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Probably this answered in a different thread. Sorry for not looking.
Does AC run in Azure? If so, can you keep the program and data on the local server so if the internet fails you can still keep your office going?
Does Dragon run in Azure?
I have a hard time understanding who Azure is for

Think of Azure as a server/desktop just not in your office. You can install/setup any programs you want. You have full control over the system except that it's in someone else's building. It definitely comes at a premium. Microsoft Azure/Amazon AWS are top-tier platforms. There are much cheaper ones like OVH that AC uses for things like its Practice Management. If a smaller practice really wanted to be in the cloud, I would probably recommend OVH.

Azure depends on the Internet like any cloud service. One cool feature is that Azure Site Recovery that Microsoft has made reasonably affordable for practices that need a fully functioning secondary backup server. Continuous replication at specified intervals. But your current network and infrastructure have to be designed properly from the ground up for that failover to work properly. It's great thing for larger practices. (Assuming they have the bandwidth for it.)

Thanks Sandeep.
Probably will skim along with what we have.
We have bigger problems than IT in running a small practice!

Last weekend, for some reason AC Cloud server kicked all of my office users out and we could not log in. AC support was helpful and they had someone on call to work on Saturday but it took them 4 hours to fix the issue. We had to do every thing on the paper and had a lot of "fun". Taking care of the telephone calls and the prescriptions was the most challenging part.

Jimmie reported that there is a new way to reset the server that cloud users can do themselves, but I haven't received any information about it.