Beyond our desk supervisors, management is still very tight nit with corporate. I specifically work nights and weekends to stay away from higher ups. We have administrative staff who are "paramedics" who worked the road long ago who now run either CQI and constantly change the Image Trend charting system and is not as streamlined compared to other companies I've seen use the service.
Also it's city EMS, patients that we encounter range from pleasant to abusive.