Sigmund's Client-Server version may be the solution for your organization if you already have an IT Infrastructure in place along with sufficient support resources in place to administer it.
The Client-Server Solution is hosted on your premises and equipment, and accessed securely via your own Intranet and/or the Internet depending on your network setup. The server should be secure and HIPAA compliant. All responsibilty for security rests with you.All technical aspects of the server are managed by your team. After the initial purchase of a client-server license you only pay a low annual support fee based on your support requirements and the number of users.