-they will work you to the ground
-if you are in an exempt position, good luck- you will be working well over 50 hours/week
-very manager heavy- so many leaders across organization, leads to too many hands in the pot
-needs greater alignment across org-too many departments work in silos
-so many initiatives going on that don't necessarily align to where the organization is going-becomes difficult to talk about projects ROI- this is a problem for leadership
-org is moving at a faster pace than they can handle
-many people have been there for YEARS that are not necessarily qualified for the place that healthcare is in now-no longer qualified
-many positions are grant funded/ contracted