I moved into the hospital industry from technology after a family member was treated horribly. The bottom line is from top to bottom most hospital administrators and executives are pure morons. They know how to operate within their bureaucracy, but they cannot ever think outside of the confines of the organization. There's no strategic planning, they copy each other, they have no idea what their costs or revenue really are. Their capital planning is haphazard, and any mistakes get blamed on the board or on outside influences. Bad leaders and a bad administrative overhead. Every hospital has the building. This is an office building somewhere floor-to-ceiling with bureaucrats. They have an HR team five times the size of a technology company with the same number of employees. It's all about the size of the bureaucracy. Patients and doctors are ancilliary to this.