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Large not-for-profit Health Care

A not-for-profit health system with 120+ sites was processing invoices in two places at once, with no central visibility into accounts, contracts, or which locations were actually being billed. Valicom rebuilt the entire picture vendor by vendor, recovering $394,910 in one-time credits and implementing $730,096 in annual savings across the full telecom estate. When someone finally owned the whole picture, the numbers spoke for themselves.

Large not-for-profit Health Care

Case Study Overview

Large not-for-profit Health System
Risk-Free Telecom Audit

A regional not-for-profit provider was processing invoices through HQ accounts payable and sites directly, leaving inventory, contracts, and renewals scattered. Valicom rebuilt the picture, vendor by vendor.

At a glance
Annual savings implemented across the entire telecom estate.
Annual Savings
$730,096
implemented / year
One-time Credits
$394,910
recovered
Annual Telecom Spend
$5M
baseline
Footprint
120+
hospitals & clinics
01 / Challenge

The organization, a not-for-profit health system headquartered in the Mid-South, carried an annual telecom spend of roughly $5 million. Invoices were being processed by HQ accounts payable while individual sites also received and paid vendors separately. The result: no central visibility into accounts, inventory, contracts, contract expirations, or which locations were actually being billed. Real money was leaking, and nobody owned the whole picture.

02 / Solution

Valicom led a meticulous, expert review across every vendor, every site, and every contract, turning a fragmented TEM environment into a single, governed source of truth.

Visibility

Vendor portal & contract access

Established access to invoice copies, contracts, tax-exemption forms, and the active site list across every carrier.

Recovery

Contractual billing remediation

Identified contractual billing issues and worked with vendors to fix and credit; pursued credits on services billing early.

Lifecycle

Disconnect & technology refresh

Tracked disconnect orders, retired old technology and unused circuits, and migrated services to current technology for savings.

Governance

Contract & tax review

Renegotiated services in or near renewal windows after benchmarking; corrected improper tax application and wrongful ETFs.

Services Delivered
Invoice Review
Contract Review / Renegotiation
Inventory Reconciliation
Disconnect Order Tracking
Vendor Management
Tax Exemption Review
Closed-Site Audit
ETF Recovery
Benchmarking
03 / Customer Profile
Large not-for-profit Health Care
IndustryHealthcare Not-for-profit
HeadquartersMid-South, USA
Hospitals20+
Clinics & Outpatient100+
Annual Telecom Spend~$5,000,000
EngagementRisk-Free Telecom Services Audit
Why this engagement worked A central TEM owner, Valicom, with vendor expertise, contract literacy, and the patience to validate every line item with the client before pulling the trigger.
04 / Results
Operational

Single source of truth

across 120+ sites
●Centralized inventory by service type and location.
●Disconnects validated and tracked end-to-end with credits applied.
●Old technology retired; modern services in place where it made sense.
Economic
$730,096/yr
annual savings implemented
$394,910
one-time credits recovered
●Wrongful early-termination fees credited back.
●Tax exemptions corrected; improper tax credited.
●Renewal benchmarking unlocked materially better contracts.
Total Value $1,125,006
Strategic Impact

From fragmented to governed

TEM environment
●HQ AP and site-paid invoices reconciled into one view.
●Contracts mapped to expirations & renewal windows.
●Repeatable framework for ongoing audit & optimization.

Ready to see what 100% visibility can do?

Telecom Expense Management built for healthcare networks with scale.