Health systems are under significant financial stress as a result of continual decrease in reimbursement and a never-ending increase in labor costs. Supply chain leaders are under pressure to identify cost savings to reduce the financial uncertainly for their organizations.  It is imperative for leaders to take a pause from their reactionary and expediting mindset to develop a supply chain master plan. Developing a supply chain master plan is a critical first step to assessing the current operations, identifying gaps and aligning operations with the future state requirements. The discussion will share insights on strategies to shift the organization from a transactional relationship to a strategic enabler for the delivery of patient care and realize cost savings opportunities.  Additionally, the discussion will share how other health systems are prioritizing their operational improvements to achieve operational excellence.