Pros
Immediately impactful work with high-profile healthcare organizations
Fast-paced environment where you'll be frequently challenged to grow and take ownership
Strong overall culture and training makes it a great first job out of college
Flat management structure, and culture of employee trust
Working closely with many industry-standard technologies (SQL Server, SAP BO, VMWare, Linux, Intersystems Cache, GT.M)
High quality, healthy, and cheap food removes the need to plan out lunches
Casual dress code, Beautiful campus
Madison area is excellent for outdoor activities, dining, and recreation in general
Cons
High expectations of DBA and sys admin competencies with little training - learning on your feet is a requirement
Excess of after-hours work impacts work-life balance
Lacks of investment in dedicated onboarding and team-building (for the hosting team specifically) results in a weak culture. Many of the company-wide norms and philosophies aren't necessarily appropriate for the hosting team, yet little work seems to have been done to examine their relevance for hosting or to establish hosting-specific norms.
Despite being a private-cloud vendor, a lack of direction for adoption of "big-data" or newer DB technologies limits IT career growth outside of small-medium scale environments