management operates on negative re-enforcement, non-technical managers making technical decisions, blatantly lies to customers, hipaa compliance issues, poor legacy products that looks to be designed in the 90's, no work life balance as everyone is on call 24/7, management blames employees for their failures, no employee reviews as there is no raises, employees are stressed from unrealistic work load, no room for growth, too much politics for a small company, company culture resembles high school, customers are leaving for better products, too many to mention.