What attributes make for an effective leadership culture at healthcare organizations? Different hospitals and healthcare systems have succeeded with different approaches to leadership. Boards and CEOs are often preoccupied with establishing lasting leadership values, yet there is no easy method of doing so. Most healthcare organizations have created mission and values statements (combining clinical and business goals), some have developed formal leadership development programs, and many apply the standard tools of performance reviews, organizational charts, and succession planning, among others. Leadership must always be accountable for results—the right results for the organization. Four executives recently gathered with HealthLeaders Media for an in-depth, three-hour conversation on leadership, organizational culture, and the difficult environment for decision-making.