At HealthLeaders Media, we often ask the question, "What makes a healthcare organization great?" We get a wide variety of answers to that question. But for every example of an outstanding organization that we find, there's a leadership team that inspires, provokes, or forces the institution to measure up to a set of ideals. Chris Van Gorder, president and CEO of Scripps Health in San Diego, tells his direct reports that they can miss their targets once, but they won't be around to miss them twice. With the volatility of healthcare, outside factors can often influence a hospital's performance.