While the company’s financial metrics continue to climb, the internal culture has shifted from 'exciting' to 'exhausting.' The recent removal of the nurse upsell bonus, despite record growth, signals a disconnect between leadership and clinical staff. High turnover has led to chronic understaffing; when call-outs occur, there is no coverage, resulting in triple-booked schedules and poor patient experiences. Furthermore, attendance policies—such as 6-week PTO notice requirements vs. 15-day schedule releases—make work-life balance impossible. This is no longer a sustainable environment for clinicians who value patient care over sales quotas. It’s incredibly frustrating to see bonuses disappear while workloads—and profit—double.