Meaningful clinical work overshadowed by payroll chaos
Pros
The therapy staff are talented, compassionate, and genuinely dedicated to the families they serve. The actual clinical work is meaningful and rewarding. Clinicians are given their own private office space to personalize and the autonomy to build their own schedule. The coworkers at the clinic level are wonderful people who care deeply about their work.
Cons
Where to begin. Throughout my employment I experienced persistent and escalating payroll issues that were never meaningfully resolved. Paycheck errors occurred so consistently that I had to personally track every single paycheck to verify accuracy, as the company seems to have no internal quality control process to catch mistakes. In the vast majority of cases I was the one identifying and reporting errors myself. Missing amounts ranged from $25 to $200 per paycheck and I have extensive email documentation of these recurring discrepancies. Beyond individual paycheck errors the company experienced three consecutive payroll delays in 2025 and in early 2026. The most eregious were the ones in early 2026, which happened 3 times consecutively. Each with a different explanation given to different clinic locations on the same dates. 1 & 2 we were told it was due to late insurance reimbursement. The first one we were paid that following monday, the 2nd one kept getting pushed back and we weren't paid till wednesday. The 3rd we were told it was because it was Good Friday and the payroll processor company would be closed and we would not be paid until Tuesday. When employees called the payroll processor directly they were told that the company would be open on Friday and that if payroll was submitted to them on that Thursday, then we would have been paid on time. This directly contradicts management's stated reasons. The company also unilaterally changed pay dates from biweekly Fridays to biweekly Tuesdays. Most seriously, 401k contributions were withheld from employee paychecks but never deposited into retirement accounts. This issue was raised repeatedly over several months through internal channels and eventually reported to the Department of Labor. It was only addressed after federal complaints were filed. Multiple employees at a recorded company-wide meeting reported the same missing 401k contributions, with some reporting discrepancies exceeding $1,600, suggesting this is a systemic company-wide issue affecting potentially hundreds of employees. During payroll delays the company encouraged employees to reach out if they needed assistance, but when employees did they were told the company could not help. Promises to reimburse late fees incurred by employees as a result of the payroll delays went unfulfilled for weeks and months despite employees submitting the required documentation. High therapist turnover is a significant and ongoing problem that directly impacts the children receiving services. From a client I served, they said they observed frequent turnover even before I started here. Families noticed and repeatedly asked what was happening. The systemic payroll and compensation issues are a primary driver of this turnover, I am unsure about others. An emergency company-wide recorded meeting was called the same day as the third consecutive payroll failure to discuss the company's future trajectory. Owners acknowledged being in a rough financial spot but provided no concrete action plans or timelines for resolution. When employees asked pointed questions they received vague reassurances rather than answers. Magically, after that meeting, we were paid EOD that Friday. Additional cons are that the general way you are paid is Pay Per Visit. Meaning, if your client cancels/doesnt show up, you are not paid. For documentation, they include weekends in deadlines. You are not paid for indirect time. Since you are seeing kids back to back (generally), you are taking work home with you. This can be a good amount of work.
