Too Good to be True - Aso Health Catalyst Employee Review

3.0
23 Feb 2021
Recommend
CEO approval
Business outlook

Pros

I really believe in the product that Health Catalyst has to offer. We normalize data from different sources quickly and effectively to create dashboards for consumption. The applications created are optimized for succinct operation. We have a large toolbelt of applications to show outcomes improving and cost savings. You can meet amazingly talented individuals from across the globe. I have met some lifelong connections through Health Catalyst.

Cons

When something seems “too good to be true” it probably is. I started working for Health Catalyst and remember thinking it was too good to be true. I said, “Wow! What an incredible healthcare organization – unlimited PTO, amazing healthcare benefits, 12 weeks paid paternity leave, great education budget, employees get to take one business trip a year with their spouse at the business’ expense.” Everyone you talked to “loved” working for Health Catalyst. After a rough 2020, I have come to the realization that it is too good to be true. In the most recent ASO team meeting, we were informed that we should be working 40- to 50-hour work weeks. This has “always” been the expectation (I have never heard this before). There is no PTO bank for sick days, vacation, bereavement, or jury duty. If you must take days off for these events, you are expected to put in more hours to make up for the time off. Essentially, the message was, “If you can’t maintain this level of work effort, feel free to go elsewhere.” I have a problem with this communication because of other conflicting messages we have received. Dan Burton, CEO, has said, “Any team member needing to take some time for their own wellness is encouraged to take the time needed” and “We would also emphasize our strong support of team members who have increased family responsibilities as more schools choose to close for some period of time. We are strongly supportive of lots of flexibility and understanding in this regard.” Yet, we need to break ourselves the next day to make up for the much-needed time off. We are constantly receiving conflicting information about work expectations. One minute, we need to work on the plane while we are traveling and the next minute we cannot work on a plane because of HIPAA concerns. In one time-tracking application, it is indicated that we need to have 30 client billable hours a week, but in another presentation its minimum 35 client billable hours per week. In reality, there were multiple weeks in a row where I remember working 50 client billable hours (yet I was told that was abnormal). Now, it seems that it is the expectation for the entire department. During the COVID pandemic, many companies needed to shift their expectations for employees. More sick time. More family responsibilities. At the same time, we had an incredible Black Lives Matter movement. Racism is real. We need to make conscious efforts to create a more just world. On top of that, a huge political division. All these events reminded us that representation matters. Diversity is important. Mental health is important. There are so many perspectives worth listening to. When you have too many like-minded people in leadership, bad things can transpire. The ASO director made a mistake when he invited team members leave if they could not meet hourly expectations. There are so many reasons why someone cannot put in overtime every single week — they have children, loved ones are sick, their mental or physical health is suffering (see events that cause this above). If you are relatively unaffected by the events above, then sure, maybe 50-hour work weeks are sustainable. For a company whose work revolves around results with improvement, it is counterintuitive to consistently ask its employees to work overtime nearly every week of the year. There are studies that show working long hours does not improve productivity. Instead, working long hours increases absenteeism, attrition, and health insurance costs. Some companies are shortening their workweek to 32 hours. Those results show employees are more productive, they feel healthier, and take fewer days off. It is quite oxymoronic that a company that focuses on data, improvement, and healthcare advocates for 50-hour work weeks. I have heard stories of several employees having some sort of a mental breakdown because of the high productivity expectations. They end up suddenly leaving the company because they needed to spend time focusing on their mental health and spending time with their family. It is very much a cultural expectation to put in long hours. If you are not stressed or tired, you are not working enough to meet Health Catalyst standards. Then sprinkled in an email is “See the Positives” and “Find Peace, Even in the Storm” or a chat message “at least you have a job” and “look on the bright side.” Those examples of toxic positivity also cause a myriad of effects. Health Catalyst does have many benefits offered. They recently added a mental health benefit through an online therapy company. Problem is – I have no idea when I can actually take the time off to attend a session. I suppose it is more economical for Health Catalyst to offer benefits than it is to hire more employees to ensure a work-life-balance. In fact, the ASO director guilted us by saying if you cannot meet these hour expectations, then your teammates must make up for your deficit or we may have to hire someone else. Consistently expecting your employees to put in overtime is not sustainable. In fact, it is precisely the conundrum. We are ensuring our own job security by working long hours. We are working so much that we are not taking care of ourselves and our families. This causes a waterfall of health issues and we become a data point in the visualizations we have created for improving outcomes. Many of these issues are not unique to this company. It is a systemic problem in US healthcare and corporate work culture. This façade that “Health Catalyst is better than the other guys” is what is unique. I do not know how they have managed to keep everyone drinking the Health Catalyst Kool-Aid for so long.

avatar
Health Catalyst Response
5y
Thank you for sharing this feedback about your experience since joining Health Catalyst less than a year ago. And what a challenging year this past year has been, at so many levels! I also want to share that I agree with the concept that if something seems too good to be true, it is most often actually too good to be true. I feel regret that your actual experience relative to your expectation has been negative, and feel there are some important learnings for me and for other leaders to internalize and then work to change, in order to become better. I have asked a number of other leaders, particularly in the professional services organization, to read your review and consider what learnings we might take from your experience, and others' similar experiences. One critical learning, which I'll mention to all team members later today in our all-team-member meeting, is this concept that Health Catalyst isn't too good to be true, and we all need to understand this. I always want us to strive to be the best we possibly can be, but this will also always be within very real constraints tied to financial expectations and sustainability. This is a key learning that I'm taking from your feedback, that we need to be respectfully transparent in communicating with team members what to expect at Health Catalyst, from before a team member joins, through their tenure at the company. And this includes, very importantly, clearly communicating what is expected and required within each organization, including within the professional services organization. For example, in the professional services organization, we have studied and benchmarked many other professional services organizations, and our goal has been to make the team member experience as positive and sustainable as possible within the context of running a financially-sustainable professional services business. And, as an example, we worked over an extended period of time to develop a model where a team member, on average, could work approximately 45 hours per week, take three weeks of vacation, in addition to 3 1/2 weeks of company-paid holidays, and still meet our billable hours and utilization thresholds to be financially sustainable. This 45-hour expectation is meaningfully lower than many other professional services organizations' expectations. But it is still challenging and demanding and requires significant effort and focus and time management skill to sustain. We could have and should have been respectfully transparent in sharing this expectation so that every team member understands what they are signing up for when they join our professional services organization. We can also offer short-term flexibility to a team member who is facing difficulty, absolutely. But longer-term, it becomes challenging to be breakeven as a business unit without those threshold levels being in place. As a result, working in professional services is likely not the best fit for everyone, and we have many other positions and other functions at Health Catalyst which might offer more schedule flexibility and less pressure. There are often other trades associated with making these changes, like for example the compensation for certain roles which are higher-pressure and require more hours are often higher-paid roles as well. But these are important tradeoffs for us to be transparent about, and to support team members in identifying the right position given their individual circumstances. I also acknowledge a number of recent situations where a teammate has decided to step back from a position due to exhaustion and/or other difficulties associated with a particular job. In the situations where I have been directly involved in helping a teammate navigate through these difficult circumstances and then make the decision to make a change, I have also internalized some important learnings from these experiences, related to a learning I shared previously. It is that we need to do a better job of describing the positives and the negatives of various roles, including promotion opportunities. Sometimes we talk about promotions only in terms of the positives -- base salary increase, more responsibility, new stretching career development experiences, more total compensation, etc. But there are also very real negatives -- often more hours, more pressure, more stress, more difficulty associated with these new responsibilities and increased scope. As such, we also will be communicating that we are supportive of team members who decide that they would like to stay in their current position long-term, and we will continue to work to pay above-market for that position, across every position, function and level at Health Catalyst. Thank you again for sharing your feedback regarding your experiences during your first year at Health Catalyst. Your feedback has prompted some insights that we'll work to incorporate, including by discussing some of these themes during today's All Team Member meeting. Best, Dan

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