Financial health is a key component of sustainability and could be argued the most important factor. To obtain financial health, senior leadership must be well informed of the moving parts that make up financial health and how to monitor changing status and conditions. We will explore how to help senior leadership to better understand and monitor the balance sheet and operating reserves and from an income statement point of view, we will discuss the hidden benefits of segregation of duties and impact of overhead expenses and allocation of indirect costs and impact on the “bottom-line”.