I think that you will find, All hospitals have positive and negative things to overcome. Having worked at both SFH and SJMC, I can say that they are very different, and both need improvement. Each hospital does a few things exceptionally well. SFH has one of the best ICU's I have come across. They handle VERY ill patients and take many unstable patients from the ER. I can remember the ER staff crashing through the doors and saying,"This one is about to crash." Good times. The SJMC ER takes the same accuity of critical pt, but the ICU staff will many times not take patients if they are very unstable. The pt is treated in the ER until stable and then transported. All of that to say, the ER at SJMC is probably a better ER facility. I know that the ICU at SFH is a better facility. SFH has a stellar pediatric group, SJMC has their stellar things as well. They also both have areas that need vast improvement. You may find this to be true at most places. The key is to do your part in changing the poor performance into something stellar.