Overall, poor management with "bobble head" mentality. They are not usually proactive of their staff. Any support comes from the Physicians. I graduated from their school of nursing and have worked with them for most of my career. I used to be jokingly referred to as one of Summa's biggest cheerleaders....unfortunately that is no longer the case. Except for surgical procedures, my family members choose to be treated at other hospitals. Summa has really compromised their ethics and care of patients. I never thought I would see the day that the Hospital I believed was #1 would fall so low.