Rumor has it the Louisville Kentucky location is still a mess. Tensions existed between the lead CRNA and lead MD (since their model encourages MD's vs CRNA's with intentional role ambiguity). The doc kept getting written up and it was widely believed that the CRNA was behind it. He threatened to sue due to religious discrimination and shortly thereafter the CRNA was allegedly let go due to some "billing improprieties". She is now filing a wrongful termination suit and her attorney believes it could exceed 7 figures. Anybody finishing residency take note of the type of work environment these AMC's can create. This isn't medicine. These environments aren't about teamwork or patient care; they are about self preservation, ploys, and deception.