In 1990, after ten years in direct patient care and in pursuit of a nursing degree on a company scholarship, Elisa Comer discontinued her studies and left her place on her employer's medical staff due to a severe latex allergy. Her employer let her transfer to an administrative position where she learned the administrative side of operating a medical business. In 1996, she obtained a diploma in Medical Language and Transcription Studies.

About the same time, a church friend approached Comer and her husband about taking over a small transcription service. After much research, she decided to take over an account of the existing service, and she started Eagle's Landing Transcription Service (ELTS).