In this Hospital, the management promotes and supports a disturbing "management verse employee culture". Managers are promoted from within using a low hurdle; and not given any professional training/guidance in dealing with employees other than a parroting assimilation into this culture. Therefore, due to a lack of skills, or higher purpose they operate only through their personality, ego and personal relationships. In addition, any questioning/concern is assessed as an affront; met with reactive hostility and teaming up against the person. Extremely high school like and Toxic workplace. Most are local and have spent their whole career working only at this hospital so have no other frame of reference than operating with a lack of accountability, defensiveness and protected incompetence. There is a minority of competent employees not in management, but most spend much of their energy on socializing, talking about their personal lives and their social position rather than being patient focused. I have worked many places couldn't imagine a more dysfunctional one.