The convergence of many different pressures coming all at once will test leadership as well as employee resolve to continue to build a great firm. Some of the pressures are what I'm seeing:
Investor ROI
Building scalable products and solutions
Aggressive bookings goals
Smaller teams to keep costs low - do more with less
None of this is a criticism of Health Catalyst. It is just the realities of our market, the choice we've made to grow (being capitalized by investors), etc.