Friday, August 29, 2025

The Financial Rapscallion Way


Strange Tony,

A former Director of Human Resources, Governance and Policy said the following on a Glassdoor review:

  • Abrupt mass layoffs without notice or transparency 
  • Severance packages offered and then rescinded without explanation 
  • WARN Act compliance appears to be ignored, affecting hundreds of employees 
  • Income not properly reported to unemployment systems, delaying benefits.
  • Poor internal communication and lack of support for terminated employees 
  • Senior leadership avoids accountability when legal or ethical concerns are raised 
  • High turnover in HR and leadership — toxic cycle of “fixers” brought in, then removed 
Advice to Management 

If you expect loyalty, transparency, and compassion from your employees, they deserve the same in return. Executing mass layoffs at a company that provides hospice care — without even the basic decency of notice or severance — is not just unethical, it's possibly illegal under the WARN Act. Stop hiding behind silence. The values you market to patients and families should extend to your own workforce. Review your compliance processes, honor your legal obligations, and do right by the people who helped carry your mission — even when it's no longer convenient.

Financial rapscallions continue to eviscerate hospice services.  It began under TPG/WCAS/Humana and continues under CDR/Humana.  Executives actually win by canning large numbers of employees given their significant equity stakes and absurd incentive compensation.  

Financial rapscallions are happy to pay 10.4% interest on their 2nd tier loans but loathe to pay staff fairly, much less commit to keeping them employed.  The first wave of crappy Curo Hospice technology caused serious harm to service quality with its assumption that software could replace people.  

I imagine AI is defecating all over the floors of various Gentiva Hospices and executives are nowhere to be seen for the cleanup.  It's their nature to make a mess and make workers wallow in it while they lounge in their offices counting cash.

Anonymous

Friday, January 31, 2025

Hospice Crapification Hits Federal Government


Strange Tony,

Financial rapscallion majority ownership turned our nationally recognized hospice into a shell of its former self.  

  • Office headcount reductions of 50%
  • Over-reliance on "new" (but unreliable and incapable) technology that wasted staff time
  • Cutting the number of holidays and holiday pay 
  • Not giving raises for years
  • Reducing office square footage (to meet C-suite spreadsheet expectations)
  • Put in phone system that enabled calls to be overheard without worker knowledge
  • Hospice office/clinical system robbed staff of fair reimbursement for miles driven
  • Made nurses salaried, then overworked them horribly
  • Reduced work to 30 hours for some positions - 25% pay cut

Training on these new systems was poor to nonexistent.  Dedicated hospice staff did not have the time to properly care for patients and do the checking needed to make sure they were paid fairly for hours worked and miles driven.  The company effectively stole hours and mileage from workers.

These very things are occurring in the federal government under Elon Musk.  Musk's henchpeople are rapidly seeking headcount reductions, square foot eliminations and implementing crappy technology.  It's not clear if Musk's henchpeople have multiple full time, well paying gigs (like many insiders in our Age of Sponsorship).

Financial rapscallions have no problem ordering physicians around, negatively impacting the practice of medicine with hard spreadsheet targets.  This has been seen across multiple medical specialties.  

The greed imposed on our hospice resulted in significant and immediate disintegration.  Our census never returned to pre-rapscallion levels.  I expect that very thing is happening across the federal government as Musk's team crapifies operations.  Dang. it sure brings back bad memories.

Anonymous

Friday, January 10, 2025

Gentiva vs. Bristol Hospice: Glove Up


Strange Tony,

Clayton, Dubilier and Rice's Gentiva Hospice sued Webster Equity Partner's Bristol Hospice and a former Gentiva nurse administrator for damages resulting from the nurse violating a non-compete agreement and revealing Gentiva trade secrets.  

Bristol Hospice entered the Brewer, Maine market, hired Gentiva's nurse administrator who then tried to hire other Gentiva employees.  

Gentiva requested a jury trial.  I would love for Gentiva CEO David Causby to testify under oath as to the company's practices when they enter a new market.  I'd love to hear which Gentiva trade secrets the nurse administrator spilled to Bristol.  It it's to rob fair pay for hours worked by making nurses salaried or having a crappy software product that shorts staff for miles travelled, then I hope someone from the Department of Labor is in the courtroom for the whole trial.

I'm sure Bristol is just as abusive to staff as Gentiva.  Financial rapscallions require their numbers be met and that excrement flows downhill and downhill and further downhill. 

I expect a settlement as neither rapscallion wants to reveal their trade secrets in a public court of law.

Anonymous