Not bad, not great - Anonymous employee Thirty Madison Employee Review

2.0
16 June 2019
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

Employees are encouraged to get to know each other, and though it's growing fast, it still feels like we are in this together. In a startup this size, it's easy to quickly get to know people across the company. Owners give a travel stipend to encourage employees to actually use the unlimited PTO. Goals are ambitious and the teams are really talented. Healthcare is good, obviously, since it's a healthcare company.

Cons

Lack of emotional intelligence in leadership, which naturally trickles down and becomes part of the company culture. Those in senior management positions are good at their jobs, but they don't actually enjoy being managers - which doesn't make a good manager. Dishonesty and inauthenticity from upper leadership mean that I don't know who to trust or which promises they will follow through on - and it makes me scared for customers. Everybody is overworked. There are a few people who seem on the point of meltdown. Salaries are lower than other companies in tech & healthcare startups. Nobody seems passionate about the company or their jobs. A few people left after less than 6 months there. That's scary.

Explore other reviews about Thirty Madison

5.0
30 Apr 2026
Recommend
CEO approval
Business outlook

Pros

Smart people and direct impact to building the business

Cons

the growth was so fast that it felt like we were building in flight

2.0
27 May 2026
Recommend
CEO approval
Business outlook

Pros

Remote work Competitive compensation and benefits Helping patients

Cons

- It's a shell of its former self. Company was basically run to the ground, ran out of money and basically rescued from insolvency through an acquisition. Equity is worth nothing. - Many competent people left and everyone else was left to hold the bag/manage an insane number of microservices. - Bad decisions were made regarding architecture (too many microservices, Medplum integration) and replatforming (duplicated patient data cross service lines) that cannot easily be reversed. It's difficult to get to a stable place without dealing with bugs across the stack. - Not all engineers/teams take ownership of their product, leaving the most productive/competent folks to take on the majority of responsibilities.

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