Case Study: Large Nonprofit Health System achieves 80% reduction in orphan invoices and scalable ERP with Avanade and Microsoft Dynamics 365

Healthcare facilities management firm builds modern ERP system to support growth

A newly formed healthcare facilities management company, created to support a large nonprofit health system, inherited a Microsoft Dynamics AX ERP that wasn’t configured for its distinct operations. Poor integration with its contract management system undermined financial and data integrity, left millions in orphan invoices, and limited the company’s ability to add for‑profit customers and scale.

Avanade assessed the environment, ran a two‑day workshop and built a Dynamics 365 pilot in a 30‑day sandbox, then went live within six months. The new solution improved system integration and data migration verification, cut orphan invoices by about 80%, enabled ~550 users to process work orders, and gave the company the flexibility and scalability to support rapid growth while improving service delivery.