Linda, your rallying cry "Let's Take Back Our Industry" is admirable, but it's not likely to happen - for the reasons that are evident in the quote I posted from AthenaHealth's SEC filing above.
And congratulations on becoming a grandmother-to-be (did I get that right??).
They're the main reason everything goes overseas.
I have been getting calls all this week from off-shore companies in India. I try to politely decline their "services" to sub-contract.
I have been getting calls all this week from off-shore companies in India.