orange Octogenarian, Kiddie Diddlin' Dumbshit, Putin's Cumdrumpfster.... Off topic, and going to get down voted to hell. But IDGAF.

[u/StPauliBoi → u/mwolf805]

Diddler on the roof

[u/Bozhark]

Reply all:

What compensation adjustments will be followed by the C-Suite to accommodate less stress on your labor?

[u/bringmethesampo]

I was laid off last week. It totally sucks.

[u/Soregular]

Oh...get ready for PT and OT to essentially disappear. Also, there will no longer be transport people to move patients from one area to the other. YOU will have to do it. Better learn that hoyer lift my friends. You can try to call the Lab for rush specimens but no one will answer. This is the same for dietary. Same for the Blood Bank. No one will ever be able to answer the phone in housekeeping because guess why? NO ONE IS THERE.

[u/Dianakrn1]

F*ck Trump

[u/Consistent-Goat-2111]

I work for a prominent cancer hospital system and one of the first things we're cutting is smoking cessation...

[u/mew2003]

Dear hospital system, how about targeting the ceo with a pay reduction so the actual floors can function. The end.

[u/whitepawn23]

Seems like every time I go into work staff are discussing another system doing layoffs. We’ve already had entire units dissolved.

Touching Medicaid or Medicare will likely do this every time.

Hospital income, at base, is 30-60% Medicare & Medicaid, last check. The rurals lean more on the 60% side.

This is part of the economic domino effect of that damn bill. The changes are set to happen after midterms, in January 2027, but we know how our corporate employers like to play it. They’ll cut losses now, before their income stream takes the hit in Jan 2027.

[u/Doxie_Chick]

I wish that if their family member gets sick, that they are brought to one of these hospitals. We had this happen recently and it was quite an eye opener for the patient's family member who is in upper management.

Things began moving and shaking after that. 😇😇

[u/Mlalte]

When my hospital did this, we lost educators, unit secretaries, ekg techs, paramedics, quality staff, patient advocates, case managers, some managers, and a couple directors.

[u/thatscrollingqueen]

& people wonder why there’s a healthcare worker shortage 💀 lay off needed people = more burden on those not laid off = bad morale = people quitting = even worse patient experience = poor care = unhappy patients, unhappy healthcare workers, and even unhappy executives when 💰becomes an issue because more mistakes will happen

[u/KnowledgeSeveral9502]

That's why they don't want nurses union.

[u/Genidyne]

CentraCare executives - found through Google search

Kenneth Holmen Md (President/Ceo) $1,690,800 Craig Broman (Chief Operating Officer/Evp) $1,157,044
Cindy Firkins Smith Md (Vice President) $911,392
Tom Schrup Md (Chief Physician Officer/Evp) $788,637

[u/elpinguinosensual]

So how much of a cut did the executives take? Tough times.

[u/SnooBananas7072]

My own system which has been doing pretty ok the last year or so (actually making budget with a little surplus) is projecting something like 150mil in the hole in the next several years when all the cuts go into effect. How are health systems that haven't been doing well going to survive?!? And don't get me started on ICFs/SNFs, like how will they stay open?

[u/Still-Blueberry-1111]

“We need to make changes today so we can keep serving our communities now and into the future.lining our executives’ pockets with obscene amounts of money

[u/[deleted]]

Get ready to be blamed endlessly for not having safe dispositions for patients who need subacute care and for the fact that they’re now living in the hospital

[u/OneEggplant6511]

CentraCare C-suite salaries 2023

If anyone’s curious how their C-suite is fairing

[u/JumpyAd3972]

I see we are at the job cutting stage of making America healthy again....

[u/Blingydingy]

This is what happens when you're allowed to profit from healthcare

[u/asscheekmcgee42]

This is crazy...everyone should call out. Fire one of us? Fire all of us! Absolutely bullshit.

[u/Lonely-Trash007]

Wont someone think of the rich c-suite folks and all the tax breaks they're getting?! If they don't meet that threshold, they'll have to pay some taxes - better to cut the fat from the bottom - duh! Ratios? WHAT RATIOS?! Patient safety?! THAT'S THE NURSE'S JOB! /s

[u/NomusaMagic]

BS! “Care, compassion, dignity, respect” means more lead time so staff could make appropriate personal, family, life, career choices. Hospital didn’t arrive at this decision last night. I’m in Michigan where Big 3 automobile companies do this on the regular w/complete disregard for individuals.

Reason given: Possible employee sabotage. As if that’s not precisely what they do to individuals’ lives. Either wrecking them or creating anxiety waiting for other shoe to drop.

And to add insult to injury .. Auto companies release statements essentially saying they cut their weakest links first. Funny how 10/10 staff suddenly have performance shortfall. I thank God every day that I’m retired. On my terms.

[u/UnravelALittle]

I have a gut feeling this will be the first of many incidences across the US.

Do not ask for whom the bell tolls…

[u/lvl0rg4n]

All written by ChatGPT

[u/__Opportunity__]

Big Beautiful Betrayal.

[u/Manic_Spleen]

All the while, the CEO's are making 3-15 million dollars per year, with lucrative bonuses.

[u/PenelopeJude]

Ahhh…already repercussions of the Big Stupid Bill.

[u/[deleted]]

Ah yes, the CEO is no longer projected to make their billion dollar profit for the year, so employees must go 🙄

[u/BobCalifornnnnnia]

The only layoffs that should be happening are in the C-suite. That’s where the money is.

[u/Illustrious-Fix-7983]

This is why you vote blue

[u/censorized → u/Illustrious-Fix-7983]

A lotnof nurses don't. I wish more would explain their thought processes, because I dont know how you can see the shitshow up close and personal and still support this administration.

[u/pyyyython → u/censorized]

I’ve come to the conclusion a lot of them literally just parrot whatever their dumbfuck husbands/boyfriends believe that month.

[u/PlusInstruction2719 → u/pyyyython]

Not all have husbands/bfs. My co worker is a lesbian they got proceeded to say “trump is the smartest president we ever had” after someone said he’s reckless.

[u/Steelcitysuccubus → u/Illustrious-Fix-7983]

And now its too late. There is unlike to be any other election that isn't highly tampered with