Senior management are utterly incompetent. HR wouldn't know what to do unless they hired a consulting firm, which they do all the time. If the physician members only knew how much was wasted of their annual dues, this place wouldn't exist because of a membership revolt. There are so many managers compared to working subordinates that the ratio is about 2:1; "top heavy" would be an understatement. This organization may have a mission statement, but it doesn't know what it is suppose to do for the membership. No wonder they have had so much negative press as of late. Yes, the physician members don't have confidence in the governance and leadership, but the staff governance and leadership is equally as bad. I'm not sure who would want to work here, except the long-term (15+ year) employees since they have hugely inflated salaries, titles to go with it (without accompanying responsibilities), and the peace of mind that their severance package would be too big for the place to terminate them, so they just cruise along doing the bare minimums.