Health IT company Athenahealth Inc. is in the midst of an evolution, with the company announcing a renewed focus on culture and a shift in sales tactics for its electronic medical record software.

The changes come after a bumpy quarter for the company. Despite net income for the three months ending Sept. 30 at $13.9 million — a 140 percent growth from the same quarter the previous year — the company said it isn’t likely to hit 30 percent year-over-year growth in new clients.

In the days since…