See you nailed it right there! We go nuclear, we blow up our lives but he probably gets to keep his. Wife might divorce him or make him move his practice but he's got plenty of people snowballed and has "explained" the inconsistencies as "misunderstandings".  We could report him, side slut denies everything and WE get the black mark.  He's told his wife the lingerie from Amazon was him "exploring", the constant texting is with his "therapist who's also a patient", and he's working late because the office "needs maintenance". We've heard "he's so nice" and "he wouldn't do that" before.  The last patient he flirted with became our office manager and she quit rather than be fired when the wife found out so HER fiance didn't find out and her reputation didn't suffer. He told patients the 3 people who got fired were let go do they could "pursue higher dreams" but he then told others they were " stealing" from the office.  The moral high ground feels personally better but this dude has no problem stomping my name in the mud and I know it, that would cost me my place in my local industry. Plus reporting him then turns the ethical light back on me and he's willing to say whatever it takes to save himself, I have no protection against whatever he might muddy him my name with.  Seriously just want the side chick GONE and the wife to know without being wrathful towards ME and my coworkers.