Depends on the Department you work in, but overall-very much a corporate for profit mentality, top heavy in administration, those folks seemed to have had little experience or even success in running a community hospital. Over the years plenty of turnover in administration, while retaining a pretty loyal base of hospital employees. Very good at paper -trail corporate compliance. Staff dissatisfaction with corporate ways seemed to increase over the years Inwas there. They could better managed the departments I worked in for greater efficiency. Not knowing if your department is on the "chopping block" until perhaps too late. Really don't understand how they remain viable with all the competition in healthcare - oh, wait HCA now owns almost all the hospitals in this area- that would be a monopoly.