They offer a binding contract for relocation/retention but few employees ever stay for the full terms. The handful of employees that have stayed long-term are overworked, underpaid, disgruntled, and inflexible.
The Central Valley is economically depressed. Although this makes California living in Fresno more affordable, it does not make it a great place to uproot a family to. Area is fairly conservative which can influence prenatal care and patient access.
High level of independence can lead to isolated work environment and potential for poor work-life-balance. Given high turn-over rate, no significant career ladder has been established and employee hierarchy can feel inflexible. There is tight knit circle of long-term employees who gossip about those who are not in the circle and who can make seeking help/support difficult.
Team wants diversity and inclusion for surface level reasons like ability to talk with patients/reducing need for translators. Actual buy-in and interest in diverse employees' interests and existence as whole people (beyond just being able to speak Spanish etc) seems variable from manager to manager and department to department.