Limited to No promotional opportunities. You don’t get to pick your office, you’re randomly assigned which means you could be driving hours every day. Leadership is toxic, and senior management preaches great values but lacks accountability to true leadership. Some regional managers are condescending, belittling in front of other team members. No real decision-making power as Office success is entirely dependent on the owner doctor and regional manager, as managers have no autonomy to improve processes. Lack of transparency in pay with Significant discrepancies exist between managers, with no clear structure. No empathy for employees and Leadership does not support employees in times of need, despite promoting a culture of care. Denying time of for funerals and inappropriate conversation with other employees.