Is it just in West Virginia, or is there alot of politics involved in your hospitals? I call it the GOB network (Good Ole Boys). They have recently "redesigned" our hosp, managers have 2-3 departments, no raises, etc. All this due to very poor spending by our CEO. In the midst of this, they give a retired OB/GYN a cushy job over OR, make his girlfriend nurse manager & his daughter nurse manager over two units.