Think of it this way - this is a hospital that has mushroomed due to the housing boom in NE Georgia, while retaining the high school culture that so many others have mentioned. In that spirit, you do your four years and you move on to better, more mature organizations.
Creativity and individualism is squashed in the name of ham-handed policies, leaving the poor few who have to live by them scratching their heads as to which one to follow today. This is NOT the place for anyone who is going to express an opinion that runs counter to what their boss says.
The fact of the matter is that the truck-boat-truck good old boys and girls who've worked here for 20+ years intend to keep their six-figure salaries and maintain control by adopting some seriously manipulative behavior: playing favorites (read: only local yokels get promoted) and bait-and-switch tactics that lock you into employment.
It's incredibly frustrating to work here and try to make a difference, mainly because incompetent middle managers are more interested in pointing fingers that doing actual work.