Nowhere else have I seen such poor management. The rot extends from top to bottom. A VP came down to explain how our CIO had "decided" to leave, "inventing" all sorts of details along the way, when by that point the entire staff knew that the CIO was being forced out: if you don't want to talk about it, fine, but don't stand there lying to our faces. A decade ago the hospital was much smaller, but it's grown extremely fast. It used to be a family of sorts where everyone knew each other, but that doesn't scale well. Unfortunately, almost everything is accomplished, now, in a back room through this network of relationships, contrary to what stated policy is. Staff, especially clinical, have been almost exclusively promoted into management despite lack of qualification as the hospital has grown; the result has been massive cost overuns and high turnover. Turnover in my group (non-clinical) was in excess of 300% a year for over 3 years. Expectations are not followed through on, promises are not kept, because the hospital does not move cohesively. A large part of the hospital's success of late is their very committed (and wealthy) donor base; the hospital itself is doing very poorly.