- struggles badly to hire and retain experienced healthcare talent. Culture rewards volume over smart thinking, leading to burnout, churn, and a pretty toxic environment.
- very little structure: unclear roles, weak or absent management, and constant internal competition instead of real ownership or collaboration.
- leadership tends to “throw spaghetti at the wall” rather than take the time to plan. This shows up most during health system implementations, where mistakes are costly and totally avoidable.
- growth numbers are misleading. What’s shared is mostly top-of-funnel (patient orders), while real engagement and retention are much lower. Many providers don’t see enough value to stick around, and the product feels niche.
- company was clearly overvalued, and execution still hasn’t caught up to the hype.