HCA Florida Lake Monroe Hospital
Trauma Center · Sanford, Florida 32771
On the floor
What the day-to-day looks like
- Setting
- Trauma Center
- Shifts hiring now
- Per-diem 2
Benefits
401(k) with 100% match on 3% to 9% of pay based on years of service; Employee Stock Purchase Plan at 10% off HCA stock; education assistance; ICU/CVICU sign-on and case-by-case relocation listed in postings.
The city
Living in Sanford, FL
Sanford sits along the St. Johns River and Lake Monroe, offering nurses a slower-paced alternative to nearby Orlando with a revitalized historic downtown. The city blends Old Florida charm with convenient access to the broader Orlando metro's healthcare network.
Browse roles in Sanford- Metro price level · Sanford area
- 101.4
- 1% above the national average
- Median gross rent
- $1,609/mo
- rent and tenant-paid utilities
U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024
Who they are
You would be joining HCA Florida Lake Monroe Hospital in Sanford, a Level II trauma facility that is the first of its kind in the area and feeds a growing freestanding ER network.
- Trauma Center · Sanford
- Hiring per-diem
More about HCA Florida Lake Monroe Hospital
Full-time ICU and CVICU night roles have listed base pay from $33.77/hr at five years of experience to $38.28 at ten years and $49.06 at seventeen-plus, with a $4.50/hr night differential and $1.50/hr weekend differential. Sign-on on those units has been posted at $15,000 for days and $20,000 for nights through the end of Q3, subject to reevaluation, and relocation help is handled case by case. If you are in your first year, the HCA Healthcare Nurse Residency in North Florida runs a full year and includes full-time mixed rotating weekends at this hospital. Charting is on Meditech. Scheduling patterns in postings include nights with rotating weekends on ICU/CVICU, every-other-weekend 3x12 on TELE (with in-house float when the unit does not need you), and OR Night PRN on-call Sunday through Thursday 7P–7A. Nurses here voted to ratify a three-year union contract covering Lake Monroe. Benefits called out in postings include a 401(k) with 100% match on 3% to 9% of pay based on years of service, an Employee Stock Purchase Plan at 10% off HCA stock, and education assistance. Outside reviews split by platform—Glassdoor near 2.6/5 from about fifty ratings with 27% recommending, Indeed near 3.5/5 from roughly 145—and a recent med-surg/trauma voice described thin PCT/CNA help and feeling unsupported, while a longer-tenured ICU nurse called the work rewarding with strong staff and management. Healthgrades has named the hospital among America’s 250 Best for 2026 and awarded a seventh straight Patient Safety Excellence recognition, along with spine and pulmonary excellence marks.
Why nurses stay
How they describe the culture
What nurses say in reviews
Glassdoor averages about 2.6/5 from roughly 50 ratings with 27% recommending; Indeed averages about 3.5/5 from roughly 145 reviews. A longer-tenured ICU RN described rewarding work and impressive staff and management; a recent med-surg/trauma RN cited lack of PCT/CNA help, family conflict, and feeling unsupported; another RN praised HCA benefits and pay but disliked the location and an internal-hire tendency.
The good
- ICU/CVICU night base pay listed from $33.77/hr (5 yrs) to $49.06/hr (17+ yrs)
- $4.50/hr night and $1.50/hr weekend differentials on ICU/CVICU
- Sign-on posted at $15,000 days / $20,000 nights through end of Q3 (subject to reevaluation)
- Year-long New Grad RN Residency in the North Florida market includes this hospital
- 401(k) with 100% match on 3–9% of pay by years of service; ESPP at 10% off HCA stock; education assistance
- Level II trauma designation and 2026 Healthgrades America’s 250 Best plus seventh Patient Safety Excellence Award
- Ratified three-year union contract covering Lake Monroe RNs
The hard parts
- Glassdoor ~2.6/5 from ~50 ratings with only 27% recommending
- Recent med-surg/trauma RN reported lack of PCT/CNA help and feeling unsupported
- Sign-on window described as through end of Q3 and subject to reevaluation
- At least one RN disliked the hospital location and noted an internal-hire tendency
“I came for the sign-on bonus. I stayed because on my hardest night, my whole team stayed with me.”
The reality check
Before you decide
Quick facts
- Relationship
- Direct employer
- Roles last seen active
- Aug 4, 2026
- Website
- hcafloridahealthcare.com ↗
Weighing a first job here?
The license clock and the job hunt run at once, and new-grad windows do the deciding. Residency commitments carry fine print worth reading before you sign.
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Open roles
Current openings at HCA Florida Lake Monroe Hospital
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HCA Florida Lake Monroe Hospital
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HCA Florida Lake Monroe Hospital
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ICU Stepdown PRN
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HCA Florida Lake Monroe Hospital
Registered Nurse
Float Pool PRN
Pay not listed
Sanford, Florida
Per Diem shift · Per Diem contract
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