Pros
MacPractice has a number of smart and enjoyable people to work with. The company has a solid benefits package including on-site perks such as a game room, indoor bike rack, gym and monthly potlucks. They have won multiple awards for accommodating the needs of military personal and are usually pretty accommodating to the time-off needs of the non-military employees. The company Christmas parties are enjoyable. As the leading Apple centric practice management and EHR vendor, they have the potential to bring great innovation to the industry.
Cons
MacPractice has widespread communication issues between different levels of management and across departments and teams. The company does not have a firm grasp of the fundamentals of running a software development project. There is poor planning, improper scoping and constantly changing requirements for features already in development. Development is anything but agile and done more by the seat of one's pants and by the whims of the office politics. The CEO, while essential in the company's early days, is unable to delegate and sets the product roadmap by poorly written public announcements. The company culture is not one with an emphasis in quality design, architecture and code, but rather one of struggling to get as many features out as quickly as possible while experiencing endless delays.