The two at the top are completely devoid of any understanding or experience in the medical device industry. Despite poor knowledge of the healthcare industry, they launched a hospital performance product that was expensive and put a drain on the company detracting from the company's core competencies and key customers. Top decision maker lacks manufacturing experience and understanding of R & D and innovation which is key to success in the medical device industry. Under current leadership, the company, which once had an outstanding reputation in the medical simulation industry, is now being abandoned by customers. Current leadership has been unable to drive results and generate profits -- entire tenure has been spent raising money to make up for lack of performance. Everybody knows that the ruinous policies and strategies that effect all employees/departments, comes directly from the top, while hiding behind others to deliver the message.