Case Study: Memorial Healthcare System achieves enhanced financial controls and $500K+ in recoveries with ACL Continuous Monitoring

Memorial Healthcare System 21st Century Excellence In Finance Through Continuous Monitoring

Memorial Healthcare System, a leading South Florida provider with six hospitals and multiple outpatient centers including Memorial Regional Hospital and Joe DiMaggio Children’s Hospital, needed stronger financial oversight. The Finance team lacked visibility into higher‑risk areas and had inefficient transaction monitoring in the Purchase‑to‑Payment cycle, which resulted in lost and unrecovered payments.

The organization implemented enterprise continuous monitoring (ACL) aligned to the COSO framework across its P2P process. Within three months they were on track to meet projected ROI, identified more than $500,000 in potentially recoverable payments from the prior three years, strengthened controls, eliminated third‑party audit commissions, and uncovered operational improvements — with plans to expand monitoring to GL and payroll.

Memorial Healthcare System

Robert Gutholc

Director Financial Controls