I am a daily end user of Salesforce, though I'm not in health.

It is a terrible platform. Either this stuff is really hard to get right, or Salesforce suck.

I think Salesforce caught the "cloud bubble" at exactly the right time, it was all hype with very little substance. However that led to sales, and now to ongoing bookings because customers are locked in.

For anyone seriously using Salesforce, leaving it would be have more to do with business politics and finance than any sort of technical merit.