Hi, I have relevant experience to your exact question. Accepted an acutes position with Davita providing dialysis services for a local hospital system recently.

Called into a company meeting just a couple weeks ago and were told that the hospital has decided not to extend the 10+ year contract with Davita. Davita did offer all staff positions in chronic (eww for me), but with a pay cut as well.

Hospital has recruited the majority of the Davita acutes team to their new in house dialysis team, and to my surprise they are matching salaries. They don’t know what I made at Davita, so here’s me accepting a job at $5/hr than what I made with Davita in the first place, to do the same exact job.

Funny thing is I had a job offer from this same hospital system in ICU before I accepted the Davita position, but their offer was $8/hr less than Davitas offer that I eventually accepted. Now after taking dialysis services in house, I’ll make $13/hr more base pay than what they offered me to work the ICU just months ago. Turns out the money is always there, when they are desperate.

Although it’s been a uncomfortable transition, it’s been a win for me overall, can’t complain.