In 2008, Cleveland Clinic—one of the world’s premier healthcare institutions—launched an organizational development process with the interrelated goals of significantly increasing employee engagement and improving the overall patient experience. Critical to the success of this process has been “hardwiring” the concept of Servant Leadership into the culture. Supporting elements in the process have included enterprise-wide initiatives focused on the concept of “We are all caregivers”−caregiver wellness, and caregiver recognition. Results have included dramatic improvements in both engagement, as measured by the Gallup Q12 survey, and patient satisfaction, as measured by the federal “HCAHPS” survey (Hospital Consumer Assessment of Healthcare Providers Systems).