Its a very political environment thus its difficult to advance if you don't have the right connections. Nepotism is in every department and are awarded positions even if they aren't qualified for the role, and they are treated with favoritism above everyone else. Sexual harassment and sex scandals are out of control, even former CEO Doug Duchak was accused of sexual harassment making public headlines and going to trial. The individuals who are negatively effected are all afraid to speak up, because it is known that HR has slime authority to make changes and are also politically tied. You work very hard, and aren't properly compensated. This hospital is one of the lowest paying hospitals in NJ, with the exception of Nursing. Nursing has one of the highest wages in the state. The business departments are low staffed, so you are overwhelmed and play multiple roles. Middle management will always take credit for your work, and never let you appear before their peers (they assure to keep you from getting praise or stealing their thunder).