This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

This book is a history of psychiatry and medicine in the context of the evolution of managed care over the last forty years. The Alexian Brothers Behavioral Health Hospital’s rise to the seventh largest psychiatric corporation (as of 2016) in the USA is reviewed in relation to those changes in funding and clinical practice.