I don't know of any that require you to be on prem, but if you can't arrive at a reasonable liability agreement with your providers, cloud can be taken off the

I don't know of any that require you to be on prem, but if you can't arrive at a reasonable liability agreement with your providers, cloud can be taken off the table pretty easily for any information that requires public disclosure of breeches (e.g. ssn) or comes with hefty fines (e.g. patient information)