Fishscene

From what I understand, you'll need to adhere to HIPPA standards. Additionally, no server build is complete without a solid backup strategy.
 
I doubt you'll need 10Gbit ethernet at this point - but make sure in your build that there are expansion slots to allow for future functionality - just in case you need to add 20Gbit with fiber connections.
 
You will want redundant drives. Without redundant drives, if it fails office fails. Probably a minimum of $500 recovery (if possible) and multiple days of complete outage. You'd still need a working drive to restore the backup to. If you're going for ultra-long term reliability, keep a cold drive around that's the exact same type and model (aka buy the drives all at once and keep a cold spare around). If a drive fails, you can pop the cold spare in and get back up and running - no need to panic as you hunt down a similar drive that will cooperate with your RAID.
If you're checking out drive performance, be sure to also check out encryption performance - this also goes for your backup strategy as well. It's no good if you're still writing to your backup when the office opens in the morning due to encryption/drive performance. I personally recommend NAS rated drives meant to run 24/7.
 
If you can, enable file history on your shared folders - this will allow you to easily restore files from previous versions without having to dive in to the (probably more complicated) backups.
 
Be strict on folder security. (Dunno what HIPPA requirements are, but I've seen way too many places that just give cart-blanche access to any folders on the server.)
Create a test folder and play around with groups and permissions - it's absolutely essential to maintaining security and for some reason, is one of the most overlooked items when it comes to server security in small offices.
 
Be sure to place the server on solid non-vibrating footing, as dust-free as possible.
 
...and finally
The liability for all this is on the office and/or you. Unless you hire an IT company who can manage it. Keep this in mind.

For business. If I have a PC without integrated graphics and just need to display spreadsheets or something, it makes business sense to spring for a dependable graphics card that, if it turns out to not be dependable, is under warranty. A used $5 GPU with a questionable background isn't worth the gamble.
 
I'm paying someone to support the GPU, whether that's myself, or staff. The less time it takes to get the computer up and running, the more money I have to spend for niceties - like staff bonus's or coffee.

As a business, I'd rather spend $40 for an new-in-the-box-with-warranty-no-questionable-background GPU over a $5 GPU anyday.

Normally I try to avoid asking questions of "What are you trying to accomplish?", but in this case, it might be warranted.
 
What necessitates forwarding 16,383 UDP ports?

This my friend, is a RAM stick. It's the "Memory" of a computer. If you're wondering why it might be so small (256MB or 128MB) it is because it is *very* old RAM. I don't think you'd find any use for it in a computer today. If you're looking to get rid of it, I'd recommend selling it so others who maintain old hardware might be able to make use of it. :)

When installing Windows 10, you'll have the option to wipe the drive to install Windows.

When installing Windows 10, you'll have the option to wipe the drive to install Windows.

Normally I try to avoid asking questions of "What are you trying to accomplish?", but in this case, it might be warranted.
 
What necessitates forwarding 16,383 UDP ports?

Cat5e is your ideal network cable. It'll handle up to 1gigabit/sec so your limiting factor will be just your ISP connection. :)

Probably the fastest way to stop out-of-game cheats is to mandate the game only be playable on a game streaming service. Creative hackers may still find a way though. Also, there are reasons why game streaming services aren't successful.
 
However, your post is overly broad. For example,
Growing up with the N64, it was the Gameshark that really helped me understand how RAM works and how it interacts with the CPU and what the hex values meant and all kinds of other related things. All this has helped lay the foundation for my current career in IT. Single-player "cheating" with programs or mods or "gameshark" type abilities? Heck yea, I'm all for it. We need folks who in the future can understand how hardware and software works.
 
Cheating for online games where it affects others? No way man. But you know what, as long as game companies are going to keep locking things down tightly and try to extract maximum dollar for everything, they're going to attract people who try to bend it to their will. My solution? Let them host their own copy of the server and cheat as much as they want. Best example of this might be Minecraft.