Leadership lacks clear direction and refuses to take accountability. There is no real structure or consistency in how priorities are set, and turnover across departments is constant. Instead of addressing problems directly, management reacts with last-minute fire drills and continuously changes direction without strategy or communication. The healthcare benefits are poor, and the bonus structure is demoralizing — tied to the performance of the broader network rather than your department’s or your own contributions. Disorganization is the norm, and there’s a culture of deflection rather than leadership.