Not sure what the options are for me personally. I don't want to change...don't see much of a need but I do belong to this larger group for better or worse. I did an email this am to my other group members posting some general pros and cons to EMR's and listed the charges for AC so they could see what another EMR costs. Also sent them the ratings from FP Management. We'll see what happens. Again, does anyone know how many active users of AC there are? How large of a group can it handle. There are about 25 of us including NP's. Thanks for your comments. Gives me fodder to feed the fire!! Dave