Their RIS and PACS software is also objectively poor, and they actively promote vendor lockin with solutions like iSyntax in the old IntelliSpace, and a horrifically bad and non-conforming IHE SWF implementation in Vue (which is partly Carestream’s fault to be fair).

They will also prefer to gaslight their clients rather than fix issues, and good luck if you’re already committed to an (un)managed service from them.