#Case Study
Data Analytics Solutions Help Fresenius Medical Care to Successfully Complete DOJ and SEC Monitorship
Organization Overview
Fresenius Medical Care is the world’s leading provider of products and services for individuals with renal diseases, of which around 3.9 million patients worldwide regularly undergo dialysis treatment. Dialysis is a vital blood cleansing procedure that substitutes the function of the kidneys in case of kidney failure. Fresenius Medical Care offers products and services along the entire dialysis value chain from a single source and cares for approximately 345,000 patients globally through over 4,100 dialysis clinics. Fresenius Medical Care also operates 42 production sites on all continents to provide dialysis products such as dialysis machines, dialyzers, and related disposables.
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Request a DemoThe Need
Fresenius Medical Care entered into a non- prosecution agreement with the U.S. Department of Justice (DOJ) and an Order with the U.S. Securities and Exchange Commission (SEC) in 2019 related to violations of the Foreign Corrupt Practices Act. Those agreements mandated that Fresenius Medical Care enhance its compliance program and internal controls and retain an Independent Compliance Monitor (“Monitor”) for a period of two years to certify those enhancements. To meet these obligations and satisfy the Monitor, Fresenius Medical Care selected Case IQ’s* compliance monitoring software to enable monitoring and remediation of compliance risk in global vendor spend and distributor/reseller transactions.
Prior to implementing the software, Fresenius Medical Care did not have a dedicated platform to actively monitor compliance risk in vendor spend and distributor/reseller transactions. Fresenius Medical Care performed periodic and sample-based monitoring and needed to enhance its monitoring program to be far more real-time and comprehensive.
*Lextegrity was acquired by Case IQ in 2025 and is now offered as an end-to-end suite of compliance tools.
Fresenius Medical Care Case Study
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Download NowThe Solution
Fresenius Medical Care sought a software provider to supply technical solutions to enhance their global program related to continuous real-time monitoring of financial transactions. They ultimately chose Case IQ’s Compliance Monitoring solution for a variety of reasons:
- The software was a proven compliance platform that had already been deployed by other global life sciences customers
- The software had been implemented in similar situations before enforcement agencies, including resolving another monitorship and helping to secure a DOJ declination
- Case IQ’s software was able to meet their requirements from the DOJ and SEC.
Fresenius Medical Care accelerated its data analytics and compliance monitoring efforts using Case IQ’s compliance monitoring software. Beyond Healthcare Professional (HCP) and Healthcare Organization (HCO) payments, the software monitors all vendor payments and will monitor all customer revenue/distributor transactions across connected ERP instances.
Case IQ’s compliance monitoring software enables Fresenius Medical Care’s compliance team to risk-score vendor spend and customer revenue transactions globally. Fresenius Medical Care has access to dozens of behavioral, statistical, and policy-based analyses, all highly configurable within the platform. End users do not need data expertise or data engineering skills to configure or maintain those analytics. The Fresenius Medical Care compliance team has access to a user interface that allows them to modify their settings and analyses and create multiple custom analyses without any further technical skill required. Case IQ’s team worked with Fresenius Medical Care’s compliance and finance teams to calibrate their risk settings, add custom keywords, and test those risk settings multiple times before going live with the platform. Currently, Case IQ’s team is working together with a cross-functional Fresenius Medical Care team on ways to set up needed risk settings for additional customer scenarios.
The monitoring tool escalates certain transactions as higher risk, to be reviewed by an internal team at Fresenius Medical Care. All follow-up steps, including remediation, are documented directly within the platform. Reporting is also available in real-time for the Fresenius Medical Care Compliance team to present the results of their monitoring program to internal stakeholders.
The Results
The Case IQ compliance monitoring solution has dramatically accelerated Fresenius Medical Care’s use of data to manage risk and detect non-compliance. Compliance teams now have near real-time visibility into spend and revenue transactions almost globally and can identify any potential process issues or non-compliance in near real time.
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