Seasons of Care Health Services is a Medicare certified home health care company in Middleburg Heights Ohio (Cleveland Ohio area). We are a small privately owned company that serves Medicare, Medicaid, VA, DODD, and Private Pay clients in 4 counties. OMS2 has been the only software we have used since we began in 2003. Because the company is small, other software options were much too expensive and complex for our needs. One significant benefit to OMS2 is that we can call and talk with the owner directly and get our questions answered. We don't have to go through several voice prompts only to get soneome who cannot answer your question. We did not receive any training on site when we started 10 years ago. Instead we received a training manual and were able to call with questions. The only suggestion would be that it could be helpful to some smaller companies if their was an initial training session on site (or even a webinar). OMS2 has made many improvements and upgrades to their software as they try to accommodate the requests of their customers when possible. Overall, we have been pleased with the software and plan to continue to use it.