Approximately a year ago, our CEO hired a healthcare performance company to evaluate our hospitalist group’s performance and make recommendations as to how to cut costs and improve efficiency. What soon followed was a Request for Proposal (RFP) which was released in the summer of 2014. Our CEO was searching for a third-party company to take over management of our hospitalists and save our non-profit corporation the cost of employing and managing the hospitalists. Needless to say, this was more than upsetting for the 37 employed hospitalists. Were our jobs secure? Were we going to be fired and have to apply to be hired by this third-party corporation if we wanted to stay in this community?