Sunset Systems offers software development, installation, customization and consulting related to OpenEMR and otherwise.
It appears we are as of this writing the most active OpenEMR developer and contributor. We have extensive experience with software development in both the commercial and open source arenas.
While the OpenEMR software is free, effective installation and customization will usually require experienced help. Nobody knows OpenEMR better than we do, or is more qualified to address your specific needs. A typical clinic should plan to spend in the range of $2-10K for installation, customization and other assistance. This compares very favorably with proprietary systems which are not only more expensive initially, but have significant recurring fees.
For further information please send mail to firstname.lastname@example.org with a description of your needs.