Realizing a 338% in Annual ROI in a Payback Period of 0.6 Years

Ascension is the largest non-profit health system in the U.S. and the world’s largest Catholic health system. Ascension is committed to delivering compassionate, personalized care to all. In 2015, Ascension provided nearly $2 billion in care to persons living in poverty and other community benefit programs. It has approximately 160,000 associates and 36,000 providers that operate at 2,500 sites of care in 24 states and the District of Columbia.

Ascension was using a decentralized finance model with various divisions using many different enterprise resource planning systems. The accounting team for headquarters faced the task of 20,000 to 25,000 reconciliations that were typically tracked and shared on spreadsheets. As part of its larger strategy to improve its financial controls and automate processes, Ascension undertook the challenge of centralizing and standardizing its finance and accounting department in a shared service center.

After putting out a request for proposal, Ascension considered a few different accounting and reconciliation solutions before selecting BlackLine in 2012. Ascension chose BlackLine for a number of reasons, including BlackLine’s software-as-a-service delivery model and its web-based interface, ability to provide integrated products, and client-centric approach.



United States




Realized a 338% in annual ROI in a payback period of 0.6 years, reduced audit time by as much as 400 personnel hours, improved employee productivity.

Why BlackLine

Ascension deployed BlackLine’s financials controls and automation platform to centralize and simplify its financial reconciliations. Nucleus found that Ascension was able to stand up BlackLine quickly and create an improved controls environment while realizing cost savings and increasing productivity. By leveraging BlackLine’s automation capabilities, Ascension is positioned to expand its operations without corresponding workforce expansions.