- not enough people with strong healthcare understanding, from who buys and why to what do healthcare workflows look like on the ground to healthcare integration standards, which makes executing on vision a lot more difficult
- struggles to innovate based on new, valuable problems to solve vs. using cool tech
- very young employee base, often first job out of school so no external references as to best practices for their department, how different roles should work together, etc.
- a lot of first time managers trying to figure out how to scale the company
- under resourced a lot of the time