Acquisition of an EMR platform is a risky business. A benefit of being a behemoth with a huge market share is perceived "safety" in following the lead. Unfortunately, it is only "perceived" safety http://www.beckershospitalreview.com/finance/md-anderson-blames-ehr-costs-for-56-6-drop-in-income.html - Attributing a 56+% reduction in income due to "epic costs" - that will leave a mark!
Michael - I see you're at UTSW. I'm down in Austin setting up a first implementation of our "health data marketplace". Among others, working with UT - Dell Medical School. Glad to touch base some time.