1. Completely manual processes
2. Lean administrative staff workforce
This means an INCREDIBLY high workload and barely anyone is able to keep up. Turnover in the Tacoma office is insane, so the pile of work just gets shifted around.
2. Benefit sucks. 401K plan has a 5k cap, only get matched after 18 months and you only get the money 1x a year if you're employed 12/31 of the year before. High premiums and deductibles.
And I mean this LITERALLY---
No structure, no training, no communication, barely raises, no room for growth or advancement, and no appreciation if you work in a supportive role (not doctor, nurses or field execs)