Pros
I appreciated my many wonderful coworkers and the casual and inclusive work culture. The are a lot of opportunities for growth and project diversity for employees who are ambitious. Many of the clinical trials that the company handles are really interesting and valuable initiatives in global health research. The office space is great (some shared office space, but not a cubicle city) and located in a really nice, quiet area on the lake.
Cons
There is some faltering confidence with the leadership skills of the owners. The software needs a lot of investment if they hope for it to remain competitive, but software development initiatives are scattered. In some circumstances stronger employees/departments end up compensating for weaker players.