I just spent a year at a health tech startup where the primary prospects and customers were tier 1 hospitals.
Never, ever, ever in my life have I seen so much ego paired with such little decision making authority.
Pair that with an incredible lack of communication across each hospital group, jaded IT workers who see innovation as a threat to their jobs, and a sales cycle that can sit around 12 months on average, and voila: I present to you hell on earth.
This is still somehow ignoring how each hospital asks for insane amounts of personal customization on the product, development of features that aren't even on your roadmap, and accounting departments that consistently choose to ignore invoices.
Never again.