• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia

Trendingnow

1

Jeff Bezos wants the bottom half of earners to pay zero income tax—he says nurses making just $75K should save $12K a year

2

Despite a $500 million net worth, Shaq just finished his fourth degree. He warns graduates: 'Your character will take you further than your resume'

3

Bolt CEO says he let go of his entire HR team for creating problems that didn’t exist: ‘Those problems disappeared when I let them go’ 

1

Jeff Bezos wants the bottom half of earners to pay zero income tax—he says nurses making just $75K should save $12K a year

2

Despite a $500 million net worth, Shaq just finished his fourth degree. He warns graduates: 'Your character will take you further than your resume'

3

Bolt CEO says he let go of his entire HR team for creating problems that didn’t exist: ‘Those problems disappeared when I let them go’ 
CommentaryLeadership

Athenahealth CEO Jonathan Bush: As a leader, how do you keep it real?

By
Jonathan Bush
Jonathan Bush
Down Arrow Button Icon
By
Jonathan Bush
Jonathan Bush
Down Arrow Button Icon
January 29, 2015, 11:35 AM ET
Video Poster

I make it my business to fail – usually in unobstructed view, sometimes in grand fashion. I don’t for one minute mind exposing missteps however. Some might see that as a weakness, but I suspect it’s my vulnerability that helps me sway the hearts and minds of the people who follow me and my company on our mission to fix health care.

In business, you hear a lot about ‘authentic leadership;’ this is great, as long it’s encouraging leaders to go off the rails more. If leaders are truly in it for the mission, doing what feels good usually won’t be wrong, even if it goes against the approved path and conventional style. Even when it is wrong, there will be a lesson along the way. What I’m noticing is that the vulnerable, soft edges of leadership aren’t encouraged enough. “To err is human,” after all, so why does the world cringe so often at leaders’ unscripted, honest moments.

I believe great leaders show their whole selves. Does anyone remember “Mo” Cheeks, former NBA player and coach? In this one-minute YouTube video, you can see great, authentic leadership at its best: his actions are driven from the gut, are not something everyone would do, and after you hear the man’s singing voice, just try and tell me this is not a vulnerable moment for him. My point is that great leaders are not shackled to talking points or cycling through canned speeches. Really great leaders build or solve things differently for profound impact where most don’t even know it’s possible to tread. Apple used to call them the “crazy ones – round pegs in the square holes… the ones who see things differently..”

When I started Athenahealth in my twenties, never in my wildest dreams did I think that the fine pages of a national business magazine would care about anything I did, but alas some of my own genuine, vulnerable, and impulsive moments have been cataloged in the January issue of Fortune. I’d like to think this attention is due to the fact that Athenahealth is fundamentally different from all others in health care. It’s because we’re disrupting the status quo; we bring patients closer to caregivers, information closer to the moments of care, and connect the care continuum.

In any event, Fortune captured the real me. In some ways this is disarming and a little jarring, but it’s not bad. Surround me with inspiring entrepreneurs and colleagues-in-arms who want to make health care work the way it should and I get very excited (increasing my likelihood to have fun, drink beer and play games). I wasn’t exposed for anything that I’m not. As we learned from Brene Brown, we must combat the idea of perfectionism and “dare to show up and let ourselves be seen. This is vulnerability. This is daring greatly.” How could the fraternal nature of like-minded enthusiasts out to create and bring innovation to health care be anything but good.

In health care, what needs exposure aren’t the after-hours antics of enthusiastic CEOs, but the gonzo state of disconnectedness in this profoundly dysfunctional industry of ours, and perhaps the many leaders whose actions and inactions are propping it up. It should be startling that we live in a world where the fax machine remains standard across our country’s best hospitals. This industry, which has put some $30 billion against digitizing patients’ medical records, is failing. Saying this out loud is a necessity because anything less propagates the falsehood of advancement. How will this change? We need more leaders in health care to be authentic, not be afraid to fail, and to find comfort in their own vulnerability.

Jonathan Bush is CEO and President of athenahealth, one health care’s fastest growing tech companies. He is author of, Where Does it Hurt?: An Entrepreneur’s Guide to Fixing Health Care. He serves on the Harvard Medical School Board of Fellows.

About the Author
By Jonathan Bush
See full bioRight Arrow Button Icon

Latest in Commentary

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Commentary

clay
CommentaryLoneliness
I’ve spent 25 years studying loneliness. AI is about to make it much worse
By Clay RoutledgeMay 23, 2026
2 hours ago
ambrose
CommentaryRobotics
Former NASA Robotics Chief: America is building the wrong kind of robots — and China knows it
By Robert AmbroseMay 23, 2026
2 hours ago
morris
CommentaryEntrepreneurship
My startup hit $200 million ARR. But first I walked away from 2.5 million YouTube subscribers and nearly went bankrupt
By Joel MorrisMay 23, 2026
4 hours ago
brotman
CommentaryVenture Capital
I’ve spent 25 years in venture capital. Here’s how it quietly shut ordinary Americans out of the AI wealth boom—and what could fix it
By Steve BrotmanMay 22, 2026
23 hours ago
cox
CommentarySuccession
McKinsey studied 200 family business successions. The biggest problem wasn’t the heir — it was the outgoing CEO
By Acha Leke and Chaitali MukherjeeMay 22, 2026
24 hours ago
himanshu
CommentaryLayoffs
I’ve led companies through every major tech disruption. AI washing is the same mistake, every time
By Himanshu PalsuleMay 22, 2026
1 day ago

Most Popular

Jeff Bezos wants the bottom half of earners to pay zero income tax—he says nurses making just $75K should save $12K a year
Success
Jeff Bezos wants the bottom half of earners to pay zero income tax—he says nurses making just $75K should save $12K a year
By Preston ForeMay 21, 2026
2 days ago
Despite a $500 million net worth, Shaq just finished his fourth degree. He warns graduates: 'Your character will take you further than your resume'
Success
Despite a $500 million net worth, Shaq just finished his fourth degree. He warns graduates: 'Your character will take you further than your resume'
By Preston ForeMay 20, 2026
3 days ago
Bolt CEO says he let go of his entire HR team for creating problems that didn’t exist: ‘Those problems disappeared when I let them go’ 
Workplace Culture
Bolt CEO says he let go of his entire HR team for creating problems that didn’t exist: ‘Those problems disappeared when I let them go’ 
By Preston ForeMay 19, 2026
4 days ago
Indeed chief economist says we’re entering an era of ‘great mismatch’ thanks to a generational imbalance of workers
Success
Indeed chief economist says we’re entering an era of ‘great mismatch’ thanks to a generational imbalance of workers
By Emma BurleighMay 22, 2026
19 hours ago
Microsoft reports are exposing AI's real cost problem: Using the tech is more expensive than paying human employees
AI
Microsoft reports are exposing AI's real cost problem: Using the tech is more expensive than paying human employees
By Jake AngeloMay 22, 2026
18 hours ago
Pay transparency is exposing a bigger problem: Most companies can't explain why they pay what they pay
Workplace Culture
Pay transparency is exposing a bigger problem: Most companies can't explain why they pay what they pay
By Sydney LakeMay 20, 2026
3 days ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.