
My friend lost her job yesterday after ten years at a company headquartered here in Dallas. She’s one of my favorite people – so creative, talented and smart. She got RIFFED. That’s Reduction-In-Force, so not the same as a Donald Trump-style firing. It still hurts, though.
I should know. I got “RIFFED” 24 years ago and I want to tell my friend it was the best thing to happen to me, work-wise.
There I was back in 1992, 33 years old, MBA recently in hand, living in Nevada, and had been a hospital chief operating officer (COO) for about four years. Back then, the shoulder pads on my skirted suit jacket probably helped me avoid injury as my head butted up against the glass ceiling.
As my male peers kept getting promoted to hospital CEO positions in the company, I was offered either psychiatric hospital CEO positions or COO at a larger hospital in south Texas. As it turned out, I would have been nuts to take either option.
The psych hospital gig would have been a one-way ticket out of acute care with lower pay, and the CEO at that south-Texas hospital was later charged with sexual harassment by his female COO. Nice options, huh?
Then I got engaged to a long-time Nevadan. I wasn’t planning on moving. Back at the hospital, I was doing well, my departments were profitable, and I had a good working relationship with the CEO. What I didn’t have was a good relationship with the Chief Nursing Officer (CNO).
There were rumors swirling around the hospital that CEO and CNO were having an affair. CEO’s wife didn’t live in Nevada. In his defense, I saw no proof of an affair, and CNO didn’t really get in my way because she only worked part time (in violation of state and federal acute care hospital licensing requirements).
I thought things were hunky-dory when I met with CEO one afternoon in May. He proceeded to pull the rug out from under me: my position had been eliminated. It wasn’t a hospital-wide RIF, just my position.
Say what? You mean in spite of the fact that I’d developed several profitable service lines and received written commendations? In spite of the fact that my departments were profitable? Yup. In spite of all that.
I was devastated. As I was packing my desk, one of the hospital-based physicians I’d befriended came by to tell me about a job I might be interested in right there in river city. The administrator of an ambulatory surgery center had recently died and that company was looking for a replacement. He showed me their surgery schedule for the day (this was before HIPAA), and it was on legal-size paper, covering the front and half the back. That outpatient surgery center was doing three times as many surgeries that day as the hospital from which I was about to depart.
Not having many other choices at the time, I applied for the job. After three interviews including a one-day meet-everyone-in-the-Dallas-corporate-office extravaganza, they hired me. I was impressed at the time that the company, Medical Care America (MCA), had been very sensitive and accommodating with the center staff about the death of my predecessor and demonstrated great concern for them.
As it turned out, my talents and strengths were ideally suited to the then-nascent outpatient surgery center industry. I loved my staff and managers, I loved the doctors I worked with, and I loved that our patients loved us. I really liked the autonomy of the job and the corporate culture of growing the business. I was supported and empowered and had found my niche.
And if I hadn’t been RIFFED from the hospital, I would never have applied for that job. Later that year, my old hospital corporation wised up, CEO and CNO and were canned.
My surgery center was profitable. I opened a second center in that city and found I enjoyed that process, and was asked to oversee a third center. MCA was sold to HCA. For the next twenty years, I developed and managed outpatient surgery centers for the biggest for-profit hospital companies in the U.S. I worked hard, had fun, and made friends I have still.
And if I saw CEO today, I would thank him from the bottom of my heart.











