Among norm based management systems, healthcare organizations in Germany use ISO 9001 as it has become compulsory to have a quality management system. Until the innovative ISO 9001:2015 proposal it was no direct connection to other management systems like risk or knowledge management. Only some entities ensured inter-connections or solely linked to the strategic planning process. Still, healthcare encapsulates supplementary requirements that imply integrating different systems. In addition, the financial crisis encouraged the tendency to operate integrated reporting beyond merely financial aspects. This paper aims at presenting the development of an integrated management and reporting system dedicated to healthcare organizations as a tool for sustainability management. Accordingly, different norm-based management systems (quality management, environmental management) link strategic planning and controlling through a balanced scorecard and integrated reporting according to International Integrated Reporting Initiative model. The literature review clarified theoretical concepts, while the case study acquired comprehensive data on a medical German company, RNR AG, and specific knowledge. Contributing to closing the literature gap on fully integrated management and reporting system in healthcare, the findings will simultaneously assist practitioners and beyond. ISO 9001:2015 proposal designates integrated management system as the future for all certified entities, irrelevant to field of activity.