We talk with David Kirshner about why healthcare CFOs are facing extreme margin pressure and why supply chain has become a strategic tool for survival. We map out how to find savings beyond clinical supplies by using better data, tighter contracting, and real cross-department partnerships. 
• health systems moving from thriving to barely surviving as margins compress 
• why CFO sponsorship matters when expanding supply chain influence 
• defining non-clinical and indirect procurement across IT, facilities, energy, marketing, corporate services, and legal 
• using accounts payable and spend analytics to uncover vendor sprawl and contract gaps 
• the “$1 saved equals $20 revenue” logic and why expense work wins fast 
• raising expectations with vendors through competitive sourcing and respectful collaboration 
• using a supply chain maturity model to move from good to great 
• mentoring the next generation of data-driven supply chain leaders 
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