Ethical accounting practices, treatment of employees, interactions with the public, and information disseminated to shareholders are all responsibilities of the leadership team and can have a direct impact on the overall profitability of the company." ( Horton, 2022) As you can see business ethics can intertwin with the financial performance within the health care industry. These two things tend to play a big role within health care, they need each other to be successful. Currently right now within my home health company, we see when the performance of employees has impacted the company financially. We bill hours that are being recorded and if the family of the member is not happy, they will not ask for help from the caregiver which leads to reducing their billable hours costing the company. This sometimes can cause a grey line between ethics and financial performance creating challenges for the company. A few of these challenges may be causing a hold-up in hiring new staff to grow departments, taking on new members to bring in the income, or positive platform reviews. As a company having these three challenges can cause the marketing strategy goals to be placed a holt having to develop new goals