Health Catalyst reviews

3.4

45% would recommend to a friend

(780 total reviews)
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Ben Albert

Not enough data to show CEO approval

24% positive business outlook

Health Catalyst has an employee rating of 3.4 out of 5 stars, based on 780 company reviews on Glassdoor which indicates that most employees have a good working experience there. The Health Catalyst employee rating is in line with the average (within 1 standard deviation) for employers within the Healthcare industry (3.4 stars).

Reviews by job title

780 reviews
3.0
Feb 23, 2022

Good employer, growth is presenting some challenges

Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

I enjoy my work, and for the most part, have a decent work-life balance. The company mission, to be a catalyst for massive, sustained healthcare improvement, is meaningful. I've appreciated being a remote team member during COVID-19. I love my immediate work team.

Cons

Our pay is still lagging. I am concerned about our acquisitions. While we say we acquire companies that have the same values as we do, many of the teammates who have joined via recent acquisitions do not demonstrate these behaviors during their day-to-day work. They are aggressive about their product, not the company's mission. Instead of partnering for improvement, I've observed many speaking ill of others and refusing to listen, seek mutual purpose, or adapt to the new company they are now a part of. They demand things be adapted for them, and appear unwilling to integrate into the organization. They pretend they are, and say the right things when the right level of leadership is present, but behave differently in other meetings. This isn't to say Health Catalyst doesn't need to listen and learn from acquisitions, grow and adapt, but often, there are solid, data-informed reasons we do things the way we do. I've seen no interest from those recently acquired to seek to understand these things. Instead, they actively discount others' expertise and tell us why we need to do things the way they want us to do them. I also worry about our desire to aggressively grow. In many of the conversations and meetings I am involved in, the desire to grow appears to be more important than being a catalyst for improvement. The tone of conversations has changed, with many focused only on growth, not the unique benefit we bring to our clients and the patients they serve.

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Health Catalyst Response
4y
Thank you for your review and feedback, and for your more than nine years of contribution to our growth and success. I appreciate hearing of the positives you've experienced, and we'll work to reinforce those elements. I also appreciate your advice on areas where we need to watch and focus and improve. Acquisitions are definitely complicated and can be tricky, for sure. We've certainly been active here since going public, and I'm grateful to have some time and space to work on really effective integration, and that includes deep mission-alignment integration as well. I also appreciate your feedback regarding how we best think about growth. Growth done in a mission-consistent matter is the life blood of the company and is directly tied to accomplishing our mission. But we must ensure that it's mission-consistent, always, with massive measurable improvement at the heart of everything we do. We'll keep our eye on this, keep our focus here, and strive to preserve that central aspect of our unique culture in the months and years ahead. Best, Dan
3.0
Jan 25, 2022
Recommend
CEO approval
Business Outlook

Pros

* Pay and benefits are competitive and at par with rest of the industry. * Occasional spot bonuses and RSU grants keep people motivated * Efforts in diversity, inclusion, equality on all fronts from senior leadership. * There are various areas that TMs can try their hands. The size of operations and client base make access to different tools, methodology, and techniques possible. * Vision, mission, and culture is very well defined. Makes you want to believe in the company. * Generous time off and parental leave * Senior leadership team does a good job in conveying the market challenges and opportunities of the company. Plan ahead is well defined.

Cons

* Burnout is real. Several team members have already left. The ones that work hard usually get more work dumped at them. Pay attention to employee churn. * Pay is good but not above and beyond what market pays for the skill that you will make available. * Hands off management only applies to senior leadership. There is no way to change your direct manager if you end up in a team of micro-manager. SLT encourages to speak up, but humility weighs you down to not make a big deal. * Promotions and raises are harder to get. Only applies to individuals that are preferred by direct managers. * Flexible time off = no time off, and only take time-off if your manager or fellow team members do. It's much simpler math when you accrue PTO and use your own judgement on when to use it. Company mandated TO during religious holidays are very unnecessary. Let the TM decide when they want time off and for how long. * Post-Dan Burton company is very hard to imagine. There is no one that can champion the vision as well as Burton does.

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Health Catalyst Response
4y
Thank you for this detailed review and feedback, and for your more than four years of service at Health Catalyst. I appreciate the positives that you shared around compensation, benefits, DE&I, and leadership communication. I also appreciate the constructive feedback you shared in some really important areas. Regarding burnout, we are hopeful to make meaningful progress and improvement here in 2022 as part of our operating plan, which includes much higher investment levels than in the prior two years which were negatively impacted by the pandemic. We've also appreciated your feedback and others' similar feedback about "flexible/unlimited PTO" which has sometimes translated into very little PTO, and in today's all-team-member meeting we'll be providing a new updated "time off" framework, which we'll emphasize with every people manager and repeat in future all team member meetings, incorporating the concept of a "minimum" time off of just over 5 1/2 weeks -- every company holiday plus minimum PTO, to add to 28 days or just over 5 1/2 weeks per year for every team member. We've also included meaningful other compensation elements in the 2022 operating plan, including base salary increases, a meaningful promotion allocation, increased 401(k) match to 4%, above-market annual equity grants, etc. I hope these items, together with a much larger incremental R&D investment in 2022, will bring more help and enable less burnout moving forward. Thank you also for your kind words directed towards me, personally. You're not getting rid of me any time soon, so I'm excited for us to be on this journey together for years to come! Best, Dan
3.0
Sep 1, 2020

Frustrated but hopeful

Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

There are so many pros to working at HC. More pros than cons for me despite the diminishing experience of the last few years. I might have preferred to give 3.5 stars if that were an option but given the downward trend of my rating over the last couple of years, 3 feels more accurate than 4 stars at this point. Overall, I won't say much about the pros as they've all been mentioned here many times. I agree with almost all of what has been listed here as pros, and despite my concerns I hope to be here for years to come. I hope my next review is back up to 5 stars.

Cons

The most significant reasons for the downward trend in experience fall under the "cultural" category. Culture is what has made HC such a great place to work in the past, and it is what has driven the decrease in enjoyment for me as time has gone on. We have gotten more into micro-management. This used to be almost non-existent at HC but has become more and more normal with time and even more significantly as we began to prepare to go public a few years back. More middle management, and management focused processes like PDLC (Product Development Life Cycle) and others have made it increasingly difficult to get things done. I have watched products be delayed and rescheduled for PDLC sessions during periods of over a year. That is not an exaggeration…over a year of people designing, developing, prototyping, testing, re-hashing, and otherwise working on projects while in the meantime PDLC reviews get postponed, rescheduled, pushed off, etc. due to things like executive leadership scheduling difficulties, conflicting managers pushing and pulling things in their preferred directions, and other such types of un-productive activity. Sometimes the cans just keep getting kicked down the road, other times they eventually get crushed and thrown away altogether. Either way we could save ourselves a lot of effort and grief by cutting out some red tape and getting back to letting our smart, hardworking, and humble people build things. Our failure to execute gets very frustrating to those involved in the work. Going public only seems to have made this worse. Leadership trainings and evaluations don't seem to have helped either. We have gone from having a culture of innovation to a culture of acquisition. Acquisition can be a good strategy and, in many aspects may be what we need to take HC to the next stage of success, but in other ways has been a big disappointment. Despite leaders at the top reiterating that they would "absolutely do it again" with regards to all the acquisitions so far, front liners are often left scratching their heads as to why we've bought some solutions instead of building them. We used to focus highly on innovation and hold "innovation days", we don't really do that anymore. Open space is ok, but for most it hasn't been very effective. We're only picking up steam with acquisitions, and the messaging is that we intend to keep that up. I trust most of our executive leadership highly, but I've also seen firsthand where we could have built solutions rather than buy if we were only willing and able to invest in and execute on them like we should. I believe if we had built rather than bought in some cases we would have ended up with a better solution at a lower overall investment. Unfortunately, we seem to drag our feet until it's too late to build and as a result put ourselves in a position where we have to buy to stay competitive. Furthermore, acquisitions seem to be making the micro-management problem discussed above worse. Career progression has been an area of discontent for many HC employees for several years. Despite efforts to address this, it doesn't seem to be improving for most. In several years here I've been selective about positions I've applied for, but 40% of them have been eliminated before ever getting filled, and for the other 60% I've been a finalist but not selected. Always a bridesmaid, never a bride. Despite this I get great feedback and encouragement from my supervisors. So either I'm not really that good and they're just being nice, or something is making it difficult for me to get into positions of interest. There are several "in-groups" here in which enjoy preference not only with opportunities for career advancement, but also for involvement with activities which help prepare for those career advancement opportunities. This has become worse with time. Acquisitions have exacerbated this as well. Besides career advancement, many feel their overall technical abilities get duller with time at HC. I certainly feel less technically capable overall after years of working here and focusing on specific types of work with proprietary tools, and have talked with many coworkers who have experienced the same. HC does encourage personal development in word and with meaningful reimbursement benefits, but in practice that becomes very difficult to juggle work/life/family/etc. In fairness to HC that is not a challenge unique to working here, but somehow I've never found is as difficult to manage as I have here. Timeless Principles selectively applied. HC culture is informed heavily by certain "Timeless Principles" which guide the company ethos. This is a good thing. The principles are good; things like pragmatism, respect, accountability, understanding, caring, assuming positive intent, and more. Where these principles are applied well, they improve the culture at HC. Where they're applied poorly, as they sometimes are at HC, they degrade the culture. Like almost everywhere in today's world, things are getting more tribal with time at HC. Some tribes are given preferential treatment in comparison to others. Some "Timeless Principles" are applied for certain tribes while being applied against others. We've become increasingly selective about the application of our Timeless Principles, making them not so timeless after all. A strange form of moralism has emerged here in which otherwise intolerable behavior is tolerated and even encouraged as a means to desired ends. This is often done with good intentions, usually in the name of equality. If equality is the goal, equality should be the practice, but in some areas of selective application it is neither. On rare occasions the poor application of our Timeless Principles is called out but is usually met with a doubling down on the behavior and a re-statement of the "Timeless Principles" themselves as justification. It is getting much less enjoyable to participate in parts of the culture here, and in ways makes this workplace feel more and more a like a social media platform or some other aggravating influence that you just want to turn off.

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Health Catalyst Response
5y
Thank you for this review and for this candid feedback. I have read your review, then given myself some processing time, and come back and reread your feedback. And I find much in your feedback that resonates and highlights our need to improve. Let me highlight a few in my response, and also share that we'll discuss these as thematic elements in today's All Team Member meeting. First, I apprecaite your feedback regarding innovation vs. scale. This is a constant challenge -- how do we cut red tape, trust team members to make great decisions, be innovative, while also scaling to 10X or 100X our current size? There are no easy answers. When you joined 5-7 years ago, say in 2013, our revenues and number of team members were a very small fraction of what they are today -- we've grown more than 10X since then by some measures. And as we've grown, we've needed to become more scalable and consistent, and less like the "wild, wild west" which is very much how we operated in the early days. But how do we balance the need to scale with the need for continued innovation? This is challenging, and it is an elusive balance to be sure. We will keep this in the forefront of our minds as we kick off the 2021 planning process. I would welcome your direct ideas and feedback and would be happy to schedule time 1:1 so you can better help me understand the tradeoffs you're seeing. Second, related to career progression, I'm also sorry to hear that your personal experience has not lived up to our objective for every team member at Health Catalyst. I'd be happy to visit 1:1 with you to better understand this, and would also be happy as I better understand your situation, to act as an advocate on your behalf as well. I know Linda Llewelyn, our Chief People Officer, would also be happy to visit with you 1:1 to better understand your situation. Third, as it relates to our adherence to timeless principles embedded in the Health Catalyst Way, it is disappointing to hear of several examples you've observed where we fall short. I know that I and others often fall short, as imperfect human beings, and I also recognize when we don't adhere to these principles, negative consequences naturally follow. Non-adherence to the HC Way also erodes the character of the company with each specific action. It is each of our jobs, as team members and fellow owners in the company, to contribute to greater consistency, to call out issues as we see them, and to work to improve, starting with ourselves. Here again, I'd be happy to visit 1:1 privately with you to understand examples you're observing, and then to go to work to improve here. Regarding our acquisition strategy, this is an important and meaty topic, and one we'll continue to discuss in all-team-member meetings. This is another good example of an elusive balance we strive to find between "building" capabiliteis and "buying" those same capabilities. From the company's founding until a few years ago, we spent far more time and investment in the "build" category than in the "buy" category, and I would categorize the results of those investments to have been mixed. There have definitely been some very strong examples of products we've invested in and that have become very valuable to customers and financially sustainable. But there have also been several examples where we have invested millions of dollars on a product that did not meet customers' needs at a financially sustainable level. I would also acknowledge that there have been many positives and challenges related to our acquisitions -- several examples where we've significantly benefitted from acquisitions, and also several examples where we've faced meaningful problems and obstacles and challenges as a result of an acquisition. As we approach 2021 planning, we'll continue to strive to use our annual planning process as an opportunity for us to step back, consider what has occurred during the past year and few years, and be open to acknowledging elements that have gone well, as well as investment areas or focus areas that have underperformed. And then we'll work to adjust based on these learnings and strive towards continuous improvement in 2021 and beyond. I hope that we can make some specific progress in areas you've highlighted, such that in future years your assessment of the company will improve. Thank you for providing this feedback, for contributing to our success, and for hanging in there even through the challenges you've expereinced. I sincerely hope we will become better in the months and years ahead. Best, Dan
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