The article provides information regarding the renewed learning culture offered at Sisters of Charity Providence Hospital in Columbia, South Carolina. The course is aimed to address performance gaps and supporting quality service. Since its development, the system has shifted its status from not-for-profit to for-profit, undergoing several leadership changes as a result. A top priority is developing leaders within the management ranks of the 304-bed, two-hospital organization. A curriculum was also designed around performance and financial management, identifying and recruiting top talent, and change management.