There are plenty of healthcare tech jobs in Nashville. Don't bother with this one. - Anonymous employee HealthStream Employee Review

1.0
Jan 13, 2015
Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

- Genuine focus on improving healthcare - Downtown location is nice (parking pass is a nice perk on the weekends) - Casual dress - Collaborative office culture within each department - Flexible work hours - Bobby Frist is genuinely a nice guy. Very well-intentioned. Just wish he was a better CEO.

Cons

- HealthStream is growing too quickly for its own good. The org structure changes once a quarter, people's desk assignments are changed constantly, sales goals and new products are launched without increasing resources to operations to ensure success. There is very little cohesion between departments. - No clear path for advancement. HealthStream seems content to bring in A-level talent, overwork them for two or three years, and replace them, rather than nurturing the employees they have and creating pathways to long term success. Ironic, for a company that sells talent management solutions. - Strong resistance to expanding resources. Profits have more than tripled in the last few years, but staff has barely increased. Everyone is scrambling to keep their head above water. - Most employees believe this job dictates their life. They're forced to work evenings, weekends, vacations, holidays, even all night, because HealthStream has fostered a workaholic environment where employees are expected to be available whenever the company demands. Nearly every one I know says they would be actively looking for a different job, if they had time, but this job dominates their time to the point that job hunting becomes impossible. - Very much an "old boys club". Gendered pay disparities are frequent. Certain ethnicities are frequently paid less, and given less opportunities for advancement as well. - CEO is recklessly loyal to long term employees, even those who no longer make any contribution to the company and hinder progress. - CEO insulates himself from company issues and has very little insight into how disjointed his company is. - Pay is not at industry standard. Most employees transition out of HealthStream to a 20% pay increase. - Benefits are a joke. - Company has a history of acquiring companies to expand its product suites, but fails to integrate those acquisitions at all. The result is four different companies with four different business operations and four different management structures, all attempting to operate as one unit. It's not sustainable.

Explore other reviews about HealthStream

5.0
Jun 5, 2026
Recommend
CEO approval
Business Outlook

Pros

Fantastic company culture with a strong emphasis on cross-functional collaboration. Leadership is highly supportive, making it an ideal place to learn, develop new skills, and advance your career. The work-life balance is truly excellent, and there is a clear path for internal growth.

Cons

Base salary could be improved.

1.0
Jul 15, 2026
Recommend
CEO approval
Business Outlook

Pros

My team and the connections I've made, their support and strong team effort.

Cons

Had 3 managers in first year. Lack of communication and leadership. Pay is substantially lower than competition. No Work/Life balance - all work! HR was ineffective, and slow to respond to issues and questions. Management only sees dollar signs and are quick to make judgements regarding employee's work, have unreal expectations, show no compassion, and put people in boxes... giving no feeling of belonging. The workforce development platform is outdated and there is a lack of connection with sales and product teams to discuss what client's urgently need. HSTM cannot keep up.

See reviews by: Helpful|Rating|Date|All