AKASA
AKASA Company Culture & Values
Frequently Asked Questions
AKASA’s culture is mission-driven, innovative, collaborative, supportive, and fast. Our values define our core beliefs and behaviors.
- Empower Health Systems. We are relentlessly focused on enabling health systems to transform their operations. Our customers are at the center of everything we do.
- Innovate for Impact. We know we only succeed by finding the best solution and focusing on what matters. We make big bets, raise the bar, and knock down roadblocks to make it happen.
- Win or Learn, Quickly. To truly transform healthcare, move quickly and constantly evolve. We learn from every win and mis-step and don’t wait for tomorrow for what can get done today.
- In this Together. We know great work isn’t done alone. We act as co-owners, do our best to help others succeed, and know it’s important to also make work fun.
Culture and engagement is a company-level OKR. Investment in culture and human connection is intentional and ongoing. Our internal employee survey data showcases our culture outcomes best. Here are just some of our ‘25 results:
- 38 eNPS, placing us in the top quartile of tech startups
- 89 is our latest engagement score, placing us in the top decile of tech startups
- 92% of employees say that AKASA is a great place to work
- 92% of employees feel invested in our mission, vision, and values
- 95% of employees feel supported by their manager
- 98% of employees understand how their work contributes to company goals
- 96% of employees feel comfortable asking other members of their team for help
- 96% of employees say that they are able to work in a way that works for them (for example: hybrid, flexing, hours, caregiving, etc)
Our data consistently demonstrates strong engagement, advocacy, and long tenure. Employees also highlight our open communication norms, supportive and effective leaders, and the opportunity to work on challenging, meaningful problems.
Additional signal can be seen in external industry recognition:
- Forbes America’s Best Startup Employers 2026
- BuiltIn 2026 Best Place to Work (x4):
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- Best Startups to Work For in San Francisco
- Best Startups to Work For in New York City
- Best Startups to Work For in Colorado
- Best Places to Work in Colorado
- Great Place to Work certified 6 years in a row!
- Black Book Market Research’s #1 most promising healthcare RCM startup of 2025
- BuiltIn coverage highlighting culture in action
We have a mission-driven, high-performance culture where we move fast, innovate for impact, and win together by empowering health systems while investing deeply in our people. This commitment is reflected in our top-tier engagement scores and consistent national recognition as a best place to work.
"Collaborative" and "supportive" are two of the most frequently used words employees reach for when describing what it's like to work here. We use tools like Slack, Confluence, Jira, and Coda, and we build rituals like retrospectives and cross-team standups into how we work collaboratively every day. In 2025, 96% of our employees reported feeling comfortable asking teammates for help, and 90% reported feeling comfortable sharing constructive or challenging feedback, reflecting both strong teamwork and genuine psychological safety.
Our leadership reinforces healthy collaboration by publishing OKRs across functions and actively looking for ways to break down silos. At a recent company offsite, we ran an open brainstorming session specifically focused on how to reduce silos because we take that seriously. We're also proud to be included in Built In's Best Places to Work awards, which recognize companies with strong teamwork and an open, communicative culture.
Our teamwork and open culture have been recognized by BuiltIn as a Best Startup to Work at in all of our 3 locations of San Francisco, New York, and Colorado. We also have been recognized with how well our teams collaborate with customers such as Nebraska Methodist, Cleveland Clinic, and Duke University Health System.
Employee recognition at AKASA happens through a mix of formal programs, compensatory rewards, and everyday moments that make contributions visible across the company. Twice a year, we publicly present values awards at our company offsite to employees who exemplify one of our four core values in their work. This has become a meaningful tradition that ties recognition directly to the culture and mission our people care about.
We also encourage employees to to highlight smaller, consistent moments of recognition in a way that allows appreciation to feel genuine rather than performative. A dedicated Slack channel celebrates both wins and meaningful learning experiences, reinforcing that growth is valued right alongside results. At each all-hands, we call out tenure milestones as well as group and individual accomplishments, making contributions visible to the entire company. We have a culture of continuous feedback. Our formal performance and feedback cycles throughout the year provide additional structured opportunities for recognition. We also award spot bonuses of both cash and equity on an ongoing basis to recognize exceptional contributions as they happen.
In 2025, 82% of our employees say they feel appreciated when they do good work, contributing to our overall engagement score of 89, which places us in the top decile of tech startups.
