The whole management system needs to be reviewed: a very pyramidal system where employees have no say and if they dare to do so for the well-being of the members and/or the association, they get into trouble.
The SVM is run by a committee of doctors who blindly trust the wrong people, i.e. deputy heads who have no skills and who don't question themselves. In this respect, the organizational chart needs to be completely overhauled: there are more chiefs than employees... which can't work, since barely concealed favoritism is king.
Company turnover is enormous, approaching 50%, unheard of for a small company (ten or so employees).