-constant management turnover, and "restructuring" that happens on an annual (or more frequent) basis.
-management doesn't seem to care about the company mission, and only makes decisions based on what makes them the most money or maintains the status quo.
-lack of diversity in management, employment, customers, and patients - and resistance to attempts to make any improvements
-lack of openness to new ideas - it's a hundred-year-old company, and a lot of things haven't been updated or still seem just thrown together