My garage door company gave me bad service, and I switched to another one. Took me one phone call.
Webber Oil increased the price on their oil and didn't deliver on time, and I switched to Suburban Propane, and it took a phone call and a charge for switching tanks.
My car dealership in Portland gave me bad service, and I switched to one in New Hampshire.
If your EMR company goes south, you must:
1. Research a new company out of the 200 or 300+ out there. 2. Hope the import of your data is doable. 3. Install an entirely different system on your server. 4. Pay a huge increase in cost. 5. Pay a huge amount of money in training fees. 6. Learn a whole new work flow for yourself. 7. Teach your staff that entirely different work flow.
All this while you are working full time. This would be a tremendous undertaking.