Timely piece. We have been on Sage Intergy and Intergy EHR for 5 years. We switched to the cloud product, IOC, just last Friday. We, thus, have 2 days of experience with cloud vs. office server. There are many pluses to migrating to the cloud. We no longer have to monitor the data backup in the office and bring backup tapes to and from home. The backup is done professionally and at multiple geographic locations. Restoration is tested. We do not have medical data residing in our office the left of which would be disasterous for our business. We are free from the hassle of troubleshooting hardware and network problems. Updates to the software and data (such as drug formularies) is done centrally. No more babysitting upgrades. This particular cloud program runs on its own portal outside of Windows Explorer. That provides substantial protection from hacking. Sage can put their energies into developing a single, excellent product rather than support thousands of installations on various versions, hardware, configurations and platforms. There have been a few problems. The most important of which is our cable Internet speed. The cloud system currently runs more slowly than the server. However, our cable company offers, for a fee, 3 levels of upgrade on speed. We opted to try the 1st which doubles our download and upload speeds. We'll see the results tomorrow. The top level multiplies it ten-fold. Also,the software has bugs that are not in the corresponding version of Intergy for servers. However, a newer version of the software is already on the cloud and will hopefully take care of some of the bugs. I say go for it.