- Politics are rife
- Claims to be transparent but acts differently (for instance, capping employee raises citing cost reduction while lavishing senior executives with 25% compensation increases)
- Promotion opportunities depend on where you work and who you know
- Job titles have very little comparability across the system depending on corporate or affiliate
- Incentives across the system are misaligned; executives who are paid far too much to run a profitable non-profit are asked to change the future, knowing it might impact their pay (>14 execs earn more than $1M each in annual compensation...don't believe me? check Sutter's IRS form 990, public information posted right on their own website: http://www.sutterhealth.org/about/SutterHealth_Form990_2010.pdf) ...I'm guessing most of them are coasting to retirement and milking the system
- Rewards status quo behavior while asking employees to innovate
- Hyper-conservative board of directors making critical strategy decisions based on their experiences in health care from 40 years ago...times have changed, old man (men)...move on and let someone else have a shot
- I worked on way too many multi-year projects that went NOWHERE! Findings, results, recommendations were passed up to leadership, never to be heard from again.
- Gradually scaling back any semblance of employee perqs (beyond pay and benefits, which were decent)