This was an assigned text that I had access to via ebook. I liked it so much I bought the hardcopy and it isn't cheap. First of all this is an excellent primer on how health organizations SHOULD be run. It is also a great look into the best of the best and why so many fall short. I will not be gettng rid of this book anytime soon. I have recommended it to at least 4 friends, they all bought a copy based on excerpts I quoted to them. If you are in any field of healthcare management, this book is golden. Too bad it isn't required reading for all healthcare administrators across North America.One more thing... this is probably the most "well written" book I have had the pleasure to read. The topic isn't a grabber. Let's face it, if it isn't part of your daily environment you would never touch this subject. But, this book is like listening to someone who is amazingly smart, experienced and passionate speak about their favorite thing. I couldn't believe I actually read the whole thing.