Money is the lifeblood of any organizationfor-profit, not-for-profit, or public. In most for-profit corporations, maximizing sales and profits, and returns to shareholders, is the primary objective. Many have criticized the health care industry for its growing fixation on profit maximization, claiming that health care should be treated as a social good rather than a commercial good. How can the leaders of health care organizations reconcile these two positions? How do high-level executives manage the tradeoffs between maintaining the fiscal solvency of their organizations and providing health care services to all who seek them?