Pros
Some of the most dedicated employees that I have ever worked with. They truly care about patients and the quality of care they provide.
Cons
Salt mine mentality on the part of management - inadequate office space, out of date equipment, and lack of efficiency. VPs from hospitals promoted to headquarters lack the breadth and depth of skills to do the level of work required. Inadequate use of external consultants and resources - "we can do it ourselves" attitude. Systemness has been a struggle since 1998 merger of the hospitals. Too much bowing to local boards and physicians has weakened the opportunity to use shared services and have an integrated vision and strategy. Legacy employment and nepotism. Senior management fearful of losing their jobs so they go along with the CEO and the bishop.