After the merger with Eclipsys, the management was gutted from Allscripts and Eclipsys people were put in charge. Unfortunately, Eclipsys was going downshift, before the merger, and their managers were not familiar with the small physician practices. They were only familiar with hospitals. It's fine to outsource Support to India when you are dealing with hospitals which have all their own IT staffs. It is not fine when there are office managers and doctors calling in directly.
Even that merger was bearable, until they ousted the previous CEO and brought in the current CEO. He was on record as getting over $10 million just for coming on as CEO, and, yet, in his first meeting with the employees, he was asked about employee bonuses/raises. He told us to stop worrying about such things, and just to put our heads down and do our work, and shut up. I guess as long as he gets his $, then things are fine.
Then, the company mismanaged putting a new Oracle accounting system in place (financial reports still aren't right after 1 1/2 years) and that ended up with the head of development reporting back to the COO that , no, none of his people were using the after hours pay. They reported this back to the board, and said they could cut after hours pay for development, support and services and save lots of money. When it was discovered that the head of development had just gotten bad numbers, they didn't want the embarrassment of telling the board they were wrong, so they went forward with eliminating the overtime pay for everyone. This included some teams in Services, where people were working an extra 30+ hours each week, and making $30K extra per year, while bringing in an extra $250K for the company. The company didn't like idea of people making so much extra money, so they canceled the after hours incentives, and lost the huge additional profit they were making, and destroyed employee morale.
We have also watched, as VP after VP was hired in from the new CEO's old friends at his old company. Most times, the new VPs were not VPs in their old position. Cronyism runs rampant.