Management! They ruin the whole concept of hospice and caring; they do not practice what they preach-"patients and families come first" is a big joke coming from management. They offer no support to their staff, limit resources to staff and patients, do not listen to suggestions, complaints, or concerns, no follow through with existing issues, only praise themselves and abuse employees; they expect more and more with unfair wages and will not give raises (unless you threaten to quit and it depends how much you kiss up to them), no consistency, no structure, lack competence, no compassion, quick to call you out on what they think you've done wrong and will never admit you are an asset to the company, ungrateful to the hard working dedicated staff, will expect you to work long hours and even weekends with no overtime or differentials. They create a poisonous environment and allow employees to get away with bullying others. I can only hope that not all the VITAS programs are run this way, would be a real shame...management want employees who conform and who do not ask questions, if you are a critical thinker with a heart this place is NOT for you.