They are 40-50% understaffed at any time. Not enough managers/supervisors to manage a practice. Very bad accountants, always seem to lose money from outside programs. Don't know how to keep track of grant and deadlines. IT is a silo with no accountability and they mess up badly. All. The. Time. But never get fired or disciplined for the really bad patient outcomes and burnout they cause among providers. Regionally they have no leader to bring everything together or unify people to the same goals.