CEO's narcissistic personality tarnishes the reputation and image of the organization by making decisions that best serve his interest and ego. Greed is the driving force behind the success and CEO is focused on ways to make a better dollar, at all cost, regardless of patient care. Most patient's are Spanish speaking and don't know that there are better place and come in for multiple visits for a simple cold because of directive by CEO to do as little as possible and continue with recurring visits to maximize payments on each visit.