HGPII has exhaustively studied the healthcare supply chain over the last two decades, and our latest Annual Report highlights some of the challenges facing the healthcare marketplace but also identifies encouraging trends. Healthcare GPOs participating in our project are clearly adapting to the changes in the healthcare system following the pandemic, and many are contributing real expertise to the priority to make the supply chain more resilient. This has been balanced with their preexisting mission to generate cost savings for healthcare providers while preserving the quality and reliability of goods and services purchased. HGPII members have demonstrated a continued commitment to compliance with industry standards for ethics and best practices, while adhering to necessary transparency practices. While our healthcare system is facing deep challenges related to cost and access, the group purchasing sector is clearly contributing to the resources available to healthcare institutions and policy makers.