There's also the business risk that a company you depend on goes poof and you're left scrambling (scrambling doesn't work well in healthcare IT, so much of it i

There's also the business risk that a company you depend on goes poof and you're left scrambling (scrambling doesn't work well in healthcare IT, so much of it is bespoke and barely working... projects that look like they should work routinely fail years later in at integration setting everything back three years... it's a mess).