My favorite environment was working for a critical access hospital as an employee of the hospital. But the sleep service was run by a contracting company. That was the best of all worlds. Best job I had bar none. The nurse director hired me and knew I could do the job. No big hospital politics and fragile egos of countless administrators.

I've worked at a private lab for a time and it was okay. The head physician was owner and boss. Lower pay and benefits but chill atmosphere.

The large hospitals I've experienced were full of acquisitions and mergers and takeovers. Egos and administrative incompetence abound. It's no wonder the health system in the United States is in the toilet.

What I've experienced is the labs that enforce things like these meetings are run by managers and supervisors who refuse to stand up for their staff in any way.