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Where's the missing link on non-profit case management

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I still haven’t found a free software case management framework for non-profits emerging on the horizon. If you search SourceForge or Freshmeat, you find legal case management systems, but nothing oriented to the general non-profit market for client management. There are electronic health records, CRMs and ERPs… all of which have elements that would be useful, but none alone can do the trick.