Case Study

Critical Access Hospital Gets Specialized Treatment from Eide Bailly

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Greater Regional Health
Greater Regional HealthCreston, IA

Critical access hospitals represent more than 2/3 of all rural hospitals. Established by the U.S. Congress to help ensure rural communities had close access to emergency care, the small size and rural location present unique challenges: offering high-quality care while also managing its operation in today’s fast-paced, digital age. 

Greater Regional Health, a critical access hospital serving the Southwest Iowa community of Creston and the surrounding area, has faced its challenges, specifically concerning the software used to manage its operation. These challenges led Greater Regional to evaluate its current situation and ultimately identify a solution. Eide Bailly facilitated the selection and implementation of that solution.


  • Automated department reports that save time and reduce human error
  • A streamlined inventory management process that is completed quickly and digitally
  • New paperless payment system has eliminated checks and spreadsheets
  • Operational improvements around managing fixed assets, amortization, and inventory
  • 10-15% revenue growth over two years
By the numbers
month implementation
revenue growth over two years
new departments added

The Challenge

Institutionalized inefficiency from outdated systems make it hard to manage growth.

Many organizations—large and small—rely on older software because they’ve grown accustomed to it. While Greater Regional staff demonstrated excellent proficiency with their 30-year-old systems, the use was constraining the operation in several areas.

yellow 1
Outdated systems unable to scale
    yellow 2
    Inefficiencies across the organization
      yellow 3
      Time-consuming manual processes

        The Solution

        A tailored solution built for Critical Access Hospitals.

        After reviewing the hospital’s operation and objectives, we recommended using NetSuite, as it could be tailored to Greater Regional’s critical access operation. Beginning with a review process featuring regularly scheduled visits and meetings to ensure the scope of work, our team conducted a complete review of Greater Regional’s accounts payable system and vendor list. We recommended NetSuite Advanced Financials and Reporting to replace several outdated systems. We then worked hand in hand with Greater Regional, helping them understand how to migrate the data from their dated systems to NetSuite.

        The entire implementation process took approximately six months, from the day the decision was made to begin the implementation to go-live.

        The Results

        Greater Regional Health now has a modern, scalable solution built for Critical Access Hospitals.

        Greater Regional has experienced 10% to 15% growth in revenue over the last two years. In addition, the hospital has added six new departments to better serve the surrounding community – all without increasing staff.

        With NetSuite now in place, additional efficiency gains are being realized, including:

        • Operational improvements around managing fixed assets, amortization, inventory, and other parts of the operation are now realized with NetSuite.
        • Monthly department reports that would typically require significant manual intervention to complete over 10 days can now be completed and distributed automatically in 1 day.
        • Inventory management is significantly easier with NetSuite. Everything is now being managed electronically, with reviews and approvals done digitally.
        • Allowing department heads and hospital leadership to be more strategic because they are no longer bogged down with the tactical and manual work from the older system.
        • New payment systems are now utilizing ACH through NetSuite. No more manual checks or spreadsheets.

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