Upward mobility is virtually non-existent anymore. The start-up pace of promotions has passed. So unless someone quits or is fired, you're in the spot you're going to be for a good long while. That goes for pay and smaller "Senior" title roles as well. That goal-post got moved twice while I was there.
Overly focused on expansion and numbers, which does affect quality of care. There was a point where entire days got cordoned off for just knocking on doors, pestering people on the phone, and not giving any attention to people already signed on and needing our help. I know the company has to grow, and we want to reach as many in need as we can. That, however, doesn't excuse giving inflated numbers to the investors when the care itself is deteriorating. Might be uncouth of me to say, but it makes it really hard to justify a mental health company being for-profit.
Meetings, meetings, meetings about the meetings, guys.... our time is already spread razor thin. STOP WITH THE ENDLESS HOURS OF MEETINGS.
This is more of a personal annoyance, but the "culture". The culture of positivity is so obnoxiously manufactured, "Start-Up 101 textbook", and disingenuous. The second you cause the slightest friction, you get met with a door closed behind you and a "strategy meeting" (ANOTHER MEETING) until you just put the on-brand smile back on and stop challenging the status quo. Past a certain rung in the management ladder, I should say. Your GTL (office supervisor) will absolutely go to bat for you and listen, maybe even the DCO (the GTL's boss) depending on which market you end up in. But any higher than that, nope. You will be ignored and told to "just remember our core values".
And that really leads to one final, personal gripe that bothered me. When it came to serious matters or internal conflict, I didn't like how infantile the staff was treated in regards to the higher ups addressing the situations. Lots of talking through their teeth, out both corners of their mouths, acting like being honest with us was somehow "bad HR policy". I absolutely understand being respectful of personal matters with employees, and keeping certain things "need to know". I don't appreciate feeling like we're being coddled and talked down to with careful euphemism.