Case Study
Navigating operational complexity across a multi-billion dollar portfolio
Boston Children's Hospital increased financial visibility using Procore Analytics 2.0
The Challenge
Managing a hospital’s capital projects requires balancing multiple priorities—financial oversight, operational efficiency, and long-term strategic planning—all while ensuring patient care remains uninterrupted. At Boston Children’s Hospital, the challenge intensifies with a multibillion-dollar capital program spanning 400 active projects in various stages. With a small facilities team of just 38 people, the hospital ensures that every project stays on track, allocates funding efficiently, and maintains accurate financial forecasts.
The Solution
The key to success? Scalability and efficiency. By using Procore Analytics 2.0, Boston Children’s Hospital extends its team’s reach, delivering real-time financial insights and automating processes that once required extensive manual oversight.
To close the gap between project execution and financial oversight, Boston Children’s Hospital deployed Procore Analytics 2.0. The team integrated its existing ERP system (PeopleSoft) with Procore, to centralize financial management.
The Results
- The facilities team tracked financial commitments across all projects, improving forecasting accuracy for capital planning.
- Contractors and architects submitted invoices directly through Procore, triggering an automated approval workflow that accelerates payment processing.
- Advanced reporting provided leadership with spending trends and financial visibility across the entire hospital portfolio.
“You don’t need a massive team if you have the right tools, with over 3,000 active users in Procore, our contractors, architects, and financial teams collaborate within the same system, creating a level of transparency that builds trust across the board.”
Albert Nover
Facilities Finance & Contract Manager
Boston Children's Hospital
From 50% to 88% forecasting accuracy
Previously, capital spend forecasts had a high margin of error, leading to inefficiencies in funding allocations. However, by analyzing historical spending patterns in Procore Analytics 2.0, Boston Children’s Hospital was able to identify project forecast misalignments, such as allocating furniture and equipment costs too early instead of aligning them with actual project timelines.
In addition, proactive data analysis enabled the facilities team to increase forecasting accuracy from 50% to 88% over a four-month rolling window. “We didn’t ask people to do more,” said Oliver Gasior, Data and Financial Analyst at Boston Children’s Hospital. “We gave them better insights so they could refine their forecasts and adjust in real time.”
How data and infrastructure investments strengthen competitiveness
Boston Children’s Hospital world-class reputation depends not only on medical excellence but also on having facilities that match the level of care provided. Competing for national and international patients requires continuous investment in cutting-edge infrastructure. One example is the hospital’s state-of-the-art simulation lab, where neurosurgeons practice complex procedures using 3D-printed patient-specific models. The lab reduced critical surgery times from 14 hours to just 4 hours, improving both patient outcomes and operational efficiency.
“We built the SIM lab to support surgeons, but it’s also a competitive advantage,” said Nover. “When families choose where to go for care, they’re not just looking at physicians—they’re looking at the entire ecosystem.”
Beyond specialized facilities, Boston Children’s Hospital ensures long-term sustainability by leveraging Procore to benchmark costs against past projects. By comparing historical data across eight to nine years, the hospital improves budgeting accuracy, ensuring every dollar contributes to patient care and infrastructure improvements.
Financial insights that drive institutional strategy
Transparent invoicing has strengthened relationships with stakeholders. General contractors and architects no longer need to chase approvals or wonder about payment status. “They log into Procore and see exactly where their invoice stands,” Gasior explained. “That visibility doesn’t just improve efficiency—it builds trust.”
The financial data aggregated in Procore also informs broader institutional strategy. Predicting large-scale expenditures months in advance enables the hospital’s treasury team to optimize investments. Instead of keeping liquid capital on hand unnecessarily, they strategically invest funds, generating additional revenue that supports hospital initiatives.
This proactive financial planning allows Boston Children’s Hospital to expand its world-class facilities while maintaining fiscal responsibility. Looking ahead, the hospital plans to integrate bi-directional data flows between Procore and its capital planning system to further enhance financial forecasting.
A scalable model for healthcare construction
Boston Children’s Hospital journey with Procore Analytics 2.0 highlights a broader trend in healthcare construction—the shift toward data-driven decision-making. For hospitals managing large capital programs, investing in the right technology isn’t just about efficiency—it’s about sustainability.
With real-time insights, automated workflows, and portfolio-level visibility, Boston Children’s Hospital sets a new standard for capital planning in healthcare. Their approach provides a roadmap for any organization seeking to manage complex construction portfolios while maintaining financial discipline.
For healthcare construction leaders looking to gain better financial control, the takeaway is clear: the right data, at the right time, drives smarter decisions and better outcomes.
