For a smaller practice that does not need a lot of customization it might be great, but for a bigger company that is focused on branding and adding extra bells and whistles, it is limited.
The overall cost for the basic is great, it is all the extras that make it more expensive - we have a few locations so it is not horrible and we use what we pay for to the fullest.
The only real down fall is the time lapse - it pulls every 30 minutes from the server, I wish it was more real time as sometimes we have an opening that has already been filled and someone still gets a notification of an opening
We can only text so many words to a patient in response or trying to send a notice - which isn't that big of a downfall.
When I did use Solutionreach - they did not have as many functions as Lighthouse 360 like immediately sending out a text when we had a hygiene opening within 48 hours. And their templets were very limited to what we could change.