Feed up with AC's lack of attention to problems and a horribly slow system using the cloud - I mean not use bad, but so bad I do not have time to look at other systems because I am just treading water with using AC in the cloud. AC has spent most of my support money over the past 12 yrs focused on regulations rather than basic operability. I can careless about regs to get paid since we do not accept insurance. I want a system to work, that's it. Been out looking and demo'ing other systems, many systems. I have some deal killers (creating custom notes not templated notes or custom order sets of multiple lab orders) and currently focused on ChARM. Seems like the one for us. I would like AI involved, but I think that needs more time to flush out completely. At least ChARM allows me to "tire kick" the system around before pulling the trigger. I will look at MedPointe so thanks for the heads up on that one - had not heard of it before.