Press Ganey suffers from an oversaturation of senior leadership who are detached from the reality of their "lower" employees. Integration post acquisition was and remains slow, yet they continue to hire and bring in confusing overlapping roles at the senior level, neglecting to integrate or promote the folks they've already got on staff. Constant "pulse" surveys go nowhere, leadership expects a pat on the back for bringing benefits up to par (maternity leave) where they should have been all along. Out of touch town halls where you'll listen to these leaders announce expensive billboards and off-script political opinions. Oh - and then they'll do a round of layoffs to "reduce redundancy".