Business Intelligence (BI) systems are important IT platforms providing decision support in many enterprises, but there is a lack of independent BI-specific systems development methodologies. Further, while BI has been acknowledged as a successor to Executive Information Systems (EIS), there is little empirical evidence underpinning this view. This paper presents a case study of a BI systems development project in a large Australian healthcare organisation to argue that the development challenges faced by BI systems developers are largely similar to the challenges addressed by EIS development methodologies, and that an EIS development methodology is a useful starting point for designing a development methodology specifically for BI systems.