Thanks again for the list. I am not going to say when I upgraded in case the HIPAA police are patrolling.........but it is done.

Thanks to this forum I was able with the help of my local IT guy to get the update done without too much problem. It did take us about 3 hours with all of the time for backup, computer windows update and restarting because the instructions are not clear. I did not have SP2 and had to update this as well. The instructions for AC did not look exactly like my computer.

Thanks James for the other topic about the SQL update because my computer did not look like the AC version in the instructions. We were able to follow your lead for changing the "SQL Server Configuration Manager" to get the area that needed to be changed for AC. below is the link to those instructions in case others need them:
https://acusersforum.com/ub/ubbthre...16-upgrade-failure-suggestions#Post78224

AC instructions have some problems. First the back button is hidden so I kept closing out the window that was brought up after starting from AC Yellow reminder box. This made reading the instructions difficult while trying to look at the update. I should have used my laptop for the instructions, I finally wised up and moved the instructions to a second monitor. Second the AC instruction changes the name from SQL Server to SQL Server Express so I was not sure these were the same product but they appear to be. After the download, the computer has to be restarted with each change and I didn't see this in the instructions. There are 2 steps that seemed to be backwards in the AC instructions. It pertained to the updates and license in the 2016 install. The step that is #7 (MIcrosoft Update) on the AC instruction was actually #6 for my install and the step #6 (License Terms) was step #7. Once the license terms was signed I could not go back to the Microsoft Updates. It did not change the install, so not that big of a deal, just want others to know. The final step shows 4 things with green checks: Database Engine Services, SQL Browser, SQL Writer and SQL Client connectivity SDK. My install only had the Database Engine Services come up with a green check box and then stated Complete.

I hope this helps, my system is up and running but this is not an easy process. I am not very computer literate and without the forum help this would have been an even harder process.