Join Adam Baker, Partner at Chartis, along with Shakeeb Akhter, SVP & CDIO at Children’s Hospital of Philadelphia; Jim Feen, SVP & CDIO at Southcoast Health; and Charles Wagner, Senior Vice President & Chief Information Officer at Franciscan Alliance. Health systems are operating in an environment of constrained capital, heightened board scrutiny, and accelerating digital expectations, making ad hoc or purely benchmark-driven IT investment decisions increasingly insufficient. There is no single “right” level of IT spend. Instead, organizations must be deliberate in defining what they can afford to invest in digital and IT initiatives. This should in turn drive a consistent understanding of the level of IT and digital capability they should reasonably expect from that investment. By explicitly linking financial capacity, capability maturity, and enterprise strategy, leaders can move beyond cost comparisons to understand whether their IT spend is delivering meaningful value. This approach enables CIOs and executives to make informed tradeoffs, set realistic expectations, and intentionally position their organization for sustainable performance and long‑term impact.