With the onset of the Affordable Care Act (ACA), many Medical Groups that provide care for members of a Health Maintenance Organization (HMO) have grown a great deal to allow for increased population of members requiring insurance coverage. This growth has impacted medical groups significantly. One organization that has experienced this is “Mountain Healthcare”. Mountain Healthcare is a network of medical groups located in California, New York, and Arizona. The network is composed of nine groups with over 200 locations and over 3,000 employees. The groups consist of clinics as well as Independent Practice Association (IPA) offices, which include primary and specialty healthcare to over 600,000 members. The organization includes specialties such as General Practice, Family Practice, Pediatrics, Internal Medicine, Dermatology, Cardiology, and General Surgery. These are just a few of the specialties associated with the organization. They have physical locations primarily…show more content… With that decision made the next choice was to review which edition to install. 2012 R2 is available in four editions; Foundation, Essentials, Standard, and Datacenter (Deuby, 2013). Foundation is primarily for an infrastructure that is limited to 15 users. Essentials replaces Windows Small Business and supports 25 to 50 users and up to 50 devices. Based on the user population associated with JTMG neither of these editions was applicable. This left the choice between Standard and Datacenter. The primary difference between Standard and Datacenter is virtualization. Standard is designed for minimal virtualization and Datacenter is designed for large scale virtualization. Although JTMG is moving towards virtualization in some areas of business in the Pluto environment, JTMG won’t be utilizing virtualization; therefore, it was not necessary to incur the higher cost of Datacenter for the