The company has become more like the corporate medicine they eschewed as it has grown larger. They've acquired multiple smaller health care entities and unapologetically take away the best things about what made those small companies desirable. The management claims employees can speak freely about challenges in their jobs, but nobody does anymore because they've witnessed many attempts at discussion being shot down. Management is 'do as I say, not as I do' and treats professional staff like uneducated, faceless worker bees. They praise themselves for the smallest of positive behaviors toward staff who are out in the community earning their salaries for them.