How a Leading Healthcare Technology Company Ran Their Mid-Year Performance Review Cycle Without an HR Team
Nirvana is a healthcare technology company that leverages AI to automate insurance eligibility checks and cost share estimates, so nothing gets in the way of reliable care for patients and providers.
Without an HR team (and even often with one), performance reviews typically mean long hours, scattered spreadsheets, and immense administrative burden. For Emily, Nirvana’s Chief of Staff, this would be her first time orchestrating a performance review cycle, and as a company running mid-year reviews during their busiest season, efficiency was crucial.
With Windmill, she ran an organized, efficient mid-year cycle with a 100% completion rate for self and upward reviews.
Median completion times:
Plus an ~80% preference for Windmill among employees who had prior performance review experience.
Introducing a new performance review process often leads to fielding endless questions, but Windmill’s approach, building on months of data already collected by the platform, gave the process immediate credibility and familiarity.
Nirvana started using Windmill in the early summer to collect ongoing feedback. With months of rich data already in the platform, it made running performance reviews with Windmill the clear choice, so managers could draw directly from the insights Windy had captured.
Users described the process as:
Faster and easier to understand what the company wanted to hear from me
Compared to my previous review, this one gave me more concrete examples and practical takeaways
Windmill’s conversational Slack format prompted deeper reflection without the intimidation of staring at a blank document. Employees shared feedback like “it felt more like a two-way dialogue.”
Nirvana also avoided the problem of introducing new software by keeping the majority of the employee experience in Slack, where they already work.
Employees described it as:
Natural, like a conversation
Easier than writing in a Google Doc
Convenient not having to access something else
For Nirvana’s distributed team, including international contractors, the familiar interface eliminated training overhead and made coordination seamless.
Beyond the employee experience, Windmill turned performance reviews into a seamless operational process, even for someone who had never run a cycle before.
She particularly valued the calibration module:
As one of Windmill’s earliest performance review customers, Nirvana also benefited from collaboration with the team. When Nirvana had feature requests mid-cycle, Windmill deployed a solution, sometimes shipping changes in as little as 12 hours.
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