I use AC in the Cloud version 9.4.2 and use a licensed microwave guaranteed 30/30 bandwidth. The scanning into AC is instantaneous, however if we print from AC to either Updox or paper with the printer it can sometimes be quick and sometimes slow, up to a minute, whether it is 1 or 10+ pages. This is probably one of the biggest concerns my nurse has with AC in the Cloud, but it works, just sometimes slow, averages maybe 30 seconds.
For me it is not a big deal, I don't do a lot of printing that is time dependent, such as printing imported lab results to Updox with a letter generated in AC, the letter is usually instantaneous but the labs may take up to 30 seconds. However, my nurse sends the letter and lab via the portal when it gets there, so not an issue for me. Now if I print a paper handout for information from Up To Date, such as overview of Sinusitis, to the printer in the exam room, it may take 10-20 seconds on average. Again not an issue because once I hit print, I just carry on with the conversation till it prints, then staple the handout together and give it to the patient.