As is the case with almost every high-growth company, the effect of change is felt in many different ways. Much of the discord by fellow team members has to do with how a company deals with growing pains. Not all processes are refined, or rigor in place to handle every situation. Self-drivers and flexible personalities excel at high-growth companies, so fellow team members who want clear definitions of job descriptions, responsibilities, etc., may find themselves in a chaotic environment. Not everything at HCAT is perfect, but compared to the employers from my previous 20+ years in HIT, Health Catalyst is dealing with growth pains in an admirable fashion.