Basically a trained Monkey can do the job of a "Manager" it's practically a joke. People go to College and Grad school for a Degree in Health Administration to be qualified to run a medical establishment. Not at MD Now, work there learn the basics and you'll get promoted, the pay isn't even worth it Front desk gets started at $11.00 Assistant manager $13.00 and Office Manager $15.00. You basically get a title to make these unaccomplished individuals feel like they've achieved a purpose in life. Before any decision is made they have to call Corporate to get approval and add it in the notes "PER JUDY" "PER SOMEBODY" you make no real decisions and have no real authority you're basically a puppet and corporate has the strings to control you. Their turn over is so high because they don't pay employees what they deserve.