First, the pay: atrocious. At all levels. Many directors and higher get bonuses, but none of the other employees do. At our retreat, I spoke with some folks on other teams, and they mentioned their salaries barely qualifying as minimum wage in some states with almost no opportunities for compensation raises. This seemed especially true on the patient/clinic side of things. Directors also never know what they are doing, they spend most of their time being negative and micromanaging other employees. In some tech meetings, directors have even talked down about their direct reports publicly.
The company is also so focused on whether everything is HIPPA compliant that we can't even get products out the door. Example: We built a poorly functioning internal version of Slack rather than spending the extra money to purchase Slack Pro (which comes with HIPPA compliance). So now folks are left struggling across two different messaging services, making work fractured.
Also, profitability seems to be questionable. A lot of folks getting quietly laid off, and almost no one received a positive review this year. Most of us who received negative reviews had negative remarks with no evidence provided.
HR is also against the employees. Every time I raised an issue to HR, it was met with hostility and then immediately reported back to the person I was reporting.