Practical theory -- Autonomy -- Nonmaleficence and beneficence -- Justice -- Quis custodiet ispos custodes? Who will guard the guardians? -- Market forces and ethics -- Social responsibility and ethics -- Technology and ethics -- No mission no margin : fiscal responsibility -- Organization culture and ethics -- The ethics of quality -- Patient issues and ethics -- Moral integrity -- Codes of ethics and administrative practice -- Practicing as an ethical administrator -- Where do we go from here?