From Manual processes to Accountability and Insight at Monroe County Hospital and Clinics
Results at-a-glance
- Streamlined AP processing and electronic invoice approvals
- Managers empowered with real-time budget variance reports
- Greater transparency into revenue through ViewSource360 integration with EMR
- Reduced reliance on support calls, saving time and cost
- Faster month-end close and easier reporting across the finance team
Driving financial accountability across the organization
Monroe County Hospital and Clinics is a 25-bed Critical Access Hospital in Albia, Iowa. Like many rural providers, the organization runs lean — but expectations for financial oversight and reporting never ease up. For CFO Larry Brown, CPA, FHFMA, and Controller Amanda Buckingham, the challenge was giving department managers timely access to the right data while keeping core finance processes efficient.
“Multiview enables us to accurately track all aspects of the hospital’s financial systems. The interface with Oracle Health (formerly Cerner) through the ViewSource360 file has been ery beneficial for analyzing revenue generation within the facility,” said Brown
Replacing paper-heavy processes with digital efficiency
Before Multiview, finance operations relied on manual entry and paper workflows. Approvals and reports were slow to produce, and support costs were unpredictable.
“Our process was inefficient. Most tasks were manually completed through data entry and paper processes. Now we have been able to streamline that by using GL entry interface and having electronic invoice approvals and responsibility reports,” said Buckingham
With Multiview in place in place, the team gained consistency and freed up time for more strategic work.
Empowering managers with real-time visibility
One of the biggest wins has been enabling department managers to access their own data. Instead of waiting for static spreadsheets, they can drill down into responsibility reports to see the details behind budget variances.
“All managers have online access to budget variance reports. They can drill down within the system to the full detail of any transaction,” said Brown.
The result is stronger accountability and less time spent answering basic questions in finance.
Implementation that aligned finance and operations
Multiview’s rollout brought together leaders across AP, business office, HR, payroll, and materials management, along with Oracle Health to ensure smooth integration.
Training managers proved simple — most required less than an hour to get comfortable with approvals and reports.
Efficiency gains that continue to compound
Since going live, Monroe County has seen measurable improvements in finance operations:
- AP approvals are faster and easier.
- Managers can view invoices and reports instantly.
- Revenue reporting is more accurate, tied directly to the general ledger.
- Month-end close takes less effort and fewer support calls.
“The biggest value Multiview has provided is in making us more efficient in A/P processing, month-end close, and ease of reporting through the system. We also spend much less time on support calls,” said Brown
Building trust in revenue and reporting data
For Brown, confidence in the numbers is one of the most valuable outcomes of Multiview.
“The ViewSource360 file provides a lot of information related to revenue, and I can trust that it ties to our general ledger. This helps me know for sure what the data represents, more so than reporting directly from the EMR,” he said
Managers also highlight the ease of use for approvals and reports, making adoption simple across the organization. With stronger visibility, smoother workflows, and reliable data, Monroe County’s finance team has turned its ERP into a true driver of efficiency and accountability.