Kent Giles, Regional VP, Conifer Health. With the trends in supply chain cost inflation, cost shifting from employers to employees, cuts in Medicaid and Medicare reimbursement, and ARRA requirements that add significant IT costs, hospitals must find additional ways in which to improve margins. A well designed Margin Improvement Program can help hospitals take a strategic and well orchestrated approach to sustainable financial operations improvement. Kent describes the broad financial benefits from using such methodologies and includes University of Mississippi Medical Center’s results as an example of an organization that took a comprehensive approach to this challenge.