Well where do I begin? The "Compelling Offer" is a ploy to get you in the door at a decent rate and then they sandbag you with little to no raises once you're in. I've gotten a total of a 6% raise over my initial salary and I've been here over 4 years. Career development is a joke unless you know someone or have pictures of someone. On the Learning and Performance website, the career development tab has been "under construction" since June 2009 when the website was launched. Very siloed approach to how you can move within the organization. Transferring between departments is supposedly endorsed but rarely enacted. I was told by HR that if I wanted to move to clinical, I would have to drop down 3 levels and take a pay cut, sign a letter indicating that I requested it and there would be no guarantee with regards to a timetable to get back to my starting level. Employee Engagement survey in the summer of 2010 indicated very poor results with regards to employee happiness with pay and recognition. Over a year later, there have been no substanial changes. What did we waste the time to take a survey for? Technology, processes and training are outdated and need to be revamped. However, you always run into the "this is how we've always done it" mantra. When processes do get changed, people who've never done the legwork in their life make the decisions with no input from the lower level folks.