Four Community Clinics in California recently selected the open source project ClearHealth as the new Practice Management Software (PMS) for their clinic business operations. The four rural safety net clinics in Mendocino County provided 70,000 office visits to 14,000 patients during 2004. In July 2004 the clinics began a project to find a new software partner. In January 2005, after six months review of clinic workflows and software requirements, vendors were invited to submit proposals. Evaluation of five vendor proposals culminated in May 2005 with the selection of ClearHealth software from Uversa Consulting of Mesa, Arizona. The replacement PMS project calls for a pilot implementation of the new software to begin in December 2005 after integration of various user interface improvements into the open source ClearHealth project.