Case Study: Ascension Health achieves 338% ROI and centralized, automated financial reconciliations with BlackLine

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Ascension Health - Customer Case Study

Ascension, the largest non-profit health system in the U.S., was operating a decentralized finance model across multiple ERPs and faced some 20,000–25,000 account reconciliations managed on spreadsheets. To centralize and standardize finance in a shared service center, the organization needed stronger controls, faster audits and a way to scale reconciliations without proportionally increasing staff.

Ascension deployed BlackLine’s cloud-based financial controls and automation platform in a phased rollout, going live in 90 days with no IT involvement. The solution streamlined reconciliations, cut audit time by up to 400 personnel hours, improved productivity and enabled growth without added hires—delivering a 338% ROI, a 0.6‑year payback and an average annual benefit of about $734,136.


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