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Why the CPO of Garner Health believes in a culture of ‘radical candor’

Brit Morse
By
Brit Morse
Brit Morse
Leadership Reporter
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Brit Morse
By
Brit Morse
Brit Morse
Leadership Reporter
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March 24, 2025, 8:30 AM ET
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This company encourages employees to read each other’s performance reviews as well as write their own.

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Traditional performance reviews take place behind closed doors, largely between workers and their direct managers. But one company, Garner Health, decided to not only allow coworkers to write each other’s reviews—they also make them public for everyone in the company to see. 

“Call it radical candor with high standards,” Valentina Gissin, chief people officer of the 300-person health tech company, tells Fortune. The goal, she says, is to create a workplace culture that thrives on accountability. “We want to create the conditions for people to do the best work of their lives and a big part of that is this notion of courageous communication.” 

Employees who participate choose who they want to review their work, and that list is approved by their manager to avoid selection bias. In addition to that, employees are able to write feedback for anyone they choose, including upper-level managers and senior leaders, as long as the reviewee has been at the company for at least a few months. Gissin and her team read everything to make sure it is appropriate, but they have yet to censor a submission. The reviews are then posted internally so that anyone can look through them at any time. 

“The net effect is that because we have this culture year round, we both select for and train people to understand that constructive feedback isn’t personal, it’s not painting you in a negative light,” says Gissin. “It is a core part of how we get better as individuals and as a team.”

Not everyone agrees that this method is productive. Even Gissin says the feedback can be shocking. A junior colleague once accused her of “wielding influence carelessly.” Gissin reached out to the employee to have a conversation about that concern, and after some self reflection realized that at times she had talked people into taking “stretch opportunities” she thought would be good for them, but that they weren’t particularly interested in.

“I’ve worked my whole career to cultivate the people on my team so that they feel comfortable giving me that kind of feedback, and, as a result, they know that it’s their responsibility to call things out right away when they see them, without fear.”

You can read more about Garner’s performance review process here.

Brit Morse
brit.morse@fortune.com

Around the Table

A round-up of the most important HR headlines.

President Trump rallied against judges who have issued injunctions against his recent policies, referring to them on social media as “lunatics.” CNBC

Some diversity advocates and corporate advisers have questioned for a while whether many of the problems with DEI have been at least somewhat self-inflicted. Bloomberg

JPMorgan Chase is changing the language of its DEI programs, removing the word “equity” and replacing it with “opportunity.” Reuters

Watercooler

Everything you need to know from Fortune.

Wanted, a calming presence. In an increasingly tense political landscape, companies are prioritizing hiring workers with conflict mitigation skills. —Emma Burleigh

No college needed. OpenAI CEO Sam Altman, who dropped out of Stanford University, says young Gen Z professionals need to focus on upskilling their AI skills. —Preston Fore

Off-loading slowly. As older employees choose to stay in the workforce longer, many companies are offering people a phased retirement. —Alicia Adamczyk

This is the web version of Fortune CHRO, a newsletter focusing on helping HR executives navigate the needs of the workplace. Sign up to get it delivered free to your inbox.
About the Author
Brit Morse
By Brit MorseLeadership Reporter
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Brit Morse is a former Leadership reporter at Fortune, covering workplace trends and the C-suite. She also writes CHRO Daily, Fortune’s flagship newsletter for HR professionals and corporate leaders.

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