Pros
Acumen has a lot of potential. The company does very interesting and necessary work for the health field. However, the company's internal structure and practices diminish the morale of the employees and, in turn, effectiveness of the company. -I believe the people you work will heavily affect how you assess your time at Acumen. My overall experience was pretty good given the right people (fair, professional, intelligent, etc).
Cons
-There are known issues of nepotism and, more pervasively, favoritism that may not always be linked to qualifications and performance. -HR/Management seems to make an insincere effort at transparency; though the company has recently instituted performance reviews, any information on the promotions of team members are strongly guarded. This hardly elicits trust amongst employees that promotions are actually done in good faith.