Much of your experience depends on your client. No two accounts are the same, and some clients can be very demanding and challenging, however you are given the opportunity to move around after 18 months in your roll. Some programs in place can be daunting to work with at first, and hourly staffing can be a problem at times (this is becoming the norm for food service). Some client families will choose to retain control of the unit labor (hourly employees paid through hospital). Many accounts have unionized labor which can be challenging for managers that have not worked in unionized environments.