
Payroll overspend drains healthcare budgets of the resources they need.
We uncover it so you can reinvest in healthcare service delivery.
What would you do with 5 million dollars back in your budget?
Hospital payroll losses are well hidden and hard to detect.
It’s rarely one big case — it’s thousands of small payments that add up.
Typical losses range from $100,000 to $5 million per department, and some climb past $10 million before discovery — if they’re discovered at all.
Hospital administrators feel boxed in because the money they need for to deliver critical services is tied up in overspend they can’t even see.
They’re frustrated knowing the budget exists on paper — but not in reality.
Dollars meant for healthcare delivery should never be lost to payroll inefficiencies.
Every wasted dollar is one less contributing to patient care.
It is possible to reclaim your budget
You’re carrying a huge responsibility. We know the frustration of having limited budgets - and the operational requirements grow every year: your hospital still needs more people, better equipment, and better outcomes. You shouldn’t have to fight for resources that should already be there — and we’re here to lift that burden.
At Hospital Payroll Audit, we know exactly how to uncover hidden losses. We’ve done it for across the globe, returning millions back into operational budgets. Whether you need more staff, new technology, or other investments to deliver better patient outcomes. Our process is proven, confidential, and non-disruptive — and now, we’re ready to do the same for you.
Three steps to unlock millions already in your budget

Fixing payroll overspend doesn’t have to be complicated.With three simple steps, you can uncover hidden losses and put those dollars back where they belong — protecting your community.Step 1 — Analyze Your Payroll Data
Provide us with a secure extract of your payroll transaction dataset.Step 2 — We Uncover Hidden Losses
Our analytics identify where overspend is happening and show you the dollars you can recover.Step 3 — Protect and Reinvest
Redirect funds to hire more staff, upgrade technology, and strengthen service delivery — while we provide ongoing monitoring to prevent future losses.
Every month you wait is money lost. Stop the drain, unlock the funds already in your budget, and reinvest them back into your department.If your struggling with resources or just want more money to invest in your operations - bringing Accord in is the right decision.
Imagine recovering millions already in your budget. You hire more staff, upgrade your fleet, modernize your technology, and invest directly in patient outcomes — without waiting on new funding.Your budget finally works as hard as your staff do, and you are set up to achieve your mission.
But if payroll overspend continues unchecked, millions will keep slipping away and losses accelerate over time.That’s money gone forever — money that could have funded staff, equipment, or new technologies.The longer you wait, the fewer resources you’ll have to do your job.
Here are clear answers to the questions departments ask most often.
No. We only require one securely provided payroll extract. We don’t need IT or system access, or process changes, and we don’t need staff names—an employee number or payroll ID in the dataset is enough to run our analysis.
You’ll receive a clear audit report within 48 hours of sending your payroll extract. The report highlights potential risks, false claims, and loss estimates in plain language.
Then you pay nothing. Our service is risk-free — fees only apply if we're able to find you extra resources.
Yes. Our pricing is results-based — if we don’t find losses, you pay nothing. When we do find losses, you only pay cents on the dollar of what we detect, and fees are capped to avoid surprises. This means your organisation is guaranteed a positive ROI on every audit.
Through comprehensive and extensive analysis of payroll systems we've modelled the “fingerprints” of common payroll overspend - we know what different patterns of overspend look like, so we know what patterns to look for in your payroll data.
Yes. Our reports are provided quietly and confidentially. Leadership receives the results, and it’s up to you how and when to act on them.
Yes. Your data is handled securely and deleted once we have analyzed the data. We follow strict data protection protocols to ensure confidentiality.
Real cases with real losses

Major Hospital: We analysed two years of payroll data for a large metropolitan hospital after executives were concerned they were experiencing losses but couldn't identify the source of the problem.
Our scan identified systemic control failures and high-risk staff–approver patterns. The analysis uncovered millions in avoidable overspend and revealed where compliance had repeatedly broken down.
Based on our findings, the was immediately able to take action to recoup lost money, and stop the activities which were causing losses and overspend.
The result: over $5 million in medium-term payroll savings from a single deep analysis.
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