When I did internal locums for Team Health, one could easily sus out a job just by looking at the physician seating. I thought of it as a chair index.
Most places had terrible desks, poor computers and keyboards, and terrible chairs. Meanwhile some obese administrative type that I had to inferface with on onboarding had ergonomic everything, two monitors, a nice office, etc.
The core of medicine in America is admin, everything else is ancillary. Look at who always works for the hospital versus who is often outsourced...
Always works for the system: admin.
Sometimes outsourced: everyone else (doctors, PAs, NPs, nurses, billing, etc.).