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How Central Health simplified financial reporting and gained real-time visibility
Bringing structure and clarity to healthcare financial operations
Located in Austin, Texas, Central Health is the public healthcare system for Travis County, focused on improving access to care for underserved populations across the region. As a large, mission-driven organization operating in a complex healthcare environment, Central Health’s finance team plays a critical role in ensuring transparency, accountability, and effective stewardship of public resources.
Like many healthcare organizations, their financial systems had not kept pace with the demands placed on them. Financial reporting had become increasingly difficult to manage. Working within a legacy system that had evolved over time, the finance team was dealing with an overly complex General Ledger, inconsistent account structures, and reporting processes that required unnecessary effort to produce reliable outputs. Like many healthcare organizations relying on outdated hospital financial systems, the team faced challenges maintaining accuracy, visibility, and efficiency across core finance functions.
Patricia Bethke, Controller at Central Health, described the starting point plainly: “We were using a fairly antiquated system, and reporting was extremely challenging.”
Patricia Bethke, Controller at Central Health
Disconnected systems, manual workflows, and a lack of standardization made it harder for the team to generate timely reports, manage approvals, and ensure consistency across departments. Accounts Payable processes relied on multiple tools and email-based approvals, limiting visibility into where transactions stood and creating delays in day-to-day operations. The team needed a healthcare ERP that could simplify financial reporting, clean up the General Ledger, and bring structure back to their workflows.
Immediate access to financial reports once close is complete
Simplified General Ledger structure for clearer reporting
Automated Accounts Payable workflows with full approval visibility
Faster, more consistent invoice processing
Improved staff experience with easier-to-use workflows
Simplifying the General Ledger and standardizing workflows
Central Health selected Multiview ERP to streamline financial operations and create a more consistent, manageable structure across their finance environment. By simplifying the General Ledger and standardizing how transactions were coded and processed, the team eliminated much of the complexity that had built up over time.
Bethke said the goal was clear from the outset: “We were looking for a system that would simplify the reporting process and give us the opportunity to clean up the General Ledger.”
With Multiview, workflows that were previously handled across multiple systems are now integrated into a single platform. Accounts Payable approvals are automated and routed to the right stakeholders, removing guesswork and reducing the need for manual follow-up. The finance team now has full visibility into approval status, allowing them to quickly identify delays and maintain accountability across the process.
Describing the shift, Bethke said, “We had two systems that relied on sending emails for approvals. Now it is all in one system with full tracking, so we can see exactly where things stand.”
Faster reporting and improved financial visibility
One of the most meaningful improvements has been in healthcare financial reporting. With a cleaner General Ledger and standardized processes in place, Central Health can now generate reports immediately once the close process is complete, eliminating delays between closing the books and accessing financial insights.
That change has had a direct impact on how the team operates. “As soon as we say we are done, our reports are done,” Bethke said. “That has been a huge win for us.”
This shift has improved the team’s ability to respond quickly, provide clearer insights to leadership, and support better decision-making across the organization. Department leaders also benefit from more intuitive structures and clearer reporting, making it easier to understand financial performance and manage budgets effectively.
“What makes me happiest about working with Multiview is that my staff are happy to be using Multiview”
Patricia Bethke, Controller at Central Health
A more efficient and consistent day-to-day operation
With workflows standardized and processes streamlined, Central Health has improved efficiency across its finance operations. Tasks that previously required manual coordination are now handled automatically within the system, allowing the team to focus on higher-value work.
“It is taking the guesswork out of it,” Bethke said. “Once we set the workflows up, things are routed the way they are supposed to.”
Accounts Payable processing has become faster and more consistent, with invoices scanned, matched and routed automatically and approvals managed within the system. This has reduced delays, improved accountability, and created a more predictable and manageable workflow for the team.
Support that keeps financial operations moving
In addition to improvements in the system itself, Central Health also saw a meaningful change in the level of support they received. Quick response times and effective issue resolution have helped the team maintain momentum without disruption.
Reflecting on the experience, Bethke said, “From day one, the support was very responsive. We get answers the same day, and even when we have tried to push the system, they fix issues quickly so we can keep moving.”
For healthcare organizations evaluating ERP solutions, this level of support plays a critical role in ensuring long-term success and reliability.