It has been suggested that successful Supply Chain Management (SCM) requires the understanding and management of three important issues: who are the members in the supply chain; which supply chain processes link them; and. What type/level of integration do these supply chain processes require? This article is based on an extended conceptual framework developed by previous researchers and provides an application in a health care setting. The main purpose of this work is to test the usefulness and to increase the understanding of the framework in a case environment. The objective is to assess the applicability of this supply chain framework for managerial purposes.