This paper examines technology acceptance and use and the associated individual and organisational impacts within a small non-profit, community-based health care organisation. The study described involved a longitudinal multi-method investigation, collecting quantitative and qualitative data over a 7-month period, timed in conjunction with the implementation of a new information system infrastructure. A research model is proposed and explored. The substantial data collected enables comprehensive analysis of the links between technology acceptance and use with the outcomes and impacts of use on individual and organisational goals. Results from this study provide qualitative support for the proposed model, demonstrate the invaluable role of individual commitment to the organisation and to the matching of organisational and individual goals. This work highlights the complexity of the constructs and relationships that influence technology acceptance and outcomes and highlights a need for reconceptualising current models. Results also demonstrate the importance of qualitative methodologies in information systems research. The significance of this work and the implications of the findings are discussed.