Bad business practices. Company is segmented into business units that compete against each other for resources and the lime light. All focused on their own agenda's and bottom lines and not "The System" as a whole...thus in general, not be viable for long in the competitive Healthcare market, because it will not be able to compete externally because of the internal chaos.... nothing is streamlined and structured and that is the norm. They finally realized that they were not using industry best practices or operating and reporting efficiently when the due diligence efforts to merge with another health system shined a light on how lacking the business organization of HFHS was and just how below par their processes, communications, systems ...etc. were/are (the merger did not happen..."I wonder why"...NOT). In additions, you can only hope to get a merit raise increase of only 2% about every 10 years (meaning about once every 10 years). And in an effort to cut costs the policy has been to not fill positions in non-clinical areas so if your co-worker quits (which happens a lot) be prepared to take on ALL of their job duties, without any consideration of a raise and no annual merit increase and definitely no promotion. In conclusion, if you are a clinician, it may be ok for you at HFHS. But non-clinical...it can be a disappointment...lots of work no rewards, no competitive pay, antiquated structure and processes.