Health systems are pursuing a wide range of digital initiatives to meet the unprecedented financial and strategic challenges they face. These digital initiatives span the enterprise, and include the creation of a modern consumer-grade experience, automating myriad back office processes, and delivering care using virtual technologies. With the intense margin pressure facing health systems today, compelling financial returns from any digital initiative are a prerequisite to secure funding and organizational support. Historic approaches to financial management are often not up to the task, slowing progress and limiting the potential value from digital.