This thread is getting a bit crazy.
And maybe its just been a long day for me or I'm really getting paranoid about what needs to be backed up.
Firstly, we are still using the [OLD] AC Backup with [OLD] Offsite backup to AC. Again since we have 60 GB of II we set it to backup without II. This creates a 605 MB practiceName.enc file in the BACKUP folder of AC. This and only this file is uploaded to AC. AC Backup also copies that .ENC file to a NAS hard drive.
To backup our II we use Windows Backup nightly. It essentially copies the II folder to the NAS, as well as another pair of USB hard drives that are taken home.
Isn't that all that is required to restore AC in the event of a disaster. I only say this because "Database backup" has been mentioned in this thread. If I'm not mistaken the database(s) files all reside in the root AC folder and range from 3 GB to a couple of MB (AmazingCharts.mdf, Meds.ldf). I have never manually backed up these files because I thought they were restored during a restoration using the whatever is in the ENC file. Am I mistaken or are these database files supposed to be backed up as well?