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Case Study

American Medical Response Transforms Contract Management with Onit

Challenge

Following a 2006 federal settlement mandating electronic contract tracking, American Medical Response (AMR) needed a system to drive efficiency, ensure compliance, and modernize contract management. At the time, AMR was a $2–3 billion company with a lean legal team of only 10 people tasked with managing high contract volumes across 40 states. The in-house Microsoft SQL-based system lacked flexibility and visibility, leaving legal teams unsure of contract status and execution. With growing demands—including a merger and eventual spin-off—AMR needed a scalable, legal-centric solution that integrated with DocuSign and could support dynamic business rules.

Solution

AMR selected Onit to modernize and automate its contract management processes. The platform’s flexibility, legal-first design, and configurable workflows stood out immediately. Today, Onit’s Unity platform enhances that foundation with AI-driven insights, cross-functional collaboration, and a connected approach to legal operations. With Unity, AMR was able to:

  • Replace a rigid in-house system with a flexible, scalable contract lifecycle management platform.
  • Build dynamic workflows that adapt to evolving business rules, including executive-level signature changes.
  • Integrate seamlessly with DocuSign to streamline approvals and contract execution.
  • Empower end users across departments to upload and track contracts with role-based access and visibility.
  • Maintain agility during corporate restructuring, including rapid setup of two separate Onit instances post-spin-off.

Results & ROI

Since implementing Onit, AMR has transformed its contract operations:

Processed over 3,800 contracts

Processed over 3,800 contracts in a single year with enhanced visibility into contract status and history

Enabled immediate workflow adjustments

Enabled immediate workflow adjustments to meet new business requirements without IT delays

Supported a post-merger legal team

Supported a post-merger legal team expansion from 10 to 35 with zero disruption

Minimized risk by centralizing contract storage

Minimized risk by centralizing contract storage, improving audit readiness, and enforcing consistent signature authority

Delivered a user-friendly experience

Delivered a user-friendly experience that encourages adoption across departments and accelerates time to value

About American Medical Response

American Medical Response (AMR) is one of the nation’s leading providers of medical transportation, serving over 4.8 million patients annually across 40 states and the District of Columbia. With more than 28,000 professionals, AMR delivers critical, emergency, and non-emergency services in some of the most demanding healthcare environments.

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Our Customers

What our customers say

Onit’s Contract Works makes everything so easy. It’s incredibly intuitive and user-friendly—turning a disorganized mess of documents into a streamlined, organized system in one place. In just a few days, I had it up and running, and within a week, it was already accelerating our legal contract work.

Avi Stadler

General Counsel, Esquire Deposition Solutions

Implementing Onit's SimpleLegal platform has been a game changer for us at Instacart. By moving away from manual processes and embracing an intuitive e-billing system, we've achieved a 10% savings in legal spending. The platform has increased our visibility into legal costs and streamlined reporting, making it easier to share insights with our executive team.

Legal Team, Instacart

Partnering with Onit's SimpleLegal team has been a crucial step in laying the foundation for our global legal operations at Crocs. The seamless implementation of the e-billing and matter management solution allowed us to streamline our invoice approval process across multiple global entities and jurisdictions. Thanks to the expert support from SimpleLegal, we were able to establish best practice workflows and ensure VAT taxes were aligned with our standard operating procedures.

Legal Team, Crocs