There's a free practice management/EMR solution for providers that is available.  It's called Practice Fusion (http://www.practicefusion.com).  They offer a $0 web-based solution that truly is free.  It is a web-based solution that charges nothing to use or get technical assistance.  It does your backups and updates as well. 

It's an interesting business model in that Practice Fusion makes its money in a way similar to how internet companies like Google make theirs - through advertising banners and selling anonymized information.  They claim 100% HIPAA compliance and data security.  And, if you don't want to see ads in your EMR, you can pay a small monthly fee ($250) to use an ad-free version.

I'm not endorsing the product as I haven't had the chance to test it or see it in action, but I thought it was interesting and might be an inexpensive solution for practices just starting or looking for a new system.