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
12 Jun 2026
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

The product is great, look at other companies who are doing it better

Cons

Investors, ask yourselves: where is your money really going?? Most likely the companies legal team!! Heartflow has already faced lawsuits from former employees, and during my time working with the company, I observed ongoing issues across HR, payroll, and overall employee relations—problems that appeared to persist rather than improve over time . When they aren’t getting sued they are suing! Just recently Heartflow opened a lawsuit against the CEO of their competitor, Cleerly. Having worked with Heartflow under its current supervisors, I can confidently say that if I were a patient, I would choose Cleerly. And not just because Cleerly’s CEO has an extensive medical background while Heartflow is owned/ran by a former nfl football player with a business degree. That along with the fact that the majority of higher leadership comes from Medtronic and only have business backgrounds, should tell you where their priorities lie.

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