I actually have just met Jeff and have just been introduced to the NowMD software. I must say, it is still early but I'm very impressed with the software, and Jeff's availability and willingness to answer questions and listen to suggestions. We are using the NowMD as a demo in our new online billing course. I have much experience over the years with many different softwares, Lytec, Medisoft, Perfectcare, Practice Today, and on and on..... I've also worked with start up software companies so gurumedbill has a great point about being leary of start ups, but I agree with Linda and Merry that if you look at who is starting, in this case there is a ton of experience and success. Also, the software itself does some things I have not seen in other softwares. For the first time in 20 years, I'm seriously considering a transfer. Which is a huge deal for me! Anyway, there are many good ones out there but I didn't want you to dismiss NowMD based on the age of the company. You must consider your needs, price, and the functionality of the software.