4 Health Systems Adopt AI Contract Intelligence Platform

The new platform automates invoice validation and reduces manual approvals across multiple states.

Published on Feb. 19, 2026

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Four major health systems - MUSC Health, OSF HealthCare, Kettering Health, and MemorialCare - have deployed an AI-powered contract intelligence platform from startup SpendRule. The solution validates invoices against contract terms in real-time prior to making payments, automating a process that previously required thousands of hours of manual approvals each year.

Why it matters

As healthcare systems manage an increasing number of complex purchased services contracts, automating invoice validation can help reduce errors, stop revenue leakage, and free up staff time that was previously spent on manual reviews. The adoption of this AI-powered platform by multiple large health systems signals growing industry interest in leveraging technology to streamline administrative workflows.

The details

The new contract intelligence platform from SpendRule automatically validates invoices against the terms of each health system's purchased services contracts before payments are made. This replaces a manual review process that OSF HealthCare's chief supply chain officer Dave Fergus says required "thousands of hours" of staff time annually. The MemorialCare Innovation Fund has also invested in SpendRule, indicating the startup's technology is gaining traction in the healthcare sector.

  • The four health systems deployed the SpendRule platform in February 2026.

The players

MUSC Health

A health system based in Charleston, South Carolina.

OSF HealthCare

A health system based in Peoria, Illinois.

Kettering Health

A health system based in Kettering, Ohio.

MemorialCare

A health system based in Fountain Valley, California. The MemorialCare Innovation Fund has also invested in SpendRule.

SpendRule

A startup that provides an AI-powered contract intelligence platform to automate invoice validation for healthcare organizations.

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What they’re saying

“We manage thousands of purchased services contracts, many of them hundreds of pages long. Before SpendRule, there was no realistic way to ensure every invoice line matched the contract before payment. Now, that validation happens automatically, giving us confidence in invoice accuracy, stopping the leakage, and freeing our teams from thousands of hours of manual approvals each year.”

— Dave Fergus, Chief Supply Chain Officer, OSF HealthCare (News release)

What’s next

The health systems will continue to monitor the performance of the SpendRule platform and explore opportunities to expand its use across their organizations.

The takeaway

The adoption of AI-powered contract intelligence technology by major healthcare providers demonstrates the industry's growing interest in automating administrative workflows to improve efficiency, reduce errors, and free up staff time for higher-value activities.