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This qualitative study explored strategies academic research hospital administrators in Ontario, Canada, apply to generate nongovernment revenue to remain sustainable. The participants in the study consisted of senior-level academic research hospital executives with extensive experience in the subject area from major academic research hospitals, ranking the hospitals from highest to lowest in revenue generation. From this study, five themes emerged: working within the fiscal reality, the impact of the political environment, the focus on the mission, nongovernment revenue generation, and opportunities for the Ontario academic research hospitals. Findings from this study may contribute to discussions on implementing change by encouraging hospital executives to adopt a more coordinated and consistent approach to generating nongovernment revenue to support the mission of their hospitals.

Are Hospital Efficiency and Quality of Care Affordable without External Revenue?