The company's culture has undergone significant changes over the past year. Previously, it was known for being collaborative, open, and innovative. However, upper management has now fostered a culture of fear, where individuals are discouraged from expressing dissenting opinions or any form of "negativity" due to the fear of retaliation or punishment. To make matters worse, key leaders who played a critical role in maintaining the company's culture have been let go. As a result, managers are now responsible for overseeing teams that are twice the size, and they may lack the necessary expertise in certain clinical areas. Rather than valuing innovative thinking, the company now prioritizes employees who simply work diligently and produce a high volume of patient output. Despite company-wide surveys expressing these concerns, there has been no effort or plan implemented to improve the company's culture.