My hospital's president is personable in one on one chats, and my first department manager (head of my department across the entire health system) personally gave me a scholarship when I was still in school, followed my progress as I slowly moved up the ranks, and got me a fancy lunch when I was fully credentialed. We even shot the shit whenever we saw each other, compared martial arts stories, and even did super light sparring in his office lol.
My new department manager is ALWAYS shooting the shit with everyone, is very personable, has gone to bat for us, and even personally saw to my care for a minor health issue prior to him taking over as department head.
I feel sorry for you if you're so cynical about higher ups out of experience. The past few years for me have been great.