So far I've worked for a total of five hospital systems as a staff nurse and traveler. Total of 18 months of traveling with HCA. I'm simply here to tell you the rumors are true, profits are put before patient's well being. Unnecessary work ups are pushed on patients, metrics are the forefront of how decisions are made, staff is worked to the absolute limit. The only thing I'm unsure of is who HCA cares about less, their patients or their employees. I always tell the permanent staff that the grass most definitely is greener on the other side.