Case Study: Seattle Indian Health Board achieves 50% finance productivity gain and scalable financial management amid 80% revenue growth with Sage Intacct

Seattle Indian Health Board makes quicker diagnoses with Sage Intacct

Seattle Indian Health Board (SIHB) is a nonprofit Urban Indian Health Program and federally qualified health center serving thousands of American Indian and Alaska Native patients in the Seattle area. Faced with rapid growth — revenue rose 80% to $25M and grant volumes ballooned — SIHB’s outdated legacy accounting system made it difficult to get data in and out, track 100+ grant revenue centers, and close the books in a timely, accurate way.

SIHB implemented Sage Intacct (with implementation partner Armanino LLP) and adopted Project Accounting, dashboards, and integrations like Expensify. The finance team’s productivity increased 50%, the monthly close dropped from two months to three weeks (with a two-week goal), reporting that once took days now takes minutes, and dashboards empower 45 users. Better financial visibility boosted data accuracy, helped scale to 100+ grants, improved program decision‑making (including a 10% increase in permanent housing placements), and raised staff satisfaction.

Seattle Indian Health Board

Ben Luety

Chief Financial Officer