IT and business managers are not being given a clear guidance on what ECMS can offer and how they could benefits from these technologies. This study posits that ECMS-use is related to business process aspects, the organizational context and human factors that shapes the way organizations use the technology. With these focus in mind, this research has conducted multiple case studies in seven large organizations to understand the different ways they use ECMS. Based on the collected evidences, cross case analysis has yield interesting findings to how these organizations have been utilizing their ECMS in different ways to suit their business processes need, institutional conditions, users’ requirements and ECMS facilities available at hand. These outcomes make a significant contribution in guiding organizations to: plan intended ECMS-use, understand why their ECMS technology may be underutilized and design ways to exploit the use of these technologies