Case Study: Remote Area Medical achieves 10% annual donation growth and real-time financial visibility with Sage Intacct

Remote Area Medical serves more patients with Sage Intacct

Remote Area Medical (RAM) is a nonprofit that runs mobile dental, vision, and medical clinics for people in need. As RAM grew to tens of thousands of patients and volunteers, its on-premises Microsoft Dynamics GP system became cumbersome—causing duplicate data entry, spreadsheet-driven board reports, and long delays in timely, location-specific financial visibility that hindered operational decisions and donor confidence.

RAM moved to Sage Intacct with partner integrations (budgeting, AP approvals, expense and payroll tools) and integrated its Sumac donor system, using dimensional tagging to track costs by clinic, project, and more. The change shortened the monthly close from 15–20 days to just a few days, supported 300% transaction growth without adding finance staff, improved transparency for donors and the board, and helped drive consistent 10% annual increases in donations so RAM can serve more patients.

Remote Area Medical

Don Mackay

Chief Financial Officer