This company is run by men who like to make money and appear to have a decent amount of business acumen -- but they have no idea how to run an IT/IS organization.
Running lean is their mantra and, yes, not over-staffing means no layoffs. However, their "lean" means not enough people to do work. There is no time or space for cross-training. Many positions are silo'd to the point of people not being able to take time off when needed.
Paying vendors and business partners is pushed off for as long as possible to not affect the bottom line, which has led to entire projects being handcuffed because work cannot be done.
Moving into the 21st century has been a painful process, and has been done with gritted teeth. Had the government not made EHR a legal requirement, they probably would have never changed the day-to-day hospital operations, security be darned. (Let's not even talk about their week security teams and the data leak that happened this summer)
The CIO is incompetent and blames employees for shortcomings within the organization. The organization will flat-out lie about their own policies on pay and promotions. You will not be promoted based upon excellence in your job. You MIGHT be promoted once meager annual bumps, which you shouldn't count on, add up to enough for your salary to fit into the next box up. (And your salary will be at least 10K below industry averages, if you're lucky.)
Morale is below the floor. Management pits different parts of the organization against each other. VPs and above are forever locked in battle between themselves to prove who has the largest proverbial manhood. The significant (and powerful) majority are out for themselves, not the company, and certainly not their employees.
