While I was lucky enough to work with a wonderful group of individuals, the rest of the workplace was not so stellar. The "culture of always" is, in my experience, a façade to look better to the public. Patient satisfaction and care takes back seat to money, at least in the upper management's eyes, and this wouldn't be so bad if they didn't lie about it. Upper management consistently hands down new operating procedures without one, knowing how it will affect the people carrying the orders out, or two, bothering to ask how it will affect the people carrying the orders out. All in all, upper management's hypocrisy and lack of interest in the job satisfaction of the "peons" made Centegra a difficult place to work.