Top heavy management. Rampant cronyism especially in administration at all levels. Self insured, so employees left without choice of practitioners to use for their own healthcare. Poor benefits in terms of salary or hourly pay.401K matching is bare minimum after 1 year of employment. High turnover.Increasing use of traveler/locums personnel. Upper administration known for autocratic style and unwillingness to negotiate. Expectation of unreasonable amount of availability/on call obligation.