You are expendible. IH will not invest in you. They don’t pay for continuing education and you have to use PTO to go to a conference. If you want to advance in your career or gain a specialty, it’s not with IH. It is an act of congress to get any new material/items to complete your job, no matter what it costs. Upper/senior management don’t care, and mid management is required to be “yes” men, don’t contradict. Lots of spinning. They no longer care about their patient care and the quality of care, it is not about money and how much you can make them. It has lost the nonprofit organization feeling. They have banked on the local culture of service and hard work for too long, and the people don’t feel loyalty back and things are shifting negatively quickly. Benefits are not that good, including medical. 401k is par to sub-par. Pay is barely enough to float with cost of living and raises are not keeping up with inflation. Bonuses have almost completely disappeared.