Why do particular teaching hospitals and clinics enjoy positive reputations in their communities and beyond? Are time and money the only constraints that prevent staff from establishing compassionate relationships with patients? How does hospital leadership influence the health and well being of the staff and patients in their institutions? How does cultural change take place in the clinical setting? How is a humanistic clinical environment created and sustained in today's healthcare system? The Gold Foundation and its partners have been exploring the answers to these questions. Our goal is to support institutions and individuals in their efforts to build hospital environments that are caring and humane for patients and staff alike.