I work in Finance for a large healthcare system and we have been using Dynamic 365 to manage aspects of our non-clinical operations for supplies and some departmental workflows. I rated it 4 out of 5 because its a solid, cloud based ERP that integrates seamlessly with out Microsoft 365 ecosystem, which is huge for the productivity in a Microsoft heavy environment. It has significantly improved real-time visibility into financial data, streamlined accounting processes, and helped with compliance reporting which is critical in healthcare.

Overall, Dynamics 365 Business Central has been a solid system for us. It handles core financials well and ties in smoothly with Excel and Power BI, which makes reporting a lot easier. Once everything was set up, it became pretty reliable for day-to-day work. The setup phase took some effort, and there are still areas that could e a little more intuitive, but overall, it's been a good platform that scales with our needs.