Northstar Health is a digital health company offering a subscription-based care navigation app for employers and health plans. The company has 420 employees, $82M in annual revenue, and operates in a fast-growing but increasingly competitive market for virtual care and benefits platforms. Northstar has historically grown through mid-market employers, but the CEO recently announced three company priorities for the next fiscal year: (1) accelerate enterprise growth, (2) improve gross margin, and (3) reduce member churn. You are the new VP of Strategy, and several functional teams are still pursuing legacy initiatives that were designed for the SMB segment.
The executive team is concerned that resources are fragmented across too many projects, and that team-level roadmaps are not clearly tied to the company’s top priorities. Product is investing in six feature streams, Sales is split between SMB and enterprise motions, and Customer Success is measured mainly on ticket resolution speed rather than retention outcomes. The CEO wants a practical plan to ensure that the next 12 months of work directly supports the company’s bigger priorities, while still delivering near-term revenue targets.
| Metric | Current State | Target / Context |
|---|---|---|
| Annual revenue | $82M | Board target: $105M next fiscal year |
| Revenue mix | 68% mid-market, 17% enterprise, 15% SMB | CEO wants enterprise to reach 30% of revenue in 24 months |
| Gross margin | 58% | Board target: 64% in 12 months |
| Annual logo churn | 14% overall | Enterprise churn 6%, mid-market 11%, SMB 24% |
| Active strategic initiatives | 23 company-wide | CFO believes only 8-10 can be funded well |
Additional operating facts:
As VP of Strategy, prepare a recommendation for the executive team: