Start-up growing pains - Anonymous employee InStride Health Employee Review

3.0
17 Jul 2025
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

They really do hire some of the most kind and compassionate people around - kudos to the talent team! Onboarding at InStride feels like a warm hug, and getting to know other folks in the organization through 1:1s made a fully remote workplace feel close-knit.

Cons

Top level leadership can come across as reactive and lacking clear focus or cohesive goals at times. Some feedback from care team members is taken very seriously and other feedback seems to be dismissed entirely. The founders have a lot of expertise in their respective areas but not necessarily in running a business, so shifts in strategy or direction happen quickly, without warning, and often without clearly stated logic. This leads to a feeling of whiplash for employees when policies, expectations, projects, or roles change frequently without much notice. It can feel like they're throwing 50 solutions at a problem at a time to see what works, rather than taking a measured and comprehensive approach to problem-solving. Some of this is par for the course in start-up culture, and is to be expected (so it may be a pro for some people who like that environment!). Ultimately, on the employee end, the trickle-down effect is that it can end up feeling like promises are made and not kept, which can be frustrating.

Explore other reviews about InStride Health

5.0
10 Mar 2026
Recommend
CEO approval
Business outlook

Pros

Healthy work environment. Supportive staff

Cons

The job entails a lot of responsibility for a clinician and for someone coming from private practice, it can be a lot but they’re also very supportive

1.0
16 Mar 2026
Recommend
CEO approval
Business outlook

Pros

There is a lot of independence to do your job on your own

Cons

First, the pay: atrocious. At all levels. Many directors and higher get bonuses, but none of the other employees do. At our retreat, I spoke with some folks on other teams, and they mentioned their salaries barely qualifying as minimum wage in some states with almost no opportunities for compensation raises. This seemed especially true on the patient/clinic side of things. Directors also never know what they are doing, they spend most of their time being negative and micromanaging other employees. In some tech meetings, directors have even talked down about their direct reports publicly. The company is also so focused on whether everything is HIPPA compliant that we can't even get products out the door. Example: We built a poorly functioning internal version of Slack rather than spending the extra money to purchase Slack Pro (which comes with HIPPA compliance). So now folks are left struggling across two different messaging services, making work fractured. Also, profitability seems to be questionable. A lot of folks getting quietly laid off, and almost no one received a positive review this year. Most of us who received negative reviews had negative remarks with no evidence provided. HR is also against the employees. Every time I raised an issue to HR, it was met with hostility and then immediately reported back to the person I was reporting.

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