management only promotes you if you kiss up to them. they do not care about how hard you work, that you support your peers, get good reviews from patients. they will still give you a terrible review. just so they can justify giving only a. 1.5% raise for the year. it doesnt even keep up with inflation...let alone the value i bring to the organization i bring to the company for working there for over 12 years. i have the knowledge of 4+ departments that i use in my daily job and i get paid only $2 more per hour than new-hires.