It does not matter how hard you work (and trust me, this job must be your entire life to succeed at all with this company), you will NOT be promoted unless you are "in" with the right people. Even then, everyone at this company loves to point the finger at the next person for their own mistakes.
There is absolutely no personal accountability with senior or even mid level management to admit fault on their own part. Every day is a new blame game. I was once ambitious- but I have learned over my years with this hospital that ambition only causes enemies and puts your face on the radar as someone that should actually be kept down, versus promoted in any way.
This is a hospital to work for if you are ready to kill your career, and your future career options. In no case in my experiences with man