Low pay Its all about productivity, no base pay. The company only offers two paid holidays, again ONLY 2 PAID HOLIDAYS. They want you to work during 4th of july, new year, memorial day etc. They don’t value your loyalty or tenure. Everybody gets the same rate regardless if you’re 5 years or new hire. High attrition with regards to their support staff so you won’t get a decent MA as a provider. Some providers who works full time only has part time MAs.