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Real management that contributes to high proposal, higher performance, and a culture of accountability. As president and CEO of Scripps Health, one of America's most prestigious health systems, Chris Van Gorder presided more than a dramatic turnaround, catapulting Scripps from next to bankruptcy to a dominant market position. While clinics and health systems across the country have laid people off or are closing their entrances, Scripps is financially healthy, has added a large number of employees (even with a no-layoff viewpoint), and has developed a reputation as a high employer. What are the secrets to this remarkable report? In The Front-Line Leader, Chris Van Gorder candidly shares his own outstanding story, from officer to CEO, and the management viewpoint that drives most of his decisions and activities: people come first. Van Gorder started out his unlikely career as a California officer, which deeply instilled in him a feeling of sociable responsibility, honesty, and general public service. After being injured face to face and taking an early on retirement, Van Gorder needed to reinvent himself, going for a job as a hospital security director, employment that could change his life. Through hard work and perseverance, he rose to executive rates, eventually becoming CEO of Scripps. But he never forgot his own origins and powerful work ethic, or enough time when he was a security official and a CEO would not make eye contact with him. Van Gorder leads from the front lines, which makes it a priority to know his employees and customers at every level. His values discovered on the make - protecting the city, educating citizens, developing caring interactions, and in the end doing the right thing - shape his approach to business. Approximately companies discuss accountability, managers seldom understand what useful steps to take to achieve an ethic of service which makes accountability meaningful.