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In the five plus years I worked there I only recall one cost of living raise for employees. Each year after there were reasons to hold off on cost of living raises, i.e. expansion costs into rural health markets, low productivity into expansion areas which affected the bottom line for all clinics and investment in clinical trials which depleted revenues. However, Senior Management can and will get annual bonuses even when cost of living raises are deferred for the remainder of company employees.


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