Actual treatment of employees does not support Renown's stated vision, mission, and especially values. Many senior managers achieve their positions without any prior management experience or education, which negatively affects their subordinates' performance and job satisfaction. Many mid-to-upper level management hires are made without applicants meeting the minimum requirements for their jobs. Executives look out for each others' career advancement rather than focusing on patient care, problem solving, and employee retention; Toxic management culture exists in Operations, HR, Finance, Admin, Nursing. Bullying runs rampant in the HR and Finance Departments due to poor executive oversight and metrics, and permeates the organization like a disease.