Messy Company with Some Great People but Poor Leadership - Anonymous employee Thirty Madison Employee Review

2.0
May 23, 2022
Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

The people at the lower and middle levels are all wonderful people who are in return overworked and underpaid. There are not too many instances of overt office politics and in general there are great benefits.

Cons

I parted with Thirty Madison about 14 months after I was hired. First and foremost, Thirty Madison is not a healthcare company- they are an e-comm, mail order pharmacy who made some opportunistic hires to try and change the landscape. I came from e-comm expecting to learn a little more about healthcare but instead was quite the opposite. The company is massively overvalued and does not operate as a unicorn. Hustle culture is celebrated and its intimidating to take time off. I have watched my colleagues pour time, resources, and energy into work that gets overlooked because they don’t subscribe to the white, ivy-league culture that stems from the top. Communication happens in silos and even VPs use their 1:1s to bash other employees. No one truly knows what is going on and by the time we merged with Nurx, I knew it was time to begin looking elsewhere. Second, leadership promotes and protects people based on pedigree and willingness to say “yes” to the top down decisions no matter what. There is virtually no way to surface constructive feedback or input on constantly changing priorities without feeling like you’re about to be looked at as less-than. Leadership refuses to take responsibility for the poor consequences of their ill-informed actions. People at the lower and middle levels sort of just do what they’re told to the point of breaking. We also just had a massive hiring sprint leading up to layoffs. Some of my peers had only been working for a couple months before getting the boot. Third, DEI is unfortunately just a buzz word as the culture at the top is out of touch, privileged white people who protect those who emulate similar values and looks. Although I am white, my peers of color rarely got the opportunities that the white people did. There is a clear discrepancy too, given that most Black and Brown employees sit at the 1099 or hourly level. There was also a decision made to choose an insurance plan that cut benefits for trans folks which was sort of my last straw regarding DEI. Fourth, it’s clear many of us were burnt out especially around the time that the merger was announced. Leadership’s solution was to do a group meditation, but took away things like Refresh Days. I watched many of my peers’ calendars fill up with meetings from 9-6 with no time to do actual work. I worked remote full time, but I can’t imagine being in person would be any more productive either.

Explore other reviews about Thirty Madison

5.0
Apr 30, 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
May 27, 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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