This chapter helps the reader to describe common key terms and concepts used in financial management; explains how money typically flows through a healthcare provider organization; and applies the common measures to assess the high-level financial performance of a business enterprise. The basic four-step process that occurs after the healthcare provider organization delivers a service to a patient includes sending the bill to the payer, collecting payment, paying expenses, and determining profitability. Healthcare leaders must understand and speak the “language of finance” to enable productive conversations to support achieving their organizations’ financial goals. Knowing and applying the business of healthcare terms, such as revenue, expense, and net income, are essential for effective financial management. Leaders can apply common profitability measure calculations to continuously assess the financial well-being of their business enterprise.