Back (office) to the future

KPMG and Oracle helped a fast-growing healthcare provider develop a new back office target operating model to align finance, HR and procurement operations across integrated companies.

A leader in quality healthcare and patient services
Optimizing back-office processes and systems
  • Client challenge
  • Benefits to client
  • Approach
  • KPMG insights

Client challenge

Highly efficient operations and the ability to integrate back-office systems from newly acquired organizations are two requirements of the modern healthcare provider. For this healthcare leader, a strategy of growth through expansion was its route to delivering exceptional care to over 600,000 patients. 

But being able to look after patients across the care continuum, from diagnosis to post-acute care, meant addressing problems with back-office systems. Optimizing finance, human resources, and supply chain systems for improved performance was a start, but they also needed to look at broader target operating model design. Allowing the company to integrate processes and systems was critical to the success of their future acquisitions. Their evolving approach was put to the test as they embarked on two key mergers while simultaneously delivering a back-office optimization road map.



Benefits to client

Within just one year, this company’s back-office systems were well on the way to being optimized and ready for future integration:

  • transformation of HR, finance and supply chain processes, policies, metrics, and governance to provide enhanced capabilities and service delivery
  • successful integration of back-office systems with two other healthcare companies following mergers
  • Oracle platform to support the HR, finance, and supply chain business processes in development
  • a flexible operating model for administrative functions, enabling efficient operations and scalable for future growth
  • increase in employee satisfaction translating into greater patient satisfaction.


As one of the country’s premier health systems for patient care, our client strives to offer consistent, high quality, and cost-effective service. Like many other healthcare providers, they are also looking to expand their network. Acquisitions bring complementary capabilities, allowing them to offer greater care delivery options while achieving economies of scale and related cost savings. However, ineffective integration of back-office systems has the potential to negatively affect patient and employee satisfaction.

Working with our client, we developed a software consolidation and integration plan for finance, supply chain, human capital, and payroll. The company also needed a new, single solution for a number of its people management activities. And integral to the success of both of these initiatives was the rollout of a comprehensive communications and training plan.

Utilizing resources and skill sets from both KPMG and our client, the entire process was highly collaborative and allowed for the design of a flexible operating model when they company merged with two other providers. The result? A set of optimized back-office systems ready for future expansion.


KPMG insights

It’s tempting to think of systems improvement and integration as a technology problem, but it’s important to look deeper. Looking at the client’s wider business objectives for continued growth through acquisition required a more transformational approach.

To become streamlined in the back-office and focus on its patient care capabilities, this company needed standardized processes, more accurate data, and deeper insights into cost and profitability. The speed, success, and scalability of the solution was built on an intimate knowledge of the client’s business, as well as developments in the broader healthcare sector. 

Many think of systems improvement and integration as technology problems. At KPMG, we look deeper—into our clients' business objectives.