Amarillo, Texas — Family Owned Since 1989

The same family.
37 years.
A new frontier.

We started by solving chiropractic documentation in 1989. Today we build AI-powered EHR and practice management software used by thousands of providers daily — running on our own servers, engineered by our own team.

37+
Years in Business
1,000s
Daily Active Users
100%
Family Owned
0.
Third-Party AI Providers
Our Portfolio

Software built
to go the distance.

From clinical documentation to developer frameworks — every product we ship is built in-house and supported by the same team that wrote it.

PracticeStudio
PracticeStudio

Complete EHR and practice management for multi-disciplinary outpatient clinics. Now with Alma AI built in.

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New DCez — Chiropractic. Our origin story.
DCez

Chiropractic EHR reimagined. Purpose-built for DC-only practices — everything you need, nothing you don’t.

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New
Alma AI
Alma AI

Our in-house AI assistant — built entirely on MicroFour servers. No OpenAI, no third-party APIs. Your patient data stays home.

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RxWriter — Prescribing. Simplified.
RxWriter

Electronic prescription routing, formularies, and medication history. Surescripts certified and EPCS ready.

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StrataFrame — .NET Framework for Developers
StrataFrame

Enterprise .NET application development framework trusted by developers worldwide for building data-driven applications.

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Clinic
Management
Clinic Management

We own and operate our own clinics. Real-world insight built into everything we build.

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Alma AI

AI built here.
Runs here.
Stays here.

While competitors route your patient data through OpenAI and Azure, Alma runs entirely on MicroFour-owned servers in Texas. That’s not a feature — that’s a commitment.

  • Screen-aware across every module — billing, claims, scheduling, charting
  • Structured clinical data output with SNOMED codes — not just text paragraphs
  • Persistent memory that builds over time, per provider
  • No OpenAI. No Azure AI. Zero third-party contracts.
  • Inline document generation — care plans, handouts, custom reports
AI Workflow

Ambient audio during the visit becomes a 13-section structured chart note with SNOMED codes. Not a SOAP text block — a real clinical record.

Clinical Intelligence

“Why is this claim being rejected?” “Explain my patient balance.” Context actions on every screen. Alma knows what you’re looking at before you ask.

Data Sovereignty

MicroFour-owned bare metal. Amarillo, Texas. Your patient data never leaves our environment — period.

Guided Agency — Coming Soon

Give Alma a workflow. Walk away. Autonomous multi-step tasks — the next evolution of practice automation.

1989
DCez — Our Origin Story

Where it all
began.

MicroFour’s first product was DCez — a chiropractic documentation system built when most practices still used paper. That same dedication to the chiropractic profession is back.

DCez is PracticeStudio’s chiropractic-specific sibling. Same clinical depth. Same Alma AI. Purposely selected and organized for a chiropractic clinic's unique and specialized practice needs.

Discover DCez
DCez — Chiropractic. Our origin story.
DCez includes
Full chiropractic EHR & charting
Alma AI — built in, not bolted on
Claims & billing management
Streamlined for chiro — no extras
37+
Years in Business
ONC.
Certified 2015 Edition
100%
Family Owned & Operated
Texas.
Built & Hosted in Texas