Given the vicissitudes of the ehr industry, we've always keep an eye out for options but never ran across one that we were as comfortable with as we were with a/c. We have also been working on a change to our billing provider so we looked at combined solutions, but were still content to keep a/c as our ehr. However, the changes this past year added a layer of concern that made us step up our surveillance and we've spent some time getting pretty deep into a couple of the combined billing/ehr solutions and have settled on carecloud. We were still going to stick with a/c until the online a/c billing problems surfaced, and our frustrations and disappointment with a/c's response has decided us to just move to carecloud for both billing and ehr. It's too bad and will be a lot of work to make the transition. But, companies change and I think a/c's move from an entrepreneur shop to a more corporate environment will have consequences. I think that those of us who have been with a/c for a long time will sense that something fundamental was lost in the change.