Pros
Senior IT leaders of DHTS seem to have their employees best interests in mind. They really seem to care and they want to maintain a stable environment. Benefits are good. Plenty of PTO, fairly open WFH policy.
Cons
Senior IT leaders of DHTS are disconnected from what a modern IT organization looks like. They're not IT people. They are very risk adverse and they don't have a cohesive strategy to avoid "Big Duke" from outsourcing much of the infrastructure to the cloud and keeping the unique medical application owners and supporting personnel. Senior leadership all too easily rests on their laurels and in an effort to "keep it positive" avoid having the crucial conversations and speak honestly. Salaries are very low - not even competitive with local/national standards. Many folks that have been there 20+ years often reference "the good old days" and use their history as justification about why new ideas or processes won't work. The work is uninteresting and there are major communication issues between departments. No professional level training. No internal training department. No bonuses. No internal surveys. No real metrics to gain any insight into what's happening on a daily basis. Because much of the work is reactive, it can be long hours of hands on to fix things that break and very little gratitude afterward.