R1 had a merger several years ago with CloudMed. We are still feeling the fall out. There is a big disconnect from leadership and upper management as to the direction and goals of the company. We rarely hear anything. Productivity has just been raised again. The work pace is fast, You have to pivot on a moments notice and for all the extra work there is nothing more than a thank you. Many workers put in extra time off shift to meet productivity standards. Sadly it feels that all the company cares about is the amount of work they can squeeze until the employee can’t take it anymore. Turn over is high. Minimal paid holidays, no floating holiday. Must schedule time off way in advance.