In the senior living and healthcare industry, agility, compliance, and compassionate service are inseparable. As organizations scale across facilities and care models, the complexity of managing people, payroll, and finances intensifies. A 2024 PwC report revealed that over 55% of senior care providers struggle with disconnected HR and finance systems, leading to inefficiencies that impact staffing, budgeting, and care quality.

For Presbyterian Manors of Mid-America (PMMA), a faith-based, not-for-profit senior living network serving communities across the Midwest since 1947; these challenges were increasingly limiting operational growth. Multiple legacy systems make it difficult to maintain data consistency, manage compliance, and respond quickly to workforce and financial needs.

To modernize its operations, PMMA chose Oracle Cloud Applications as its enterprise platform for Human Capital Management (HCM), Payroll, Time and Labor, Recruiting, Finance, and Enterprise Performance Management (EPM – Planning & Budgeting). The initiative aimed to unify people, processes, and data across all communities.

PMMA partnered with NexInfo, a leading Oracle Cloud implementation specialist, to translate Oracle’s technology into a sustainable digital transformation framework, enabling a workforce-centric organization powered by real-time insight, automation, and compliance.

Digital Transformation Case Study
About PMMA
Presbyterian Manors of Mid-America (PMMA) is a faith-based, not-for-profit organization providing senior living and healthcare services since 1947. PMMA offers a full continuum of care—independent living, assisted living, memory care, and rehabilitation—guided by its mission to serve older adults with compassion and dignity.
Replaced Cloud Modules Implemented
PointClickCare, MatrixCare Oracle Cloud Core HCM, Payroll, Time & Labor, Recruiting, Finance, EPM – Planning & Budgeting
Top Customer Challenges Top Benefits Achieved
  • Fragmented HR Processes Multiple legacy systems made it difficult to manage employee data, leading to inefficiencies in hiring, onboarding, and workforce planning.
  • Manual Time and Payroll Management Time tracking and payroll calculations were heavily manual, increasing the risk of errors, compliance issues, and delays in employee payments.
  • Recruitment Bottlenecks Limited automation in recruiting slowed down talent acquisition, making it harder to attract and onboard qualified staff in a competitive healthcare market.
  • Complex Financial Operations Finance processes lacked integration and real-time visibility, resulting in delayed reporting and challenges in managing budgets across multiple communities.
  • Limited Planning and Forecasting Capabilities Without advanced planning tools, PMMA struggled to create accurate forecasts and align resources effectively for long-term growth.
  • Unified HR and Payroll Processes Core HCM and Payroll integration eliminated manual tasks, ensuring accurate employee data management and timely salary processing.
  • Improved Workforce Efficiency Time and Labor automation streamlined time tracking, reducing errors and improving compliance with labor regulations.
  • Faster Talent Acquisition Oracle Recruiting accelerated hiring cycles, enabling PMMA to attract and onboard qualified staff more effectively.
  • Enhanced Financial Visibility Oracle Finance provided real-time insights into budgets and expenditures, improving decision-making and financial control across all communities.
  • Advanced Planning and Forecasting EPM – PBCS empowered PMMA with robust planning tools, enabling accurate forecasts and better resource allocation for long-term growth.
Top Solutions Implemented
  • Core HCM for Centralized Workforce Management Implemented Oracle Core HCM to unify employee data, streamline HR processes, and enable a single source of truth for workforce information.
  • Time and Labor for Accurate Tracking Automated time entry and labor management to reduce manual errors, ensure compliance, and improve payroll accuracy.
  • Oracle Recruiting for Talent Acquisition Deployed a modern recruiting platform to accelerate hiring, enhance candidate experience, and support healthcare staffing needs.
  • Payroll for Seamless Compensation Integrated payroll with HCM and time tracking to deliver timely, error-free salary processing and compliance with regulations.
  • Finance for Real-Time Financial Control Migrated financial operations to Oracle Cloud Finance for improved visibility, faster reporting, and streamlined budgeting.
  • EPM – PBCS for Strategic Planning Leveraged Oracle Enterprise Performance Management (Planning and Budgeting Cloud Service) to enable accurate forecasting, scenario modeling, and resource optimization.
Industry Deployment Location
Senior Living & Healthcare Industry North America

About PMMA 

Presbyterian Manors of Mid-America (PMMA) is a not-for-profit, faith-based organization dedicated to providing compassionate senior living and healthcare services. Since its founding in 1947, PMMA has grown to include multiple communities offering independent living, assisted living, memory care, and rehabilitation. Guided by its mission to “serve older adults with Christian values, dignity, and compassion,” PMMA continues to set benchmarks in resident care and community living.

Replaced Systems: PointClickCare, MatrixCare
Oracle Cloud Modules Implemented: Core HCM, Payroll, Time & Labor, Recruiting, Finance, EPM – Planning & Budgeting
Deployment Region: North America
Industry: Senior Living & Healthcare 

The Challenge: Complexity in a Multi-Facility Ecosystem 

As PMMA expanded, its HR and financial systems struggled to keep pace with organizational growth and workforce dynamics. Core functions like payroll, talent acquisition, and budgeting operated on disconnected platforms, creating inefficiencies and compliance risks. Leadership lacked real-time visibility into costs, staffing trends, and performance indicators, hindering proactive decision-making. 

Key Challenges Identified

  • Fragmented Workforce Systems: Employee data was stored across multiple applications, complicating record accuracy and HR reporting. 
  • Manual Time and Payroll Processes: Manual entry and reconciliation increased the risk of errors, delays, and compliance violations. 
  • Recruitment Bottlenecks: Without automation, it was difficult to attract, screen, and onboard qualified healthcare staff efficiently. 
  • Disjointed Financial Operations: Financial and budgeting activities lacked integration, delaying month-end closings and limiting accountability. 
  • Limited Forecasting Capabilities: Static spreadsheets restricted PMMA’s ability to model different business or staffing scenarios. 
  • Compliance Burden: Regulatory reporting required significant manual effort due to lack of centralized audit trails. 

PMMA’s leadership recognized that achieving operational excellence would require a unified cloud solution, one that brought people, finance, and planning into a single digital ecosystem.

The Oracle Advantage: A Unified Foundation for Workforce and Financial Transformation 

Oracle Cloud Applications offers PMMA a comprehensive suite of intelligent, connected tools designed to optimize employee experience while driving operational performance. Built on Oracle’s secure, scalable architecture, these applications combine process automation, analytics, and AI-powered insights to enable a modern, agile enterprise.

Oracle Cloud empowered PMMA to

  • Unify Employee Data: Consolidate all workforce information into a single Core HCM system, creating a “single source of truth” for HR, payroll, and performance. 
  • Automate Payroll and Time Tracking: Streamline time collection, scheduling, and compensation with end-to-end integration between Time & Labor and Payroll modules. 
  • Accelerate Recruitment: Use Oracle Recruiting Cloud to digitize talent acquisition workflows, from job posting to onboarding, improving candidate experience and reducing hiring time. 
  • Enhance Financial Control: Deploy Oracle Finance Cloud for real-time budget visibility, automated accounting, and faster closing cycles. 
  • Enable Strategic Planning: Implement Oracle EPM – Planning & Budgeting Cloud Service (PBCS) to facilitate predictive modeling and resource allocation across communities. 
  • Ensure Compliance and Audit Readiness: Centralize regulatory data and workflows, enabling accurate, auditable records across HR and finance functions. 

Through Oracle Cloud, PMMA established an integrated, scalable digital backbone to support its mission of compassionate, efficient senior care delivery. 

Partnering with NexInfo: Aligning Technology with Human Purpose 

While Oracle Cloud provided the technology foundation, NexInfo played the pivotal role of translating that technology into business outcomes. With deep expertise in healthcare and non-profit sectors, NexInfo partnered closely with PMMA’s HR and finance leaders to ensure that every process aligned with operational goals and compliance mandates. 

NexInfo’s transformation framework was guided by three principles: 

  1. Empathy-Driven Design: Tailor solutions to the realities of senior living operations, high workforce turnover, regulatory complexity, and multi-site management.
  2. Process Standardization with Flexibility: Implement consistent workflows across communities while accommodating local variations in staffing and care delivery. 
  3. Change Enablement: Foster adoption through hands-on training, stakeholder workshops, and governance models that ensure long-term sustainability.

NexInfo leverages its ISO 9001 Quality Management and ISO 27001 Information Security certifications to help organizations support secure digital transformation for long-term business value.

The Solution: Orchestrating HR, Payroll, and Finance in the Cloud 

NexInfo implemented a fully integrated Oracle Cloud suite that brought together workforce management, financial operations, and enterprise planning on a single platform. 

Core Solution Components: 

  1. Oracle Core HCM for Centralized Workforce Management: Created a unified employee database with automated lifecycle processes — from hire to retire. Managers gained 360-degree visibility into staff profiles, performance, and compliance training.
  2. Oracle Time & Labor and Payroll Integration: Automated time entry, scheduling, and payroll calculations, significantly reducing manual errors and ensuring timely salary processing across all facilities.
  3. Oracle Recruiting Cloud: Digitized the talent acquisition process, enabling PMMA to source candidates more efficiently, manage pipelines, and deliver personalized candidate experiences.
  4. Oracle Finance Cloud: Unified accounting, budgeting, and reporting processes. Real-time dashboards allow finance leaders to monitor expenditures and control costs across multiple communities.
  5. Oracle EPM – Planning & Budgeting Cloud (PBCS): Enabled data-driven forecasting and scenario modeling, empowering leadership to anticipate staffing and financial needs across short- and long-term horizons.
  6. Compliance and Analytics Dashboards: Developed centralized dashboards combining HR, payroll, and financial KPIs, including labor costs, overtime ratios, and staffing efficiency metrics,  ensuring regulatory visibility and operational agility.

The Business Impact: Empowering People, Optimizing Operations 

Following the deployment, PMMA experienced transformative gains in workforce efficiency, financial visibility, and compliance management — while freeing leadership to focus on resident care and organizational growth. 

Key Outcomes Achieved

  • 35% Faster Payroll Processing through automation and error reduction. 
  • 30% Improvement in Time-Tracking Accuracy via integrated Time & Labor systems. 
  • Reduced Hiring Cycle Time by 40%, strengthening recruitment in a competitive healthcare market. 
  • Unified Financial Operations enabling faster closings and real-time budget control.
  • Predictive Planning & Forecasting with EPM-driven modeling for staffing, care programs, and capital projects. 
  • Improved Compliance and Audit Readiness through standardized, auditable processes across HR and finance. 
  • Enhanced Workforce Engagement via self-service capabilities for employees and managers. 

These improvements translated into measurable business value: faster decisions, reduced administrative overhead, and greater alignment between workforce strategy and resident care delivery.

The Outcome: A Resilient, People-First Organization for the Future 

With Oracle Cloud as its operational core and NexInfo as its transformation partner, PMMA has achieved true enterprise agility , where technology and human compassion coexist seamlessly. 

Today, PMMA operates as a unified organization defined by: 

  • A single, reliable source of truth for workforce and financial data 
  • Automated, compliant payroll and time management processes 
  • Streamlined recruitment and onboarding cycles 
  • Integrated financial control and predictive budgeting 
  • Actionable insights driving proactive decision-making 
  • Scalable infrastructure ready for future community expansion 

Beyond automation, the Oracle-NexInfo transformation has empowered PMMA to focus on what matters most about its mission of serving older adults with dignity, compassion, and excellence. This success story stands as a testament to how Oracle’s intelligent cloud applications, when implemented by NexInfo’s domain-driven experts, can redefine what’s possible for healthcare and senior living providers.