A slow, but steady, decline in job satisfaction over the years. - Anonymous employee Premier, Inc. Employee Review

Heavy focus on appearances. Little focus on effectiveness and competence. Promotions from within that are few and far between. Questionable promotions when they are made. High tendency to hire unsuitable candidates from outside the company instead of looking within. Largely incompetent HR department. Inability for middle management to to recognize, address, and correct issues in a timely manner, if at all. Lack of support from directors into the Agile project planning process, while mandating it's use. Inability of project leads to understand or implement Agile processes correctly. Large portions of Agile training disregarded with the result being heavily process driven micro-management.