As for the remnants of Amalga HIS in 2011, Dale Sanders, CIO of the Cayman Island Health Authority stated that "work remains" for Amalga HIS, one drawback of which is its "split personality for data collection at the point of care — orders, problems, medications, and progress notes are orphaned." CIO Sanders found that, after working closely with Microsoft, some of the organizations he consulted "adopted, but the vast majority did not. In the end, we (Northwestern and Microsoft) couldn’t agree on a value proposition for Northwestern, which already had Cerner, Epic, and a data warehouse. There wasn’t any room or need for a product like Amalga."