Exceptional core product, company rife with fatal flaws - Anonymous employee Heartflow Employee Review

1.0
7 Jun 2023
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

The core product at HeartFlow is exceptional tech with the potential to better cardiac care globally. I work alongside some of the most passionate, intelligent, exemplary people I've ever met. It has been an honor to contribute to something so positive, and I'll forever be thankful for the relationships I've curated at HeartFlow.

Cons

HeartFlow has struggled with out-of-touch leadership for a long time. Today, things are worse than ever. Multiple CEO changes in the last few years have led to an alarming turnover rate in upper management. Miscalculations have led to an equally high number of layoffs in the same timeframe. Leadership has a history of over-promising, under-delivering, and an unproductive, frustrating top-down product development style. Anecdotal data and the voices of a few individual customers drown out basic needs, supported by thousands of tickets, which have gone unmet for years. Priorities are in perpetual flux. We have bare-bones teams supporting numerous fat initiatives. Leadership is extremely opaque, does not acknowledge dwindling teams, and maintains almost comical optimism despite morale being lower than it ever has been in HeartFlow's history. Because of the morally positive nature of our technology, the company is blessed with superhumans willing to put their well-being on the back burner to do what is necessary to deliver (i.e., 1 person doing the job of 2, 3, or even 4 people). Despite our passion for what we do, burnout is rampant at every level. HeartFlow scaled back the PTO policy late last year. The company recently instated lengthy holiday shutdowns that are unpaid. Leave policies are ill-defined, difficult to navigate, and generally poorer than those of equivalent companies. HeartFlow was never very competitive with big tech as far as comp+benefits go, but be warned that it is actively scaling back what modest programs it had.

Explore other reviews about Heartflow

5.0
23 Dec 2025
Recommend
CEO approval
Business outlook

Pros

The Mission: It is incredibly motivating to come to work knowing that our technology is changing how heart disease is diagnosed. You feel the impact daily. The People: My colleagues are genuinely smart, kind, and collaborative. There is very little ego here; everyone is focused on solving problems together.

Cons

Because the company is growing and evolving, processes can sometimes change quickly. You need to be adaptable and comfortable with a bit of ambiguity as we scale.

1.0
15 May 2026
Recommend
CEO approval
Business outlook

Pros

HeartFlow is an innovative company with a strong mission, smart and dedicated employees, and meaningful work that has real impact on patient care. The pace is fast and many teams are collaborative, passionate, and deeply committed to advancing healthcare technology.

Cons

While the company has strong technology and talented employees, the environment can be challenging due to dysfunctional leadership dynamics, inconsistent decision-making, and a culture that at times feels driven by fear and favoritism. Concerns around toxic executive behavior, lack of accountability, and discriminatory practices have negatively impacted morale, trust, and employee retention.

5
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