Todd: now you know why I love Alaska. I have very big mountains as close to my front door as I could want them. Our church as a Peak of the Week event for us outdoorsy types.
I would highly recommend having your own databases, especially since the server requirements are so easy. Then, if you ever decide to part ways, you can simply take your practice with you. The other docs could also use a different EMR, but that would certainly complicate things somewhat.