Not to get too bogged down with details, but this winter she is looking to change EMR systems. The current one is the most expensive/established EMR for her field.
Rent is 12,000 dollars of expenses. EMR is almost trivial.
Sure, same is true for software startups. Trade long hours and slightly above market pay for a lump sum payment and predictable patient load? The increasing complexity of interacting with health insurance providers and diagnostic labs has something to do with it, also. Why wouldn't a lot of them do that?