Pay (and promotions) are based on HR checklists. There is no "interpretation" of five years of experience in so-and-so. If you have 4.5 years, forget it. Also, we get benefit cuts every year--no longer offered pensions, no IRA match, etc. PTO is your vacation AND sick leave combined, which really sucks, considering it's about 20 days total. We get reviewed every year, and even if you EXCEED expectations, you get a 1% raise. Tough to swallow, when you know doctors and leadership get paid way more (and get BONUSES).