This article at SearchEnterpriseLinux describes a successful use of Free/Open Source in healthcare: ‘Athenahealth Inc.’s sales management system, Salesforce.com, and Web-based customer portal, athenanet, couldn’t talk to each other, and that communication gap often put customers on hold…The open source foundation of SugarCRM opened the door for customization and was a key reason for choosing it. With a closed system, Gatewood figures he would have had to build an intermediate system and set up a data interchange between the applications…’ This is also a good example of how consultants independent from the parent FOSS project benefit from knowledge they built on FOSS.