Valley has not provided raises for employees since 2008 and this includes a cost of living raise. Medical benefits and retirement continue to be decreased. There is little to no room for any advancement due to absorption of middle management positions and directors of programs being in charge of 5 to 6 programs to clearly save cost. Little to no effort in maintaining offices and no paid time off for continuing education or conference attendance and Valley does not reimburse for any training. Pay is not competitive with any other agencies.