No. Unlike most hospital management systems or electronic medical records, we don't charge you calculating total number of staff or patient you added. 8 staff/patients or 800, the price is the same. This adds up to significant savings as your facility grows. Create as many patients as you have. We don't charge monitoring number of patients added. No per patient charges. Add everyone, doctors, nurses, pharmacist, lab technicians, admin, receptionist, etc. No per staff pricing.