This document summarizes an analysis of library management system (LMS) and digital repository software options for an Australian health library. It reviewed vendor responses to a request for information, literature on costs of open source vs. proprietary systems, and made recommendations. Key findings included a lack of vendors specializing in health libraries, high pricing variations, and limited Australian support. The document recommended further demonstrations of Civica, Ex Libris/Koha, and Digital Commons based on functional requirements and total cost of ownership.