The cloud is ubiquitous; everyone needs it, everyone uses it. But to use it right and use it well for business, there are some core considerations: How do you build software in the cloud that will scale? How do you built it to be secure? How do you manage a large user base across a set of very different services? The list of considerations grows when you look more specifically at healthcare in the cloud. Then you also have to think about patient data anonymization, regulatory issues, medical-specific domain technologies in the cloud, performance, and availability to meet the demands of patient care.