They began pushing heavily on unnecessary "Care Club" plans for all clients causing significant strain on treating patients as we went from spending 90% of an exam with the patient to spending more than half of the time explaining different "treatment plans" (estimates) with the client. At times the job is more marketing than medicine. Focus on money over the best medicine. There was always demand to increase how many patients are in hospital while disregarding capability of hospital based on staffing, resulting in several instances of unsafe conditions for patients and employees. Management was poorly organized and ill prepared. This may have likely been a local issue for the Southeast region, as I have heard better from the Western and Midwestern region of the US.