Oh boy, where to start. Tend has a myriad of problems that start from the top and trickle all the way down to the bottom, affecting everything from patient care to employee satisfaction. Don’t be fooled by the sparkly ads and social media campaigns, at the end of the day, Tend only cares about production goals. This is accomplished through micromanagement at every level; corporate micromanages the studio managers, turning them into micromanagers themselves. This makes for an extremely unpleasant work environment, as new, unnecessary measures are constantly put in place to ensure studios can make as much production as possible. These include pressuring patients to schedule treatment, harassing them if they don’t, and overbooking schedules to increase doctor production/account for “possible falloff” which many times does not happen. This negatively affects the staff as well, as many feel constantly overworked and pressured to increase both their individual and studio production, even if they are part of the majority that see no benefit from it (only managers and doctors get bonuses). Employees are expected to constantly be in work mode, no matter what. I have seen employees harassed on vacation, shamed for calling out due to medical emergencies, and forced to come into work despite hurricanes and blizzards. At least one studio has even been forced to illegally operate without a doctor present, just for the slightest chance at a little more production. This company has very little regard for both patients and employees, and this has resulted in broken trust and an extremely high turnover rate.