Pay for staff below the exec leadership level is poor at best and raises almost invisible. Exec leadership all over the board in the decisions they make, most of which are designed to protect their turf and their perks. Favoritism and cliques rampant; power is not shared. Clinical operations under the direction of multiple VPs and senior VPs - many of whom have no recent clinical experience - rather than one individual being the 'go to' person; even the VP of Clinical Services has his direction overruled and changed. Agency's inability to adapt to new RBHA and over-reliance on AHCCCS for more than 90% of revenue has resulted in 2 sizable lay-offs in the past 8 months while the agency continues to aggressively recruit (?!). Way too many administrative personnel instead of direct care staff who can actually bill for services.