For a solo practitioner, who has to be his own IT guy, Server software just adds to complexity without much advantage. If I did not need remote workspace and access from a second office location, I would have stayed with Windows 7 64 bit computer as AC "man computer" on a peer to peer network. It was working really well.
My Dell Inspiron 530 Windows 7 with i5 processors and 4 GB RAM worked well as AC "main computer", although, I suppose it may help to have i7 with 8 GB RAM - but I have no proof for that assertion. If I were buying a new computer for AC "main" that is what I would go with.
As a doctor, I need all my cognitive energies for medical decision making, not server or computer management.