VitalPointAs of 2026-08-01
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Renewal Risk Brief

Meadow Primary Care

Family MedicineEugene, OR90 seatsARR $108,000Renews 2026-11-15Auto-renew on
HIGH RISK
85 risk points · 106 days to renewal

Why this account is at risk

usage decline+35 pts
logins down 40% quarter-over-quarter

“Support ticket from Meadow Primary Care: Six months in and our historical patient records are still not migrated. Half the staff refuse to use the system until their charts are in …”

SourceData migration still incomplete·2026-07-08·doc_0165_001
low seat utilization+10 pts
only 7% of paid seats active

“Support ticket from Meadow Primary Care: We bought nine seats but only the front desk actually uses the system. The onboarding sessions kept getting rescheduled and never finished.…”

SourceOnly two of nine staff logging in·2026-02-13·doc_0165_002
negative sentiment+20 pts
satisfaction score 0/100 from ticket and QBR tone

“Half the staff refuse to use the system until their charts are in it.”

SourceData migration still incomplete·2026-07-08·doc_0165_001
onboarding incomplete+20 pts
documented in Data migration still incomplete (2026-07-08)

“Support ticket from Meadow Primary Care: Six months in and our historical patient records are still not migrated. Half the staff refuse to use the system until their charts are in …”

SourceData migration still incomplete·2026-07-08·doc_0165_001

Customer sentiment

0
frustrated
Language across tickets and QBR notes trends negative — escalation, repetition, and churn wording.

“Half the staff refuse to use the system until their charts are in it.”

Quoted fromData migration still incomplete·2026-07-08

“The onboarding sessions kept getting rescheduled and never finished.”

Quoted fromOnly two of nine staff logging in·2026-02-13

“Implementation stalled: migration of legacy records remains incomplete and the clinical staff never completed training.”

Quoted fromQBR notes — Meadow Primary Care Q1·2026-05-05

Recent history

Usage trend
-40%
logins, quarter over quarter
Support load
1.5
tickets/mo · 0 open high-sev
Seat utilization
7%
active users ÷ paid seats
15-month usage
monthly logins

Recommended actions

  1. Schedule an adoption review call; walk through unused workflows.
  2. Right-size seats or drive activation before renewal.
  3. Have the account manager call to hear concerns directly.
  4. Restart implementation with a completion plan and owner.

What we don’t know

Every signal in this brief is backed by a cited document.