Executive Summary: CIOs of seven leading healthcare organizations convened in late 2013 for an IT Cost Management and Value Realization Summit. In the session, the group shared strategies, tactics and insights for managing IT costs, fostering innovation and capturing and demonstrating the value IT brings to their constituents. This report highlights the key themes and specific strategies employed by the organizations represented in the summit and is intended to help other providers plan for success in an increasingly cost and value conscious market.