Some of the ideals held by leadership don't make it down into the entire organization. In my story in particular, it's very hard to move to another job function that I'd likely have more of an impact in. I've personally been passed over in a job change because of reasons other than merit (seniority), outside hires who I've found through direct feedback did not interview better than myself (leadership stresses promotion from within), or just simply not being 'qualified'. It did not used to be this way - Health Catalyst had more talented people as a percentage than any company I worked for previously, and the freedom to move around and be valuable was only limited by your desire, since presumably you were already intelligent and driven enough to be hired. Something has changed.
Compensation has been slowly eroding since going public, likely due to the preeminent goal of becoming profitable. Raises have been on pause for a couple years, 401k matching has decreased, and bonuses are now in the form of stock that doesn't vest for a year or more. There used to be a mantra of keeping employees first, but that is no longer true, it's closer to how an average company treats it's employees.
It used to be unimaginable for me to consider moving on from Health Catalyst, even just a few short years ago, but it's lost some of it's shine to me.