O365 could cost us 4 times more due to the Trubridge EHR Macro dependency. We all will be forced to Microsoft Office 365 by October 2025 or 2026 (depending which Office version you currently run). Trubridge EHR is dependent on the Microsoft Word Macros for several interactions with the application (from registration to physicians). I have been informed that Trubridge EHR cannot run on O365 cloud due to the Microsoft Word macro dependencies. Sites would need to purchase the on-premise/on-device O365 licenses just to use Trubridge EHR. From my quotations for O365, this would be 4 times more costs (annually) per employee/user at our facilities. For our organization, this would be a difference between $40,000 and $160,000 per year.