I’m not sure why the reviews here are so bad. While wait times can be long for support during the busiest hours, I’ve never had any real problems getting hold of them. I’d actually have to rate their support staff pretty highly, but I come from an IT background and this is not my first rodeo. You may or may not connect with your implementation specialist, so ask for another if they don’t work for you. We had three, one disaster (for us, my understanding was that specialist had pretty good reviews, but she couldn’t seem to give us what we needed in the way we needed it), one good, and one utterly fantastic. The sales dept tends to over-promise, and then can’t deliver, but that’s true of a lot of companies. I do know that there seems to be a lot of staff turnover and churn. But in general, we’re happy enough with this EHR/PM package. We came from eCW, which had its own nightmares built in. In general, I think AMD is pretty good, but you do need to commit to learning it, and it can be unwieldy and click-heavy. We wish the reports were better—it’s difficult to find patients who have slipped through the cracks sometimes, so you need to have a sturdy process in place for staff to do what’s needed to make sure that’s not going to happen. Business reports require a special module, and what you’d imagine would be a standard report may not be. The system is constantly being upgraded with new features being added every year, if not every quarter. This does mean that if you’re working late, you may run into system problems while they’re working on something, which drives our provider crazy. We do love being able to work on any web-capable, browser-enabled device. I should mention that due to our original choice of EHR being bought by AMD right after we started learning the new software, we have a special pricing structure that most won’t have, which makes this a great deal for us—YMMV.