The manifesto two years ago was inspiring and motivating; as the company has grown and acquired more "cooks in the kitchen" the manifesto is more often used to gaslight staff and veterinarians, which is so sad. The honest medicine has been replaced by unrealistic/toxic positivity, high staff turn over, constant staffing shortages due to call-outs, management "listening" without action. Top priority is good reviews to impress upper management, my hospital will cater to the most cruel, toxic, and lying customers to save face.