• Leadership prioritizes productivity metrics, cost containment, and financial performance over clinical judgment, provider well-being, and sustainability
• Burnout is widespread due to excessive workloads, poor boundary enforcement, and minimal structural support
• Benefits are limited and poorly structured; clinicians are routinely nickel-and-dimed over time, resources, and minor expenses
• Low psychological safety; staff are reluctant to raise concerns due to fear of retaliation, increased scrutiny, or marginalization
• Hostile workplace behaviors toward new providers are tolerated, with leadership failing to intervene
• Favoritism and nepotism undermine fairness, trust, and transparency
• Publicly disclosed executive compensation appears elevated when compared to frontline cost-cutting, limited benefits, and high clinician turnover
• High turnover disrupts continuity of care, affects morale, and negatively impacts patient access and trust
