No upward mobility. They will have job postings and if you apply, you either never hear back from anyone (good or bad) or it's immediately rejected because they already had someone in mind or the job wasn't really available.
Management is one of the worst I've experienced. They demand disclosure of PHI when it's not necessary (ILLEGAL). They throw lower level employees under the bus if contractual obligations are not being met. They speak in generalizations and avoid answering any questions directly, even if the questions should have direct answers. If you are not their direct report, they ignore or flat out refuse to meet with you. They, genuinely, do not have any idea what to do in this changing healthcare landscape or just don't care.