The company is a disorganized mess. Communication is lacking from the top down. Several ethical/legal violations get swept under the rug. Unless you are a physician, you don't matter. You will be nothing more than a drone to crank out work. The workload has increased exponentially, yet the pay remains critically low if you're a "peon". Their benefits are astronomical. Leadership needs lessons in actual leadership. There's an overall accepted culture of nepotism, favoritism, shady ethics and hostility. The "Good Old Boys" Club is alive and well.