Kyriba Treasury Implementation for Healthcare System Jefferson

Scope of the Project

Jefferson, one of the largest nonprofit health systems in the United States, partnered with Elire to modernize its treasury operations amid significant organizational growth and a broader ERP transformation.

Following six mergers over a decade, Jefferson had expanded to 33 hospital campuses, approximately 65,000 employees, and more than $17.7 billion in annual revenue. This growth introduced significant complexity across treasury operations, including hundreds of bank accounts, inherited banking relationships, multiple ERP environments, billions of dollars in investments and outstanding debt, and increasingly complex cash and liquidity management requirements.

Jefferson had historically relied on PeopleSoft Financials, including Cash Management, Deal Management, and Financial Gateway, to support treasury operations. As the organization prepared to transition from PeopleSoft to Workday, Treasury needed a dedicated Treasury Management System (TMS) capable of meeting or exceeding its existing capabilities while supporting continued enterprise growth.

Elire initially partnered with Jefferson through its Strategic Advisory Services to evaluate the TMS market and determine the right path forward. Using Elire’s Treasury scorecard methodology, the team evaluated three leading treasury platforms against Jefferson’s functional, technical, and strategic requirements. Jefferson ultimately selected Kyriba as the foundation for its treasury transformation.

Elire then supported Jefferson throughout discovery and assessment, design and configuration, integrations, testing and validation, go-live, and hypercare. Kyriba successfully went live in August 2024—five months ahead of Jefferson’s Workday go-live in January 2025.

Challenges

Jefferson’s rapid expansion through mergers and acquisitions had created a highly complex treasury environment. By 2024, the organization was approaching 450 bank accounts and managing numerous legacy banking relationships inherited from acquired health systems.

Treasury staff relied on multiple banking portals and spreadsheets to assemble daily cash information. Each morning required significant manual effort to gather balances and transactions before the team could begin evaluating its cash position and making decisions.

At the same time, Jefferson was preparing for two major organizational changes: its enterprise transition from PeopleSoft to Workday and the integration of newly acquired Lehigh Valley Health Network operations.

Treasury needed to maintain visibility and control throughout both transformations without waiting for the broader ERP consolidation to be completed.

Rather than making the TMS dependent on the ERP timeline, Jefferson and Elire made the strategic decision to implement Kyriba first. This approach allowed Jefferson to establish a centralized treasury foundation before Workday went live and created flexibility to accommodate additional organizational change.

That flexibility became particularly important when Jefferson’s merger with Lehigh Valley Health Network closed alongside the transformation. Because the new treasury platform was already operational, Jefferson could quickly bring Lehigh Valley banking activity into Kyriba and gain visibility into its bank accounts and transactions without waiting for ERP consolidation.

Success Delivered

Elire helped Jefferson establish a more centralized, automated, and scalable treasury operating model designed to support both immediate business requirements and long-term growth.

Real-Time Cash Visibility

Automated bank reporting now provides Treasury with intraday and prior-day cash visibility across the enterprise. Instead of manually assembling information from multiple sources, the team can drill into balances and transactions on demand within a centralized environment.

Reduced Manual Effort

Previously, Treasury staff began each morning by logging into numerous banking portals and consolidating information in Excel. With the new TMS, that information is already available when the team logs in, allowing staff to spend more time evaluating data and making decisions instead of compiling it.

Centralized Bank Connectivity and Payments

Jefferson established a centralized payment factory connecting Workday and Kyriba, with Kyriba managing connectivity to the organization’s banks and investment partners. Bank statement information is collected centrally and passed to Workday to support reconciliation, creating a more streamlined flow of information across the enterprise.

Automated Executive Reporting

Jefferson introduced AI-enabled dashboards to automatically compile daily cash and liquidity information for leadership. An AI agent reviews morning reporting and produces an updated liquidity profile without requiring manual intervention, providing leadership with timely, actionable information.

Faster Daily Cash Management

Jefferson can complete its intraday forecast and settle working capital transfers by approximately 8:45 each morning. Treasury can move beyond routine cash positioning earlier in the day and dedicate more time to analysis, planning, and higher-value activities.

A Scalable Foundation for Continued Transformation

Implementing Kyriba ahead of the broader ERP transition gave Jefferson a treasury foundation capable of supporting immediate organizational change while preparing for its long-term technology roadmap. Jefferson continues to advance liquidity planning, AI-supported forecasting, scenario analysis, and executive reporting as it progresses toward its planned 2027 milestone of operating its remaining environments on a single ERP instance.

What once required multiple banking portals, spreadsheets, and significant manual effort has evolved into a centralized treasury environment delivering automated visibility and actionable information across the enterprise. Through strategic planning, disciplined project governance, and a phased transformation approach, Elire helped Jefferson protect its software investment while establishing a platform positioned to support continued organizational growth.

About the Client

Jefferson is one of the largest nonprofit health systems in the United States, bringing together an academic health system, university, and health insurance plan.

Following significant expansion and six mergers over a decade, Jefferson has grown to 33 hospital campuses, approximately 65,000 employees, and more than $17.7 billion in annual revenue. Its scale and continued growth require enterprise technology and treasury operations capable of supporting a complex network of banking relationships, investments, debt, payments, and cash management activities.

Elire continues to serve as a trusted advisor to Jefferson as the organization builds on its treasury modernization efforts and broader enterprise transformation.