Procure-to-Pay, PO Workflows & Spend Governance3 min readUpdated September 2026

Airbase vs Procurify for Multi-Hospital Veterinary Groups

Pharmaceutical and surgical supply orders at most veterinary groups still happen hospital by hospital, often because a practice manager has a personal relationship with a distributor rep and a phone number that works. Centralizing that without slowing down a hospital that needs controlled substances or surgical supplies same-day is the real problem to solve, and it's a process question before it's a tool question.

Vendors Covered in this Article

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Step one: separate controlled substances from general supply

Controlled substance ordering usually already runs through a DEA-registered process with its own logging requirements, and neither Airbase nor Procurify should replace that system. Keep it separate. What both tools can help with is the much larger volume of general pharmaceuticals, surgical consumables, and diagnostic supplies that don't carry the same regulatory overhead but still need visibility across hospitals.

Step two: give each hospital a real purchasing limit, not a request queue

A hospital that's out of a common surgical consumable on a Tuesday afternoon can't wait for a multi-day approval chain. Set a card or requisition limit per hospital that covers routine restocking without a case-by-case sign-off, and reserve actual approval routing for purchases above that threshold or for new vendor relationships. Procurify's requisition workflow is built around this kind of tiered threshold; Airbase gets there through card limits assigned by location. Whichever you choose, set the limit based on that hospital's actual historical volume rather than a flat number applied across every location, since a busy small-animal hospital and a lower-volume satellite clinic don't consume supplies at anything close to the same rate.

Step three: build a shared vendor list before you centralize buying power

Centralized purchasing only produces better distributor terms if the group is actually consolidating volume with fewer vendors. Before pushing every hospital onto one procurement tool, get agreement on a shared list of approved pharmaceutical and supply distributors. Otherwise you end up with one tool but the same fragmented vendor relationships you had before, just tracked more consistently.

Step four: route equipment purchases differently than supply purchases

Surgical equipment, imaging equipment, and other capital purchases behave nothing like routine pharmaceutical restocking; they're infrequent, high dollar, and usually involve a multi-hospital decision about where the equipment will live. Give these their own approval tier with sign-off from whoever owns capital budgeting for the group, not the same person approving a hospital's weekly supply order.

Step five: reconcile purchase history against practice management inventory

Most veterinary practice management systems track inventory counts independently of whatever tool handles purchasing. Set a recurring reconciliation, monthly is usually enough, comparing what was purchased against what the practice management system shows as used or on hand, so drift gets caught before it becomes a write-off at year end.

What to check before rolling this out group-wide

Pilot with two hospitals first, one urban and higher volume, one smaller, before extending to the full group. Confirm that hospital managers actually find the mobile request path faster than calling their usual distributor rep, and that your controller can pull spend by hospital and category without manual reconciliation. If the pilot hospitals quietly revert to old habits within a month, that's a sign the approval threshold is set too tight, not that the tool is wrong for your group.

Check these points before extending the rollout to every hospital:

  • Pilot with two hospitals first, one urban and higher volume and one smaller, before extending to the full group.
  • Confirm hospital managers find the mobile request path faster than calling their usual distributor rep.
  • Check that your controller can pull spend by hospital and category without manual reconciliation.
  • Keep controlled substance ordering in its existing DEA-compliant process, outside the new tool.
  • Agree on a shared list of approved distributors before pushing every hospital onto one procurement tool.

Emergency and after-hours purchasing needs a different rule

A hospital handling an overnight emergency surgery can't wait on a standard approval chain for a needed surgical consumable, and building a purchasing process that ignores this reality guarantees it gets bypassed exactly when it matters most. Set a separate, higher after-hours limit tied to on-call staff, reviewed the next business day rather than requiring real-time approval, so urgent cases don't turn into a reason to abandon the system entirely.

Specialty and referral hospitals buy differently than general practice

If the group includes a specialty or emergency referral hospital alongside general practice locations, don't assume a single purchasing profile fits both. A specialty hospital's surgical and diagnostic supply mix looks nothing like a general practice's routine vaccine and wellness inventory, and forcing both onto identical spend limits and vendor lists either constrains the specialty hospital or leaves excess purchasing authority sitting unused at general practice locations. Set limits and approved vendor lists by hospital type, not by a single group-wide default.

Waste and expiration tracking connects back to this same discipline: pharmaceuticals and biologics that expire before they're used are a real cost, and the root cause is often over-ordering driven by a hospital manager stocking up out of habit rather than actual usage patterns. Tie your purchase order review to expiration data from the practice management system where possible, so a hospital that consistently over-orders a slow-moving product gets flagged before the waste repeats month after month.

Executive Capability Standard

What Good Looks Like

Good procurement for a multi-hospital veterinary group means routine supply restocking happens fast at the hospital level, while equipment and new-vendor decisions get real oversight at the group level.

Building The Capability (5-Stage Skill Ladder)

1. Learn:Understand which purchase categories are routine and hospital-specific versus which are infrequent and group-level, since they need different approval paths entirely.
2. Do Manually:Keep a shared, current list of approved pharmaceutical and supply distributors that every hospital manager references before ordering.
3. Delegate:Assign a regional operations lead to own vendor consolidation across hospitals, separate from day-to-day hospital-level purchasing.
4. Automate:Set per-hospital purchasing limits that cover routine restocking without a case-by-case approval, reserving actual review for above-threshold or new-vendor purchases.
5. Buy:Have Frank, MeetMyCFO's AI CFO, review spend concentration by vendor across hospitals to flag where consolidating volume could improve distributor terms.

How to Get Started

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Frequently Asked Questions

Should controlled substance ordering go through Airbase or Procurify?

No. Keep controlled substance ordering in your existing DEA-compliant process with its own logging. Use Airbase or Procurify for general pharmaceuticals, surgical consumables, and diagnostic supplies, where the regulatory requirements are lighter and centralized visibility is more valuable.

How do we stop each hospital from ordering from a different distributor?

Agree on a shared list of approved distributors across the group before rolling out either tool. A procurement platform tracks spend more consistently, but it won't consolidate vendor relationships on its own; that's a separate negotiation you have to lead.

Should equipment purchases use the same approval path as supply orders?

No. Equipment purchases are infrequent, high dollar, and often involve a multi-hospital decision, so they need their own approval tier with sign-off from whoever owns capital budgeting, separate from routine hospital-level supply approvals.

About the numbers

This guide doesn't quote a sourced benchmark. Figures in it are estimates or general guidance, so check them against your own numbers.

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